CARE HOME ADULTS 18-65
SCIC - 29 Stratford Road 29 Stratford Road Shipston On Stour Warwickshire CV36 4AZ Lead Inspector
Kevin Ward Unannounced 27 July 2005 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 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 Stationary 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. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service SCIC - 29 Stratford Road Address 29 Stratford Road Shipston On Stour Warwickshire CV36 4AZ 01789 298709 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Stratford & District Mencap Ms Julia Furniss Care home 3 Category(ies) of Learning disability (3) registration, with number of places SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 18 March 2005 Brief Description of the Service: The home provides respite care in a bungalow with three single bedrooms, a shower, two toilet rooms, a kitchen/diner, lounge, staff sleeping in room/office and a garden. It was built in the 1930’s on what is now a busy road through the village. The service provides opportunities for adults with a learning disability to develop life and social skills and some degree of self-management. The bungalow stands on the same plot as another care home run by the same organisation for five residents and shares the same manager, staff group and semi circular drive. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection involved talking with the two people using the service at breakfast time before they went out for the day and meeting another person later in the day. The inspection also involved meeting with the manager and a group leader and speaking to a number staff during the course of the day. A sample of service users’ care plans were examined and a number of policies and procedures were looked at during the inspection. A sample of staff recruitment files were also examined. What the service does well:
Comments made by people using the service at the time of the inspection confirmed that they had been given information about the home and provided with opportunities to visit before staying overnight at the home. People’s needs are being assessed before they move into the home and risk assessments have been devised, based on people’s needs, so that staff are able to support people in a safe manner when they stay at the home. Care plans are in place containing satisfactory levels of information about people’s needs and their personal routines, so that staff have proper information to advise them when supporting people. Staff were seen to approach people with friendliness and respect and service users spoke positively about the support they received from staff. Comments made by service users confirmed that they are consulted about personal aims and targets to be addressed whilst using the service. People are encouraged to sign the notes of discussions with staff, as evidence that they have been properly consulted. The people using the service, at the time of the inspection, commented favourably about the food at the home. The menus are based on peoples known likes and dislikes that are recorded in their care plans, so that people’s food preferences are catered for. Information is made available to people so that they know how to complain and suitable procedures are in place for recording and investigating complaints made at the home. Similarly procedures are in place for responding to any suspicions of abuse. Comments made by staff indicated a good awareness of these procedures. The manager confirmed that there have been no adult abuse investigations at the home. Overall the home is comfortably furnished and equipped to meet the needs of the people it sets out to meet. The manager explained that work is planned to refurbish the kitchen and to modernise the laundry room this year. The home was found to be clean and free from any unpleasant odours. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 6 Arrangements are in place for testing and maintaining fire safety equipment and other equipment, such as gas and electrical equipment, to provide a safe place for people to stay in. 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. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2,4 and 5 Suitable information is provided by the home so that people are able to make a choice about whether or not to use the service. Service users needs are assessed so that the essential information required to support people appropriately is made available to staff at the home. People are provided with opportunities to receive information and visit the home before staying overnight so that they are introduced at a pace that meets their needs. There is a need for the home to provide people with contracts so that they are made fully aware of the service they may expect and the fees to be charged. EVIDENCE: Since the last inspection the Statement Purpose has been revised to provide a good picture of how respite care is delivered by the home. This document has been amended to include a policy of reviewing people’s placement, 6 months after they have started to use the service, to ensure that it is appropriately meeting their needs. Efforts are ongoing by the home to request assessments and care plans from social workers, for service users, where this information has not already been provided. Examples of the assessments provided to date were very brief and contained minimum details.
SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 9 The manager explained that a senior manager also assesses new people referred to the home, to inform the development of people’s care plans, to ensure there are sufficient details to guide staff in their practice. People are provided with opportunities to meet with staff and visit the service prior to stopping overnight, so that introductions to the service takes place at a pace that is in keeping with service users wishes. The manager explained that contracts are now being provided by the Social Services Department and examples of these documents were seen on file. There remains a need for a contract of terms and conditions to be made available by the home so that people are clear about the service they are paying for and any extra costs that they may need to fund during their stays at the home. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 Care plans are agreed and reviewed with the involvement of service users so that their needs are properly planned for and addressed during their stays at the home. Service users are encouraged to set targets and make decisions about what they expect from their respite visits so that their choices can be supported. Risk assessments are in place so that people are provided with the necessary support to retain independence in a safe manner. EVIDENCE: A sample examination of service users files were examined and found to contain reasonable levels of information in the care plans to enable staff to support people during their stays at the home. People’s care plans contain details of their personal care requirements and health needs, in addition to a personal profile, summarising people’s routines, likes and dislikes. As previously noted arrangements have been made for people to have their placement reviewed 6 months after they start to use the service to confirm that the service is meeting their needs. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 11 Personal targets, such as getting to know more about the local community, are also set with people, to support their personal development during their stay at the home. Service users are encouraged to sign the notes of some discussions with staff, as evidence that they have been properly consulted about their care support. The home’s menus include notes of service users preferred meals as evidence that their likes and dislikes are being properly catered for by the home. Information contained on people’s files indicates that where risks to people are identified as part of the assessment process, risk assessments are devised to reduce any potential dangers. Risk assessments were seen to be in place for the people using the service at the time of the inspection addressing their known needs, e.g. clear guidelines were seen for one person with a physical disability, advising staff how to provide safe and sensitive personal care support. An alarm has been fitted to the front door so that staff are able to respond to ensure the safety of one person, in the event they are inclined to leave the home without telling anyone. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 and 17 The home supports people using the service to take part in daily living tasks and to make use of local shops and activities so that people are provide with opportunities for personal development and to have a presence in the local community. People’s food preferences are respected at the home so that people using the service are provided with food that is in keeping with their needs and wishes. EVIDENCE: During their stays at the home, people are supported to retain their usual routines, such as their attendance at day service activities. As previously noted, people are also encouraged to set personal development targets so that they can make the most of their visits. For example at the time of the inspection one person had set a target to get to know more about the local area, making use of information at the town’s local library. People using the service are also encouraged to retain and develop their independence by taking part in daily living activities, such as cooking a meal, making packed lunch. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 13 Whilst the home does not set out to provide a leisure based service for people, support is provided for service users to make use of community leisure facilities, where it is appropriate and they wish to do so. Examples provided by staff and service users, include Bootleg Beatles, walks, shopping in town, fetes, cinema, theatre productions. Comments made by the people using the service at the time of the inspection elicited positive views about the food provided by the home. People’s dislikes are taken into account when planning the menus for individuals’ visits. A record of people’s likes and dislikes is recorded on their personal files and the menus were seen to contain comments to indicate that people’s favourite food preferences had been taken into account by staff. One person was seen to make his own packed lunch, in keeping with his care plan. Sandwich filings were made available that were in keeping with his known preferences. The kitchen is old and the manager explained that this is to be refurbished shortly. The kitchen was well ordered and kept in a clean condition. Colour coded cutting boards were seen to be place so that staff and service users know which board to use when cutting different types of foods, to avoid the possibility of food contamination. Staff at the home are provided with food hygiene training to support safe practices in the kitchen. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19, 20 Service users support needs are recorded in care plan and staff respect people’s routines so that care is provided in a manner that service users are happy with. The home provides support people with low level health needs and these needs are addressed in their care plans so that good health is maintained when they visit the home. Overall the home has good systems in place for the management of medication and people are encouraged to maintain responsibility for their own where this is appropriate to sustain their independence. However there is a need to develop the risk assessments to take account of any changes to the homes main medication procedure. EVIDENCE: During the course of the inspection staff were seen to approach service users in a friendly and respectful manner. Service users appeared very relaxed in the company of staff and carried out their early morning routine’s in a very relaxed and confident manner. Comments made by staff indicated a good awareness of the needs of people using the service. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 15 As previously noted care plans are in place containing the details of the support that people need during their stay. Comments made by the 3 people using the service at the time of the inspection indicated a positive view of the support they receive from staff and that proper consideration is being given to grouping them with people they are happy to share with when they visit the home. Discussions with a senior support worker confirmed that people’s preferences and compatibility issues are considered when planning people’s visits. Comments made by two service users confirmed that they are able to maintain their same bedtime routines and not required to adjust these routines to meet any rules in the home. Some people’s morning routine can vary slightly from when they are at home, due to the need to catch their day service transport in the morning, which is beyond the direct control of the home. The home provides all ground floor accommodation, which makes it suitable for some people with mobility problems. However the design of the bungalow is not suited to meet the needs of wheelchair users or people with high physical care needs. Information provided by a senior support worker confirms that the home does not offer a service to people with complex health needs. Consequently none of the people using the service receive visits from community nursing services and there is no need for any health protocols to be in place at the home, e.g. administration of diazepam. Service users with minor health issues are able to use the service and receive support from staff to maintain good health e.g. one person receives dietary advice to manage diabetes. As the home provides a respite service, rather than permanent care, routine health checks remain the responsibility of service users themselves, with support from their relatives and carers. A procedure is in place at the home to advise staff in the safe administration of medication. Some people using the service hold and administer their own medication. Risk assessments have been devised to underpin safe practices. Whilst overall the risk assessments contain some good information there is a need to add more information in these documents, where the practice differs from the main procedure. There is a need to state the level of monitoring required, for example, is it necessary to watch and check that the service user has taken their medication or is low key monitoring more appropriate, such as counting the number of tablets at the start and finish of the stay. Safe storage arrangements are in place for people’s medication. A log is in place for recording controlled medication that has been appropriately signed and accounted for by two staff, where this has been required. Staff have been provided with medication training to underpin this area of practice. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home provides opportunities for people to raise their concerns and complaints so that they can be investigated and responded to appropriately. Suitable procedures are in place at the home so that the people living there are protected from any risk of abuse. EVIDENCE: An organisational complaints procedure is in place for staff and an illustrated version of the complaints procedure has been provided to the people using the service. A log is in place for recording complaints at the home. One complaint has been made at the home since the last inspection that has been appropriately followed up and resolved by the manager. Questionnaires have previously been sent to service users and their relatives to enable them to raise any comments or concerns about the home and the manager stated an intention to repeat this exercise again shortly. Comments made by people during the inspection indicate that they would feel able to approach staff or the manager to raise any concerns or complaints that they might have. Comments made by staff indicated a satisfactory awareness of the adult abuse procedures that is available in the home. Staff have also been made aware of the whistleblowing procedures and to whom they should raise any concerns about the home, if this became necessary. The manager confirmed that there have been no adult protection investigations at the home since the last inspection. Staff have been provided with adult abuse training to underpin this area of practice. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The home is appropriately furnished and maintained so that people have clean and comfortable environment to live in whilst they are on respite visits. Staff are provided with procedures and training so that the home is maintained in a clean and hygienic condition. EVIDENCE: 29 Stratford Rd provides ground floor bungalow accommodation for three people. Access throughout the home is even, making it suitable for people with mobility problems. There is also a good-sized walk in shower room, which is suitable for people with disabilities. However the design of the home and the limited size of some rooms means that the home is not suited to meet the needs of wheelchair users. As previously noted the kitchen units are old and the manager stated that there are plans for the kitchen to be refurbished shortly. The lounge area is comfortable and cosy with sufficient seating in place for people to sit down together if they wish to do so. The bedrooms are adequately sized and equipped to meet the needs of the people that the home is set up to support. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 18 An infection control policy is in place at the home and staff have just been provided with infection control training. The home was found to be very clean, well aired and free from any offensive odours. There is not currently a need for a clinical waste contract at the home. The laundry room is small but has the essential laundry equipment in place. The manager said that plans are being made to extend and modernise the laundry room. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 New staff are appropriately vetted so that service users are protected by the home’s recruitment procedures. The home provides staff with access to a suitable range of training so that they are properly equipped to meet the needs of people living at the home. EVIDENCE: The recruitment files of two staff recruited at the home, since the last inspection, were examined and found to contain appropriate information to confirm that appropriate vetting procedures are being carried out by the home, including checking evidence of identity and taking up references. A record of the Criminal Record Bureau (CRB) disclosure checks is held on file at the home and a number CRB certificates were examined by the inspector, at a visit to the organisation’s head office, 24th June 05. One service user at the home confirmed that she has been involved in interviewing new staff for the home. Training information and a sample examination of course certificates confirms that staff are being provided with a suitable range of training opportunities to equip them for their work at the home. Staff are being trained in health and safety related areas of practice, such as food hygiene, first aid, medication, infection control and fire safety as well as training in care practices, such as mental health awareness.
SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 20 Staff have also been provided with Learning Disability Award Framework, induction and foundation training and four staff have completed NVQ level 2/3 courses. Two more staff are due to start NVQ training in September 05. These courses provide people with a sound basis to underpin care practices. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Suitable precautions are taken for maintaining good health and safety practices at the home, so that the welfare of service users and staff is protected. EVIDENCE: An examination of the home’s fire safety log indicates that fire alarms and lights are being tested at the appropriate frequency and that fire safety equipment is being appropriately maintained. Testing of the home’s electrical equipment took place September 04 and gas equipment was checked in March this year. Showerheads are being routinely de scaled and boiler temperatures are monitored to reduce any potential risk of legionella at the home. A risk assessment was seen to be in place for the control of substances hazardous to health (COSHH) e.g. cleaning materials. Staff are being provided with access to training courses to address health and safety related practices, such as first aid and food hygiene. Risk assessments are in place taking account of people’s assessed needs and a number of environmental hazards, such as epilepsy seizure in shower, fire risk assessments and hot water temperatures. The manager stated there are plans for radiator covers to be fitted to all radiators later this year, to remove any possibility of radiator scalds occurring.
SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 1 Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
SCIC - 29 Stratford Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 5 Regulation 5 Requirement Timescale for action 30/9/05 2. 20 13 (1) (2) Issue service users with contracts detailing the service funded from their fees and any additional items that people may be required to pay for.(outstanding from the last inspection, 27/7/05). 7/8/05 Increase the information in risk assessments where people manage their own medication so that the role of staff in monitoring medication is made very clear and any changes to the homes medication procedure are recorded. For example, are staff required to watch as people take their medication, or monitor at end of each day etc. Any arrangements that vary from the main medication procedures must be recorded in the risk assessment. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations
E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 24 SCIC - 29 Stratford Road Standard 1. SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 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 SCIC - 29 Stratford Road E53 S4491 SCIC 29 Stratford Road V241447 270705 Stage 4.doc Version 1.40 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. 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. You have been warned!
