Inspection on 03/04/07 for Moor View

This inspection was carried out on 3rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Moor View 06/12/05

Moor View 01/06/05

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

CARE HOME ADULTS 18-65 Moor View 20 Georges Street Nursery Lane Ovenden Halifax HX3 5TA Lead Inspector Cheryl Stovin Unannounced Inspection 3 and 4th April 2007 11:30 rd Moor View DS0000063402.V341533.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 Moor View DS0000063402.V341533.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. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moor View Address 20 Georges Street Nursery Lane Ovenden Halifax HX3 5TA 01422 368716 01422 368738 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) Richmond Fellowship Peter Lidster Care Home 14 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (14) of places Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 Brief Description of the Service: Moor View is owned and managed by The Richmond Fellowship and is registered to provide accommodation and nursing care for up to 14 adults with severe and enduring mental health needs. There is always a qualified Registered Mental Nurse on duty supported by a team of well trained Assistant Project Workers. The establishment, a purpose built property, is situated in the Ovenden district of Halifax with easy access to local facilities and on a bus route to the town centre. The accommodation comprises of 14 single bedrooms all equipped with full en-suite facilities, and spacious and comfortable communal areas. The Calderdale Primary Care Trust makes referrals to the establishment and is also responsible for funding the placements. The people living at the home are not required to pay for their care. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Moor View. This included an unannounced visit I made to the home on 3rd April 2007, and was concluded on the 4th April 2007..A total of 8 hours was spent on the visits. During these visits a full tour of the building was undertaken, records were examined and discussion took place with management, staff and the people living at the home. In addition to this visit comment cards were sent out to give people an opportunity to share their views of the service with CSCI. The home asked an independent advocate to assist the people living at the home to complete their comment cards. The advocate was intending to visit the people individually over the next few weeks to complete this task, therefore at the time of writing this report no comment cards had been received. I spoke to the advocate, who knows the people living at the home well instead. She confirmed that they receive a good service and said that the home has improved considerably over the past few years. The last inspection of Moor View was on 6th December 2005, no additional visits have been made. A pre-inspection questionnaire was sent to the home which was returned promptly and gave useful information. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk What the service does well: The home is committed to providing a positive service for people experiencing severe and enduring mental health needs, and promotes a therapeutic programme of rehabilitation under the Care Programme Approach. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 6 The accommodation provides a homely environment and the staff team are committed to ensuring that the service users feel valued and respected and treated with dignity. All people living at the home have direct access to an independent advocate, the advocacy service is funded by the Primary Care Trust and all people are given the opportunity to meet with them in private if they wish. People are encouraged to develop and maintain independent living skills and to fully participate in the day to day running of the establishment. People use a wide range of community social and recreational activities and are encouraged to develop new interests. Staffing levels are sufficient to enable the staff team to work flexibly to make sure that the people’s social and emotional needs are met. The organisation places a high priority on staff training and development. Over 50 of the care staff hold the National Vocational Qualification (NVQ) level 2 or 3. The staff training undertaken is clearly reflected in the high standard of care given to the people who use the service. What has improved since the last inspection? What they could do better: Individual support plans are in place for all but one person. The plans seen varied in content, some contained detailed and up to date information, some did not. Individual support plans must be reviewed to reflect the current needs of the people who use the service. This is to make sure that people receive the support they need. A risk assessment and monitoring system must be in place for people who manage their own medication. This is to make sure that the medication is handled safely. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 7 A weekly audit of medication held is undertaken weekly, this audit shows any discrepancies in stocks of medication held. The reasons for any discrepancies are not currently recorded. The reasons must be recorded to make sure that people receive the correct levels of medication. 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. Moor View DS0000063402.V341533.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 Moor View DS0000063402.V341533.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): 1,2,4,5 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are fully assessed before moving into the home to make sure the staff can meet their needs. People are provided with detailed information about the services and facilities provided, so they know what to expect before they move in. EVIDENCE: The home has produced a statement of purpose and service user guide which clearly states the services and facilities provided within the home. This makes sure that people know what to expect when they move into the home. A detailed and holistic assessment of needs is carried out before someone moves in which is reviewed on a regular basis. People visit the home before admission, and decide individually how long they want to stay and how many visits they want to make before deciding to move in. Referrals to the home are made by the Calderdale Primary Care Trust who are also responsible for funding the placements, which means that the people Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 10 using the service do not have to pay for their care. They do, however, have to pay for clothing and personal items. All people who live at the home have a contract of agreed aims which sets out their rights and responsibilities. Moor View DS0000063402.V341533.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): 6,7,8,9 People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are not being always recorded in their plan of care to ensure that support is given in accordance with their needs. People are fully involved in all aspects of daily life within the home and are encouraged and enabled to be as independent as possible. EVIDENCE: The care records of five people were looked at. Individual support plans were in place for four of the people. There was no plan in place for a person who has recently moved into the home, although there was evidence that a full assessment had been carried out. There are two sets of care records held for each person which made retrieval of information quite confusing. An example of this was that a review evaluation document was in one file whilst the support plan was in another. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 12 The information from the review had not been incorporated into the current individual support plan which meant that the plan was not up to date and did not reflect the person’s current needs. One of the individual support plans was of an exceptionally high standard. The plan had been written for a person who was unable to fully participate in devising their plan of the care. The plan set out exactly how the care is to be provided and the reasons why the care is to be delivered in that way. The manager will use this as an example of good practice in the future development of writing the individual support plans. This will make sure that the plans are consistent and all of a high standard reflecting the current needs of the people, and ensure that they receive support that meets their needs. People living at the home are encouraged to be fully involved in the day to day running of the place, and their representatives are involved in reviewing the policies and procedures. An independent advocate is actively involved in the home to make sure that everyone’s views are taken into account and acted upon. I spoke to the advocate and she said that the people are genuinely empowered to make suggestions and to exercise choice over their daily lives. Some service users are receiving training to enable them to contribute to producing a newsletter to let everybody living in the home know what is going on within the Richmond Fellowship organisation. The organisation has adopted the ‘recovery’ model of meeting the people’s mental health needs, and the home fully supports this. This means that the people living in the home are enabled to take responsible risks to make sure they live an ordinary life in the community. Moor View DS0000063402.V341533.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): 11,12,13,14,15,16,17 People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities whilst living at the home EVIDENCE: People are encouraged and enabled to develop social and independent living skills and to learn and experience practical life skills. They are encouraged and enabled to fulfil their cultural and spiritual needs. People access a wide range of community social and recreational facilities and are encouraged and enabled develop and maintain new interests. Some people attend a day centre in Halifax whilst others visit a local community café or local pubs. One person living at the home uses English as a second language. An interpreter accompanies him to all medical and Care Programme Approach (CPA) meetings to ensure that he is kept fully informed of all aspects of his medical care. A member of staff is also researching other community groups in Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 14 the area to enable him to make friends and talk informally with others of the same ethnic group. People are encouraged and helped to plan holidays. The destinations being arranged for this year include Ireland, Yorkshire Dales and Whitby. Two volunteers who visit the home have a particular interest in gardening and have developed a vegetable patch which some of the people help to plant and water the vegetables. Another volunteer visits regularly and engages the people in arts and crafts. Some of the paintings produced have been exhibited at a local art exhibition. The volunteers are subject to the same Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks and references as the staff. This ensures that the welfare of the people living at the home is protected. The home is promoting a ‘Challenging Stigma’ event to be held at the Square Chapel in Halifax. People from the home will be involved in running this event which aims to promote positive images of disability and to raise public awareness of people with mental health needs. Some people enjoy reflexology sessions which are held in the home by a qualified reflexologist. A specially equipped room provides a relaxing environment for the sessions to be carried out. People said that they are happy living at Moor View and were seen to be choosing where to spend their time and to follow their interests. The home has a healthy eating policy and meals served are balanced and nutritional. The lunch being served on the first day of the visit was: Mediterranean chicken casserole or spinach lasagne, served with jacket potato and salad, followed by a choice of syrup sponge and custard, sago pudding or ice cream. The mealtime was seen to be relaxed with everyone including the staff sitting down together, making it a social occasion. People can help themselves to hot and cold drinks at all times of the day and night. People said they enjoyed their meals. Moor View DS0000063402.V341533.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): 18,19,20 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. People who handle their own medication are placed at risk by inadequate monitoring arrangements. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. All personal care is given in private. People’s physical and psychological health care needs are assessed and detailed in their individual support specification. Everyone is under the care of an identified Psychiatrist who visits the home on a monthly basis for consultation, this ensures that any changes in people’s mental health is picked up quickly. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 16 There is always a member of staff on duty who holds an up to date first aid certificate, which makes sure that minor and major medical emergencies are dealt with promptly. The home uses a Monitored Dose System (MDS) supplied by a local pharmacy for the administration of medication. The stocks of medication are securely stored in a medication room. The medication is administered by the qualified nurses in accordance with Nursing and Midwifery Council (NMC) guidelines A weekly audit of medication is carried out. This audit identifies any discrepancies in stocks of medication held. The audit sheets do not, however, show the reasons for the discrepancies nor of the action taken. The reasons for the discrepancies must be documented on the audit sheets. One person handles their own medication. This was discovered when taking a tour of the building and looking in their room and finding the stocks of medication. The medication was not in a locked drawer which is provided for the safe storage of medication. There was no reference to the person managing their own medication in their support plan, no risk assessment or monitoring system in place. A risk assessment and monitoring system must be put in place to ensure that the management of self medication is safe. An appropriate system for disposing of unused medication is in place which ensures that surplus medication is held safely prior to disposal. Moor View DS0000063402.V341533.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): 22,23 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the procedures and practices in the home, the staff understand and promote Adult Protection Procedures. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure and all of people living in the home are aware of who to talk to if they are unhappy about anything in the home. All of the people have access to an independent advocate who can take up any issues raised on their behalf. All staff have received training in the Protection of Vulnerable Adults (POVA) and are aware of the procedure to follow if they witness or suspect that abuse is taking place. A recent allegation of abuse has been handled appropriately and all the correct professionals informed, and the correct procedures followed. The investigation is still on-going. Moor View DS0000063402.V341533.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): 24,25,26,27,28,30 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained and hygienic environment. EVIDENCE: The home is situated in a residential area in the Ovenden district of Halifax close to local facilities and on a bus route to the town centre. The home is purpose built and provides accommodation in 14 single bedrooms all equipped with en-suite shower or bathing facilities. Communal areas are spacious and comfortable and furnished and fitted to a good standard. A smoking area is provided in a well ventilated conservatory. There is a programme of routine maintenance and refurbishment in place which makes sure that the living environment is kept safe and comfortable. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 19 People are encouraged to personalise their own rooms to reflect their interests and tastes. The bedrooms are sufficiently spacious to enable this. The home was seen to be clean and fresh throughout. There are well maintained and safe and accessible garden areas for the people living in the home to enjoy in the warm weather. Moor View DS0000063402.V341533.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): 31,32,33,34,35,36 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There is always a Registered Mental Nurse (RMN) on duty supported by a team of Assistant Project Workers. Staff rotas showed that there are three care staff plus an RMN on duty during the day time hours and two waking night staff. These staffing levels are appropriate to meet the social and emotional needs of the people living at the home. In addition to the nursing and care staff catering, domestic and administrative staff are also employed. All new staff receive induction training to Skills for Care Council common induction standards. This ensures that staff have the required competences to meet people’s needs. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 21 There is a programme of National Vocational Training (NVQ) in the home and it is an expectation that all care staff undertake NVQ training. Over 50 of the care staff hold the award. In addition to the mandatory health and safety training, other training recently undertaken has included: challenging behaviour, equal opportunities, equality and diversity, supervision skills and prejudice reduction. Staff at the home access training opportunities from both the Richmond Fellowship organisation and the local authority Health and Social Care Training and Development Unit. The staff were seen to be meeting the needs of the people living at the home in a sensitive manner, and relationships were observed to be relaxed and friendly. People described the staff as “staff very good”, “staff o.k.” and “they are good people”. Staff confirmed that they had a good knowledge of the needs of the people living at the home and stated that they work together as a team. There are relatively low rates of sickness and staff turnover which gives a consistent and reliable service to the people who live in the home. The home operates safe and robust recruitment practices. Staff files seen showed that all the required pre-employment checks are carried out. There was evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. A copy of the completed application form and references were also seen. There was documented evidence that people living at the home are fully involved in the interview process. All new staff are required to undertake a probationary period before they are employed on a permanent basis. There was evidence that this is a thorough process and that employees have to demonstrate competence before they complete their probationary period. Moor View DS0000063402.V341533.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): 37,38,39,40,42,43 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The Registered Manager of the home is qualified and competent to run the home. He is a qualified RMN and has also completed the NVQ IV Registered Managers Award. He is committed to making sure that an open and positive atmosphere is prevalent in the home, and dictates a clear sense of leadership. He regularly Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 23 attends training and ‘networking’ opportunities to keep abreast of current good practice in meeting people’s mental health needs. The views of the people living at the home underpin practice in the home and they contribute to the home’s policies and procedures. All staff receive mandatory health and safety training and work in accordance with the comprehensive policies and procedures to promote a safe working environment. This protects the health and welfare of all living and working in the home. All the required safety checks are carried out regularly, and certificates were seen showing compliance with health and safety regulations. Moor View DS0000063402.V341533.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 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 3 3 3 x 3 3 Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 25 No 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 YA20 Regulation 13.2 Requirement When service users handle their own medication a risk assessment and monitoring system must be in place to make sure that medication is taken properly. All people who use the service must have an up to date care plan which sets out their care needs and how the how is to be given. This will make sure that people get the care and support they need. Timescale for action 20/04/07 2 YA6 15 20/04/07 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 When any discrepancy in stocks of medication is discovered the reasons why must be recorded to ensure that people receive the correct amount of medication. Moor View DS0000063402.V341533.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Moor View DS0000063402.V341533.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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