Inspection on 14/11/07 for Outreach Community & Residential Services 118 Kings Rd

This inspection was carried out on 14th November 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Outreach Community & Residential... 13/06/06

Outreach Community & Residential... 17/01/06

Outreach Community & Residential... 24/08/05

Outreach Community & Residential... 18/01/05

Outreach Community & Residential... 14/06/04

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 Outreach Community & Residential Services 118 Kings Rd 118 Kings Road Prestwich Manchester M25 0FY Lead Inspector Rukhsana Yates Unannounced Inspection 14th November 2007 10:00 Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.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 Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.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. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Outreach Community & Residential Services 118 Kings Rd 118 Kings Road Prestwich Manchester M25 0FY 0161 773 2432 0161 740 5678 akila@outreach.co.uk Address 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) Outreach Community & Residential Services Wendy Hardman Care Home 4 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 4 service users, to include: up to 3 service users in the category of LD (Learning Disabilities under 65 years of age); up to 1 service user in the category of MD (Mental Disorder under 65 years of age); 13th June 2006 Date of last inspection Brief Description of the Service: 118 Kings Road is one of a group of care homes managed by Outreach Care Services. Outreach is a charity that provides care and support predominantly to Jewish people with learning disabilities or mental health needs. This home is registered to provide care and accommodation for up to 4 people. The house is a large terraced property in a residential area of Prestwich, about a mile from the village centre. It is close to bus routes, local shops, synagogues, and other local amenities. The house is similar to other houses in the area and it is not distinguishable as a care home. It has a lounge, dining kitchen, and a laundry room. All bedrooms are single. Outside, there is a paved area at the front of the house, and an enclosed garden at the back. The philosophy of care, as described in the Statement of Purpose, promotes values such as independence, dignity, rights, fulfilment, and choice. Cultural needs are supported. Fees range from £467 a week. Additional charges are made for hairdressing, toiletries, activities, holidays, transport, magazines and papers. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We carried out an unannounced visit to the home, during which we looked at the ways in which staff supported residents, talked to residents, the staff and the manager, and looked at paperwork relating to care, health and safety. The visit was carried out over 6 hours. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home knows how the service may be improved. We felt this form was completed in detail and gave a clear picture of all the areas that needed to be developed. Two people living at the home, and three relatives of others living there completed questionnaires to give us their views about the service. What the service does well: From speaking with people living at the home, and written comments from relatives, it is clear they are happy with the care and support provided. One person said, “The staff are very nice. It’s like a family home. They care about me being happy”. A relative said “I have no complaints about the running of the home or level of care”. Another said their relative “could not be better cared for, or in a better environment”, and that religious and cultural needs of people are met. People say they like living in the home and that staff treat them well. This was observed during the inspection. Residents had no hesitation in approaching staff members if they wanted to speak to them. Relatives who returned comment cards said they can visit at any time and staff always make them feel welcome. They are confident that any issues they might raise are dealt with straight away. The records kept on each person (care plans), include a lot of information about the things people need support with and the things they like to do. This means staff have information to help them to make sure people get the care and support they need. People’s cultural needs are met, for example by making sure that only kosher food is brought into the house. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.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 Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have their needs assessed, and discussed with them before moving in, so that they know the home is suitable. EVIDENCE: People who returned comment cards indicated they had been supplied with sufficient information prior to admission. People are offered the opportunity to visit prior to admission. Part of the process includes an overnight stay. This allows staff and people already living there to come to a decision as to compatibility with others, and whether needs can be met. The policy of the organisation is that nobody would be admitted without a full assessment being carried out by both the staff, and the funding authority. The person who most recently moved to the home said, “It’s like being home from home. I have no complaints. My key-worker and the house manager make it a happy home”. The other people have lived there a long time. The person’s personal file included a pre-admission assessment, carried out in conjunction with the resident, and showed that needs and goals are regularly reviewed and updated. A copy of the care management assessment by the placing authority was also available. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 9 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 & 9: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff work in a positive and enabling way, ensuring understanding and agreement with each person about their support needs and personal goals. EVIDENCE: Two care plans were examined. They contained comprehensive information about people’s health and social care needs. This included individual and risk issues, and each person’s daily routines and how they like their care to be provided. For example, as well as identifying preferences, the plans also highlight things or places residents don’t like and would prefer to avoid. Care plans take note of resident’s religious and cultural needs. This range of information ensures that support needs are known and understood so that the service can responsive to each person’s aspirations. Records showed that each person and a designated support worker regularly review support needs and goals. More formal review meetings, to which people living at the home, their relatives and social workers are invited take place approximately every six months. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 10 The routines of daily living are flexible. For example, people were observed getting up in the morning at times that suited them and to choose where they spent their day. People spoken with also confirmed they have a choice about daily routines, and this makes them feel that it is their home and that their views and choices matter. Most residents have family or friends who speak on their behalf. advocacy services have been given to each person. Details of Records showed that potential risks have been assessed, and balanced against each person’s right to choice and independence. People spoken with said they are happy with the support given to them by staff. One person commented, “I can be independent and I am trusted”. One relative confirmed that individual choice is “a very important element in the philosophy of Outreach”, and that her relation “is well cared for, gets lots of attention and has as much independence as possible”. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16 & 17: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are actively supported to lead meaningful lives within the community and maintain contact with family and friends. EVIDENCE: People living in the home need staff support for most community activities. Examples were provided of community facilities used such as public transport, cafes, shops, health centres, and synagogues. Evidence of people using community facilities was also observed during the inspection. For example one person was supported to go shopping. Staff time is provided for people to take part in these activities. For example transport is usually by taxi or bus. At home people like to listen to music or watch TV. One person enjoys spending time in his room listening to music. Outreach has a leisure group that Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 12 regularly sends information to the home about organised activities and trips. Records show that some of the activities are attended and enjoyed by people living at the home. Since the last inspection, the manager has reviewed duty rosters in order for more staff to work in the evening. This has increased opportunities for people to take part in more meaningful activities during the evening. People are also involved in planning their annual holiday. Written records contain details of residents’ preferences in respect to their daily routines. People choose what time they get up or go to bed, and they choose how they spent their time. Staff members provide support and encouragement to people in day-to-day tasks such as making their beds, tidying their rooms, or putting laundry in the washing machine. Care plans also take note of individual preferences. Staff were observed to respect each person’s privacy when entering bedrooms and bathrooms. Interactions between staff and people living at the home were observed to be frequent and friendly. Most people keep in contact with family and friends. Some regularly spend days with family members. Staff members said that relatives and friends were welcome to visit the home at any time. Feedback in returned relative/visitor comment cards confirmed that staff are always welcoming. Each personal plan contains a section covering “relationships, sexuality and partnerships”. Cultural and religious needs are respected. For example, there is an expectation that only kosher food be brought into the house. Jewish festivals are celebrated. Menus are decided at weekly residents’ meetings. People said they are very satisfied with the meals. Breakfast time is flexible, and depends upon what time people get up, or any activities they are planning. Some people are able to prepare their own breakfast, snacks and drinks and were seen to do so on the day of the inspection. During the last 12 months, the manager has supported staff in providing more varied home cooked meals, and discussed menu suggestions with people living at the home. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 13 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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs of the resident are met, promoting good health and independent living skills. EVIDENCE: One of the aims of the service is to assist people to be as independent as possible. People living at the home and staff members supporting them were consistent in their descriptions of individual support needs, and these descriptions matched with the information recorded. People are encouraged to express their wishes about the way they are supported. It was clear, from discussions that people have choice in their daily routines, for example what time they get up or go to bed. People said that they are happy with the way that staff members treat them, and the way they speak to them. There was evidence that each person’s health care needs are regularly monitored. People are provided with support to attend regular health care Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 14 appointments and check ups, details of which are recorded clearly in a designated record sheet. There are written guidelines covering medication. Currently none of the residents have been assessed as being able to safely administer their own medication. Medicines are stored safely, with a clear record of medicines received into the home and any returned to the pharmacist. Medication Administration Records (MAR) were examined and were found to be, on the whole, clear and up to date. One person’s medication record was being completed retrospectively for medicines given two days previously. It was clear from the blister pack and the daily log that the medication had been given at the right time, but staff members should sign for medication administered on the designated sheet so that it is clear from one record that people have taken their medication at the right time. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 15 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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to safeguard people from abuse or harm, and to people have confidence that their concerns will be listened to and acted on. EVIDENCE: The home has a written complaints procedure. No complaints have been received since the last inspection. People able to comment had not made a complaint and all indicated they feel able to approach staff with any concerns. One person commented that they would speak to a staff member or the manager. None of the relatives who returned comment cards had made a complaint. One relative said, “There have been few issues over the years, but when they have arisen, we have always had every confidence that they will be dealt with, and they always have”. There are written procedures covering adult protection and whistle blowing. Staff members had signed to show that they had seen them. The organisation ensures all staff complete a POVA and CRB (Protection of Vulnerable Adults Register/Criminal Records Bureau) check before they commence work. No safeguarding investigations have taken place. Safeguarding procedures are covered in the induction programme, and most of the support staff have undertaken training in this area. Staff members spoken with had a good understanding of their role in safeguarding the people they support. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 16 Systems are in place to safeguard people’s finances. Two staff members check financial records at each staff handover to make sure there are no discrepancies. A written gifts and gratuities policy is in place and understood by staff. Staff are not allowed to take gifts and gratuities from people living at the home. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 17 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 & 30: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is satisfactory providing residents with a homely, comfortable and clean place to live. EVIDENCE: The home is situated in a residential area of Prestwich, about a mile from the village centre. It is close to bus routes, local shops, synagogues, and other local amenities. The house is a large terraced home, similar to other properties in the area. It is not identifiable as a care home. The décor and furnishings are domestic in style. People living there have the use of a lounge and kitchen/diner. There is also a pleasant enclosed garden for people to enjoy in fair weather. A staff office and a staff sleep-in room are located on the first floor. All bedrooms are single. They are personalised with residents’ own belongings. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 18 The Irwell Valley Housing Association owns the property and is responsible for general maintenance. The management committee of Outreach carries out regular visits and produces house reports. Recent reports show that areas for improvement or repair have been identified, and action taken or initiated to address them. Residents spoken with indicated they were happy with environmental standards in the home, and with the ongoing redecoration taking place in consultation with them. The home was clean and odour free. Liquid soap and paper towels were provided for hand washing in the bathroom, toilets, and kitchen. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from a well trained staff team, with their safety promoted through rigorous staff recruitment and selection procedures. EVIDENCE: Relationships between staff and people living at the home appear warm, caring and friendly, with staff demonstrating a good understanding of individual support needs. It was observed that people had no hesitation in approaching staff members if they wanted to speak to them. People spoken with, and those completing questionnaires, indicated they are satisfied with the care and support provided. Two members of staff were spoken with regarding training they had completed. During the last inspection it was noted that the manager had undertaken a review of staff training and development and had identified a number of areas where staff needed training. This included first aid, food hygiene, medication, fire safety, protection of vulnerable adults, moving and handling and infection control. The manager had also identified the need for staff to undertake some specialist training in topics such as challenging behaviour, epilepsy and communication difficulties. Records show that the manager has made good progress in ensuring that staff have received all the Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 20 training they need, or are booked on forthcoming courses. Staff members say that they are well supported and encouraged to develop their skills through further training. Outreach houses do not usually keep detailed staff recruitment information within each home. This information is kept in a central office. We therefore undertook a random sample of staff personnel files in June 2007 to check on the vetting arrangements for care staff working in Outreach properties. These checks confirmed that the recruitment procedures were robust and safe and promoted equality and diversity. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from living in a well run service that continues to recognise and act on the improvements that need to be made. EVIDENCE: The registered manager was not available on the day of this visit. It was stated at the last inspection that she has extensive management experience and has attained the NVQ level 4 registered managers award. In order to keep up to date with contemporary care practices, she undertakes any relevant training that is offered. She has identified and arranged additional training for staff, the need to reorganise duty rosters and further develop residents meetings. It was clear, from observations, discussions and records, that people living at the home, relatives and staff have confidence in the manager’s abilities. Records are up to date, well organised and well maintained. This ensures that Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 22 staff have access to the records they need, and are clear about what they need to do to ensure the home runs smoothly in her absence. Internal and external quality assurance systems are in place. Internal monthly monitoring visits take place. Members of the organisation’s management committee also undertake quality audit visits. Resident and staff meetings are held on a regular basis. There is a need for a quality assurance plan that shows people living at the home how their views influence the development of the service. The plan should be based primarily on residents’ views, be produced in an accessible format, and shared with people living there, and their relatives, when completed. Written information provided prior to the visit indicates that equipment and environmental health and safety checks are up to date and satisfactory. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.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 X 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000008440.V346028.R01.S.doc 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Version 5.2 Page 24 Outreach Community & Residential Services 118 Kings Rd 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 YA39 Regulation 24 Requirement A quality assurance plan must be produced that shows people living at the home how their views influence the development of the service, and be shared with people living there, and their relatives, when completed. Timescale for action 01/03/08 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 Staff members should sign for medication administered on the designated sheet so that it is clear from one record that people have taken their medication at the right time. Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Outreach Community & Residential Services 118 Kings Rd DS0000008440.V346028.R01.S.doc Version 5.2 Page 26 - 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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