Inspection on 29/01/09 for Red Houses (The)

This inspection was carried out on 29th January 2009.

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

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

Other inspections for this house

Red Houses (The) 26/02/07

Red Houses (The) 11/10/05

Red Houses (The) 16/11/04

Red Houses (The) 13/07/04

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Thorndene

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Southfields

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Red Houses (The) The Red Houses 563-565 Stroude Road Virginia Water Surrey KT16 0PT The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Suzanne Magnier Date: 2 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Red Houses (The) The Red Houses 563-565 Stroude Road Virginia Water Surrey KT16 0PT 01344845240 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Welmede Housing Association Ltd care home 6 Number of places (if applicable): Under 65 Over 65 6 6 0 0 learning disability physical disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Physical disability (PD) Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Red Houses is a large, purpose built, detached bungalow situated in the village of Virginia Water. It is owned, staffed and managed by Welmede Housing Association. The service provides accommodation for up to six younger adults who have complex physical or learning disabilities. The home is decorated in a homely style and all service users have individual bedrooms and are provided with specialist equipment. A large lounge, separate dining room and conservatory provide a generous amount of communal space. There is a large enclosed garden with lawn and patio areas to the rear of the property and off street parking is available to the front. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The Quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced Key Inspection. Following the previous key inspection on the 2nd February 2007 the service has met all the reccomendations as part of good practice. Ms S Magnier Regulation Inspector carried out the inspection and a senior care worker represented the service as the registered manager was on annual leave. For the purpose of the report the individuals using the service are referred to as individuals. The inspector arrived at the service at 09.00 and was in the home for five and a half hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the home and any information that CSCI has received about the service since the last inspection. The commission received three staff written surveys and one survey from a Care Homes for Adults (18-65 years) Page 7 of 30 health care professionals. Two comment cards were received from individuals which had been completed by staff at the home. The comments have been included within the report. The inspector spent time being, talking and observing the body language of people living at the home and with staff members in order to gain their views and opinions about the service. The inspector looked at how well the service was meeting standards and has in this report made judgments about the standard of the service. Documents sampled prior and during the inspection included the homes Annual Quality Assurance Assessment AQAA, The Statement of Purpose and Service User Guide, care and person centred plans, risk assessments, medication procedures, staff files, a variety of training records, and several of the services policies and procedures including complaints and safeguarding procedures. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection and no safeguarding referrals have been reported. The home had submitted the Annual Quality Assurance Assessment AQAA prior to the inspection, which was well written to inform the commission about the service and some details of document Care Homes for Adults (18-65 years) Page 8 of 30 have been added to the report. From the evidence seen by the inspector and comments received, the inspector considers that the home continues to be able to provide a service that meets the needs of people who have diverse religious, racial or cultural needs. What the care home does well You can have pictures and photos about the home to see if you like it. Staff will make sure you are happy, well cared for and safe. You can still see your friends and family and do things you like. If you are not happy you can tell someone. Your new home will be clean. People who help you will know what they are doing to keep you happy and safe. Care Homes for Adults (18-65 years) Page 9 of 30 What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Care Homes for Adults (18-65 years) Page 10 of 30 Suzanne Magnier 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People and their representatives have information about the home in order that they can make an informed choice about moving to the home. The homes admission and assessment procedures ensure that an individuals needs are appropriately identified and met. Evidence: The Statement of Purpose and Service User Guide had been recently updated and the documents are written in a way which people could understand for example with the use of photos and pictures. The person in charge advised that the service had not had any admissions to the home since 1994. Welmede have a pre admission and admission policy and procedure which enables the prospective person to have the time to meet and get to know the home prior to moving in. Care Homes for Adults (18-65 years) Page 13 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The support and personal care that people receive is based on their individual needs set out in their care plans. Monitoring of risk assessments is well managed to ensure the safety of individuals. Evidence: The two care plans sampled contained clear and well written guidelines for the homes staff to read which enabled them to provide care and support in the way the individual preferred. There was evidence that peoples lifestyle choices were clearly recorded and throughout the inspection it was observed that individuals preferences were respected by staff. Documented agreed working practices and guidelines have been maintained to support individuals if they should become distressed and there were clear documented actions staff should take to reduce peoples distress or anxiety which also included medical intervention. Account had been taken to ensure that peoples communication needs had been Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: identified and a well documented communication profile had been documented to assist staff to understand the persons way of communicating. The care plans were well managed, kept under review and reflected the current support needs of the person. Documents were stored securely to respect individuals rights to confidentiality. The support and personal care that people receive is based on their individual needs set out in their care plans. Monitoring of risk assessments is well managed to ensure the safety of individuals and peoples dignity and respect is promoted yet staff were reminded that this must be upheld at all times. Peoples person centred plans have been maintained by the homes staff. It was evident that where possible people had been assisted and included in the development of their person centred plan. The documents have been thoughtfully presented and included pictures and photographs which offer the reader an insight into the individuals life. Signed and reviewed risk assessments were available in the persons files to demonstrate that the homes staffs are aware of the hazards in peoples lives and ways in which to reduce harm to the individual. The recording and management of the files was robust and well managed. Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are able to exercise choice in their daily lives, maintain bonds with family and friends and take part in social, cultural, religious and recreational activities. People are encouraged to be involved in the running of the home and maintaining their daily living skills. A choice of a healthy diet is provided. Evidence: Throughout the inspection it was observed that people were comfortable and happy in their surroundings and the four staff were attentive to the needs of each individual. The home have an activity board which identifies what activities were taking place that day and also during the week. During the day of the inspection the flute player and aromatherapist visited the home and both activities were enjoyed by all the people at home. Whilst speaking with staff it was evident that where possible individuals family and Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: friends are involved in the persons lives and people are encouraged to visit and have overnight stays with relatives if they choose to. The inspector observed individuals being supported with their midday meal where choices were offered and staff were attentive and respectful in the way each resident was supported to have their meals. The menu included a variety of meals. The person in charge explained the need for nutritional and eating and drinking risk assessments in order to ensure the well being and safety of individuals and nutritional risk assessments were observed in peoples care plans. The homes fridge and freezer were well stocked with fresh dairy products and fruit and vegetables available. Records of fridge and freezer temperatures and food temperatures were available and well recorded. A requirement regarding the storage of food within the homes fridges and freezers has been made under Standard 42. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Individuals physical, emotional and health care needs are monitored and met. Choice and dignity is promoted. Medication procedures need to be strenghenned to ensure that medication is administered to all individuals in a safe and appropriate way at all times. Evidence: The staff team consist of a multi racial mixed gender staff group and the person in charge advised that where possible gender based care is provided and staff are aware of the peoples individual preferences. It was observed that staff supported people in a sensitive way ensuring their privacy is respected when providing assistance with personal care. The care plans and health care records have been maintained and included records of attended health care appointments for example visits to the persons general practitioner, chiropodists, dentist, occupational therapists and specialist health care personnel. Written comments received by the commission from one healthcare professional stated Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The care home offers high quality and a good current standard of care. Staff written comments included We have a communication book and daily diary available to staff to keep us informed of doctors and dental appointments. Care plans and health action plans are readily available to us. We always discuss any changes within the care plans during handovers and staff meetings. The medication cupboard continues to be located in a safe and secure area within the home. The inspector observed the homes staff administering medicines and noted that some medicines administered during the early morning had not been signed as given on the medication administration charts. The senior care worker was prompt to sign the records and it was observed that during the midday administration of medication she signed the medication charts as soon as the medicines had been administered. It has been required that complete and accurate records must be kept at all times of medication administered to residents in the home to ensure their whilst receiving their prescribed medicines. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The homes complaints procedure is an accurate document for individuals to express any concerns or complaints. Individuals are protected from abuse and harm by the homes policies and procedures. The security of the homes environment needs strenghtenning. Evidence: The home has a clear complaints policy and procedure. A complaints procedure has also been adapted into pictorial form and is available within the home for the individuals or any person associated to the home to see so that their views, opinions and complaints are recognised and acted upon. The person in charge confirmed that no complaints have been received by the home and no complainant has contacted the commission with information concerning a complaint made to the service since the last inspection. The AQAA details that no complaints have been received since the last key inspection and the complaints book at the home did not contain any complaints. Three senior staff demonstrated that they were aware of the local authoritys multi agency procedures for safeguarding adults and confirmed there had been no safeguarding referrals. The staff confirmed they knew about the homes whistle blowing policy and procedure in order that they can safeguard individuals in their care. The Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: home have a copy of the the Surrey multi agnecy safeguarding protocols dated 2005 which should be replaced with the current 2008 version. Two staff records confirmed that they had received safeguarding vulnerable adults training in order to ensure the safety, wellbeing and protection of individuals in their care. On arrival at the home it was noted that two individuals bedroom windows had been unrestricted and were left wide open which did not offer full security to the individuals private accomodation and safety. The staff were prompt to close the windows and re adjust the restrictors and gave assurances that this procedure would be incorporated throughout the home to ensure the safety and well being of all people in the home. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The physical layout and indoor and outdoor communal areas of the home enable individuals to live in a safe and well maintained environment and all areas of the home are clean and safe. Evidence: During the tour of the premises the inspector observed that the home was well maintained with appropriate access available to all individuals in the home. The home has a fully refurbished kitchen. The home has an ongoing decoration programme which ensures that individuals bedrooms and communal areas have been or will be planned to be decorated with the inclusion of their choice and preferences. The home was clean and orderly throughout and no malodour was detected. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The homes staff provides twenty four hour support to the individuals living at the home. Recruitment practices are well managed. The home has a robust induction and mandatory programme to ensure that individuals needs are appropriately and safely met. Evidence: The homes eleven mixed gender staff are currently supporting six individuals. The level of staffing was discussed with the person in charge who advised of the staff rotas which were sampled by the inspector. Written comments received by people associated with the home stated that they felt short staffed as three staff members were not currently working at the home and Welmede were not supplying additional staff. Other written comments included It would be good to have more floating staff to help with activities for example swimming as there is not always enough staff in the home to support service users. Some staff should try new things with service users and embrace change as they have supported service users for many years and may be stuck in their ways. On the day of the inspection there were four staff on duty. The homes staff were observed as skilled in supporting the people in their care and were knowledgeable regarding the specific needs of individuals to ensure their safety, well being and offer Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: reassurance. Staff carry out all roles within the home, which include personal care, shopping, cooking, housekeeping and laundry as well as assisting individuals to social activities and transporting them to these. The home has a recruitment and selection policy, which incorporates equal opportunities. The inspector sampled two staff files and noted that each file contained an application form, with two references, evidence that face to face interviews had taken place and the job description in order that the staff member was clear about their roles and responsibilities. There was no documented evidence that a CRB clearance had been obtained yet one staff member confirmed that prior to starting they had had a CRB disclosure completed. Following the inspection the registered manager confirmed by telephone to the commission that CRB disclosures had been obtained. Staff written comments regarding the recruitment and training practices of the home and organisation included I was employed and given a start date before the return of my CRB and was not allowed to be on my own with service users. I was not allowed to start work before my CRB was back and after transfer in April 2008 all the staff did new CRBs. There was a lot to read and take in during induction including the policies and procedures. It would be easier and more beneficial if this was simplified. The staff mandatory and induction training records evidenced that staff had received updated training. Written comments from staff about the training provided by the organisation stated Some courses although relevant and interesting do not cover our service users who have a severe and profound disability both mentally and physically. For example First Aid we are unable to perform abdominal thrusts or CPR compressions on several people due to their body shape. Courses should cover all types of disability. My induction covered most of my job requirements but I got to know my duties better as time went on. I discuss my training needs with my manager during supervision meetings and am up to date with my mandatory training. Much of our training we receive is seven hours or so for a course this is too long as much of the information is forgotten. A couple of hours should be enough. The AQAA identifies that three staff have achieved their National Vocational Qualification in Care Level 3 NVQ awards. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The management and administration of the home is robust. The home continues to be run in the best interests of individuals and their views and opinions and those of others associated with the home are sought. Individuals welfare is promoted through monitoring of health and safety in the home yet food storage standards need to be strenghenned. Evidence: As documented within the report it was evident through observation that the pace of the home continues to be designed to meet the needs of the individuals receiving care and accomodation in the home. The home has a registered manager who was on annual leave on the day of the inspection. The AQAA identifies that the manager is currently undertaking her Registered Managers Award and hopes to complete this within the next 12 months. The staff present during the inspection had a good knowledge about the needs, support and care individuals required to ensure their safety and well being. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: Written comments received by the commission regarding the management of the home stated The manager speaks to all staff regularly to ensure they are happy with all aspects. She will point out what we do well and what we need to improve on. This is done tactfully and with respect. The home could improve by offering more home based activities. Confirmation was given that the home continues to seek individuals and their representatives views and opinions about the service through the Quality Assurance procedures. The AQAA advises that Welmed have developed a new Regulation 26 visit form which is currently under review at other Welmede homes. The form will offer continuity of actions needed by the home as a result of the monthly unannounced visits and be a more thorough assessment of the registered service. It was observed that several packets of meats and cheese and a bowl of food from the previous days supper were stored in the fridge and the storage was not compliant with the food safety standards. It has been required that all food must be stored appropriatly in order to ensure the safety and welfare of all persons in the home. Accident and incident records were sampled and demonstrated that the homes staff are prompt in giving notice to the commission without delay regarding any event, which affects the safety and welfare of individuals. Hand washing facilities remain available throughout the home and clinical waste disposal is appropriately managed. Records indicated that servicing of fire equipment had taken place and health and safety checks had been undertaken and recorded. A current insurance indemnity, gas and electric certification were sampled and the current certificate of registration of the home dispalyed. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 20 13 Arrangements must be made 10/03/2009 that complete and accurate records must be kept at all times of medication administered to residents. In order to ensure residents safety and wellbeing whilst receiving their prescribed medicines. 2 42 13 Arrangements must be made 10/03/2009 that all food must be stored appropriatley in the homes fridge. In order to ensure the safety and welfare of all persons in the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of Care Homes for Adults (18-65 years) Page 28 of 30 improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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