Inspection on 12/01/09 for Rose Court

This inspection was carried out on 12th 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

Rose Court 05/03/07

Rose Court 21/11/05

Rose Court 07/08/05

Rose Court 10/03/05

Rose Court 12/01/05

Rose Court 16/04/04

Rose Court 05/03/04

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Claremont House

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Sun Court Nursing Home

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Paradise Lodge

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rose Court 12 Bradgers Hill Road Luton LU2 7EL     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: Louise Trainor     Date: 1 2 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. the things that people have said are important to them: They reflect 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. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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 28 Information about the care home Name of care home: Address: Rose Court 12 Bradgers Hill Road Luton LU2 7EL 01582482288 Telephone number: Fax number: Email address: Provider web address: rose.court@craegmoor.co.uk Name of registered provider(s): Type of registration: Number of places registered: Parkcare Homes Ltd care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home Rose Court is a home for ten adults with learning disabilities, which is divided into two living units with six on the first floor and four on the ground. There are facilities on the ground floor for service users with a physical disability. Each service user has a single room with en suite facilities. There are additional toilets on each floor and on the ground floor there is a communal bathroom with a fixed hoist. A staff office is provided in each unit. There is a communal lounge, dining room and kitchen on each floor. There is a conservatory, which is used as the managers office. Rose Court is located in a residential area of Luton. A local college is within walking distance and the town centre, where there is a shopping precinct, various restaurants, pubs, cinema and sports facilities, is a short car ride away. The rail and bus stations are close by with a direct link to London and other major cities. 10 10 Over 65 0 0 Care Homes for Adults (18-65 years) Page 4 of 28 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 peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in accordance with the Commission for Social Care Inspections (CSCI) policy and methodologies which require review of the Key Standards for the provision of care for younger adults, between 18 and 65 years of age. It takes account of the residents views and information received about the service since the last inspection. Evidence used and judgements made within the main body of this report include information from this visit. This was the first Key Inspection for this service since March 2007, when the home was rated as a two stars / good service. This inspection was carried out on the 12th of January 2009 by regulatory inspector Mrs Louise Trainor. It lasted approximately five hours. Care Homes for Adults (18-65 years) Page 5 of 28 There are presently eight residents living in this home. They were all present during this inspection and some were very keen to participate. We looked at documentation that was related to their care, and we were able to observe the interactions and the relationship that they had with the staff on duty. During this inspection we also inspected documentation related to staff recruitment, training and supervision, health and safety checks, medication administration, complaints and safeguarding and quality assurance in the home. The manager and her deputy were present throughout the visit and we discussed their vision and expectations of her staff and the service. We would like to thank everyone involved for their assistance and support with this inspection. What the care home does well: What has improved since the last inspection? At the last inspection, three requirements were made relating to environmental issues. These specifically identified the need to ensure radiators were safe, replace one area of carpet and generally make the home more homely. These issues had all been addressed and requirements met. Care Homes for Adults (18-65 years) Page 7 of 28 What they could do better: 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 8 of 28 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 9 of 28 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. This home use different methods to ensure that the information they provide about the service is meaningful and understood by the residents. All prospective clients receive a full assessment of needs, by a suitably skilled person, and are then invited to make unlimited visits to the home, in order to assess compatibility with other residents and the staff. Evidence: This home has clear information documents that are reviewed regularly and appropriately reflect the present registration and management structure of the home and the company. There are presently eight residents living in this home, and these documents have been produced, and displayed, in pictorial and symbol format so that all the residents can understand them. These residents have contracts of terms and conditions in place, however those held in the home are out of date. for example one that we looked at was dated and signed in Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: 1996. The manager informed us that these are generally held at head office. We were therefore unable to check whether these had been reviewed and reflected appropriate information and fees. This home is in the process of assessing two new residents to move into the empty beds in this home. To date the manager has visited them in their own environments, and has obtained copies of all previous assessments, reviews and other relevant documentation that relates to their history, diagnosis, personality and care requirements. Some tea visits have taken place already and firther visits including overnight visits will be arranged. These will take place over a period of time which best suits the residents. No time limit will be applied at this point. Only when these processes are satisfactorily completed, and they are sure that these individuals are compatible with the residents who already live in Rose Court will the placements be confirmed. Care Homes for Adults (18-65 years) Page 11 of 28 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 key principle of this home is that the residents are in control of their lives and direct the service. Staff are fully committed in supporting residents to lead purposeful lives, fulfilling their own goals and aspirations. Evidence: During this inspection we looked at one residents file in depth and the care plans for two other residents. The files were all well organised, and the care plans had been produced using Widget, which is a system that produces documents using pictures and symbols so that the residents can understand them more easily. The manager also told us that they are looking into using video and audio processes, to assist residents who have problems with signs and pictures, to ensure residents are involved with the care planning process to their fullest potential. The care files and health action plans were all written in the first person and residents had signed to indicate agreement with their content. These care plans were detailed, Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: and gave clear specific instruction to staff, so that there is a continuity of approach with care delivery. Two residents in particular were keen to be involved in this inspection process. They were very happy for us to look at their care plans, show off their rooms and discuss varying aspects of their life. One resident talked about her weekly visits to her boyfriends house, and proudly showed off her engagement ring. There were risk assessments in place that identified how the staff support her with this relationship. Another resident talked about how he was in the process of decorating his room, using a theme of Morocco and pyramids. He had even found a radio station that played Moroccan music. A statue of Tutankhamen sat in the corner of his room. The residents that we spoke to were clearly very involved in decision making in this home. They talked about menus, daily activities, decorating their rooms and many other things besides. Regular resident meetings are held, to ensure that everyone has the opportunity to voice their opinions, and for those less vocal, staff spend one to one time with all the residents, encouraging them to be directive on how their care is delivered. Choices, personal preferences and goals were identified in their care plans. The level of support and assistance required by individuals in this home varies vastly. Some residents are able to take the bus, or visit friends unaccompanied, whereas others need the full support of staff for these activities. However all have risk assessments in place that clearly identify the input required by staff. Two residents have their own building society and bank accounts, and use the chip and pin process for utilising their accounts. Their cards are kept in the safe at the home, and a risk assessment identifies nominated staff who assist them with this task. All transactions are recorded. Relationships between staff and residents during this visit were observed to be familiar and relaxed. Residents were aware of their behavioural boundaries and there was a mutual respect displayed between residents and staff, as well as amongst the residents. For example, although several of the residents wanted to show off their rooms, and accompanied us on a tour of the premises. They did not enter each others rooms without invitation. Care Homes for Adults (18-65 years) Page 13 of 28 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. The routines, activities and plans are person centred, individualised and reflect all the individuals needs, incorporating personal goals, aspirations, preferences and wishes. Independence is encouraged and supported, and actively promotes the right of individuals to make informed choices. Evidence: Personal residents files contained information that clearly identified what level of support individuals required to achieve their personal goals, and maintain, develop and improve their personal skills. These skills ranged from bathing and communication, to one resident working part time in a charity shop, and another resident opting to leave college, responsibly, with alternative plans for her daily life. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: The residents are all encourage to participate in a variety of daily activities which are suitably chosen to help them meet their fullest potential . Some residents attend a local college, or attend e learning sessions, one resident works part time in a local charity shop, whilst others work on in house activity projects, which are led by the staff in the home. There are also a variety of leisure activities available to these residents. These include outings to a local gym, shops or local pubs, Mencap Club activities, local discos and seasonal events such as pantomimes, fetes and holidays. Many of the residents have close relationships with their families and friends, and staff encourage the residents to maintain these contacts, and support them where necessary. One resident has a large family, who are very important in her life, and who she maintains close contact with. She also has a son, who visits her regularly, and a boyfriend, who she enjoys spending time with. She is confident in talking to the staff about her relationships and trusts the staff to support her, which they do in a way that respects her individual rights and allows her to lead on making personal decisions. There is a rolling menu plan in this home, however it is only used as a guide and is very flexible. Choices are made by the residents. There are two kitchens in the home and different meals are prepared and served in both kitchens. For example on the day of this inspection, shepherds pie was on the menu in one kitchen, and spaghetti bolognaise in the other. Residents then chose what and where they preferred to eat. One resident told us. We live in luxury here you know, its lovely cooking, we have special Jamaican meals, just like Kentucky chicken, we also have a take away once a month. Residents are encouraged to help with kitchen chores and food preparation, and all posters and instructions were produced in various formats so that all the residents could understand them. Care Homes for Adults (18-65 years) Page 15 of 28 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. People receive personal and healthcare support using a person centred approach. Support is responsive to varied and individual needs and preferences. Staff respond well to changing needs and address them with a flexible, consistent and reliable approach. Evidence: The files that we looked at during this inspection clearly identified how residents were supported both physically and emotionally. In one file that we looked at, there were risk assessments in place which addressed all activities of daily life. These ranged from, taking the bus to spending time with friends and family. There was a focus on emotional support as well as ensuring that health needs such as chiropody, dental, GP and family planning was addressed with the support of appropriate health professionals. Death and dying was being addressed in health action plans. These indicated that residents were being encouraged to make decisions about how any end of life care Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: should be managed. One plan identified who would be responsible for making any funeral arrangements, where this individual would like to be buried, and even identified the songs they would like played at their funeral. Residents all had assessments in place to identify the level of support needed for medication administration. At present none of the residents in this home control their own medication independently. We looked at everyones medication Administration Record (MAR) sheets. These had all been accurately completed with signatures and omission codes when required, and additional information was written on the reverse of MAR sheets, to support refusals and omissions. Stocks were reconciled with MAR sheets for four residents. These were all accurate. There had been one or two minor medication errors reported to CSCI over the past few months. These had been clearly addressed by the introduction of further training and both weekly and monthly audits that are completed by the manager, her deputy and other senior staff. The manager was very aware of this matter and confirmed that she will be addressing it. Care Homes for Adults (18-65 years) Page 17 of 28 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. People who use this service are supplied with a copy of the complaints procedure that they can understand, and have a clear understanding of who to speak to if they have any concerns. Staff are knowledgeable about safeguarding policies and procedures and are aware of the respective roles in this process. Evidence: This home has the complaints procedure on display in the entrance hall, in formats that the residents can understand. This was very clear and gave details about who they should speak to if they were not happy with any aspects of their lives. It also included response timescales, and contact details to use if they were not happy with what the home told them. The manager has been at this home for many years, and was very proud that she has never recieved a formal complaint. She explained that if anyone raises any concerns, they are openly discussed and resolved before escalating to a complaint level. We spoke with residents who understood exactly what they should do and who they should talk to if they were unhappy or worried about anything. Staff training records confirmed that staff attend training in Safeguarding. Updates are Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: closely monitored by the manager, who herslf is very aware of local protacols and reporting processes. Care Homes for Adults (18-65 years) Page 19 of 28 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. This home provides a physical environment that is appropriate to the specific needs of the people who live there. Residents are encouraged to to personalise and decorate their own rooms, and the communal areas are conducive to the promotion of the residents privacy, dignity and autonomy. Evidence: At the last inspection, three requirements were made relating to environmental issues. These specifically identified the need to ensure radiators were safe, replace one area of carpet and generally make the home more homely. These issues had all been addressed and requirements met. This home now provides a comfortable, safe and homely for the residents who live here. Many areas have been redecorated, and any wear and tear is presently an acceptable level, and areas that require attention are in the redecorating programme. The only room which looked as if it could be brightened up and would benefit from new furniture was the upstairs dining room. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Bathrooms were clean and tidy and the staff have started decorating one with a themed focus of underwater and the sea. The deputy manager told us she would like to try and involve students from a local college in this project. This is a good idea and would also generate more community interactions with the home. Communal lounges were comfortable and homely, and any safety posters throughout the building such as fire safety signage was produced in a format that the residents understand with pictures and symbols. Corridors displayed residents self portraits and other craftwork that the residents had completed and wanted to show off. We visited four or five individuals bedrooms, and each was decorated very individually, and depicted very different personalities and lifestyles. Residents are involved in making any decisions about colours and furnishings. One residents room was decorated to a theme of dogs. There were hundreds of pictures and photographs of dogs of all colours and sizes, forming collages around the walls, and she had an admirable display of soft toys, mainly dogs, in the centre of the room. Another resident is presently involved in a project, decorating his own room, assisted by staff, using a theme of Morocco and pyramids. Residents had personal visual and audio equipment in their rooms with video and DVD collections, CD s and computor games. All bedrooms had en suite bathing facilities attached. Care Homes for Adults (18-65 years) Page 21 of 28 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. People who live in this home are positively involved in the recruitment process and have confidence in the staff that care for them. Staffing levels are dictated by the needs of the residents and when they require the most support. Evidence: There is a small committed team of eleven staff working in this home, many of which have worked here for many years. Shifts and staffing levels are dictated by the needs of the residents and when they require the most support. Although the home is fully staff at present, the manager is in the process of recruiting to the bank so that when the new residents arrive, the home will be fully prepared to manage any increased work load. There are presently two activity workers in this home, however all staff are involved in encouraging residents to participate in activities of their choice and suitable for their ability. During this inspection we examined the files of two members of staff. Both contained fully completed application forms, including an employment history, Criminal Record Bureau (CRB) and POVA first checks, various forms of identification including colour Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: photographs, passports and certificates. Both had contracts of terms and conditions that had been signed and dated. There were references in place in both files which had been obtained from appropriate referees, and there was a record of the interview kept on file. The residents in this home are sometimes involved in the interview process for staff. One resident told us how she knew one person was right for the job as he made them all laugh. Records that we looked at showed that staff supervision and appraisals were being carried out on a regular basis, and both mandatory and specialist training was in place for all staff. Relationships between staff and residents were observed to be friendly, supportive and mutually respectful, producing a relaxed and homely atmosphere. Staff clearly knew all the residents very well, and we witnessed staff communicating using sign language where necessary, and clearly understanding the body language of those residents that were less able to communicate verbally. Care Homes for Adults (18-65 years) Page 23 of 28 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 manager is competent in delivering effective care. She has good people skills and understands the importance of person centred care and the effective outcomes for the residents who live in this home. Evidence: The manager and her deputy have both worked at Rose Court for many years, and are very committed to providing person centred care, with varied levels of support ensuring that independence is promoted within the home. Through discussions with the residents, and observations of interactions throughout this inspection, it was very evident that residents have confidence in their care providers, and value their guidance and opinions. All aspects of the residents lives, both individually and as a group are risk assessed to minimise potential hazards and maximise their personal development. Residents views are sought through regular resident meetings as well as through one to one work, and Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: changes to either the homes, or the individuals routines are dependent on personal preferences and choices. Policies and procedures are in place. Health and safety checks including water temperatures, fire call point and equipment testing and hoist servicing are carried out and well documented in line with these policies. There is also an internal auditing process in operation, that enables the home to identify where there maybe trends of incidents or accidents developing, and where action maybe required to make changes. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R 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 26 of 28 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 Requirement 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 Requirement Timescale for action 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 improving their service. No. Refer to Standard Good Practice Recommendations 1 2 20 24 The home should consider purchasing appropriate storage for Controlled Drugs. The home should consider redecorating and refurnishing the upstairs dining room. Care Homes for Adults (18-65 years) Page 27 of 28 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. 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. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. 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