Inspection on 26/10/07 for Shaftesbury Court

This inspection was carried out on 26th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shaftesbury Court 05/07/06

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

CARE HOME ADULTS 18-65 Shaftesbury Court High Street Winslow Bucks MK18 3HA Lead Inspector Chris Schwarz Unannounced Inspection 26 and 30 Octobber 2007 11:20 th th Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shaftesbury Court Address High Street Winslow Bucks MK18 3HA 01296 714858 01296 715681 lesley.smith@sanctuary-housing.co.uk www.sanctuary-care.co.uk Sanctuary Care Ltd Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lesley Isobel Smith Care Home 18 Category(ies) of Learning disability (18), Learning disability over registration, with number 65 years of age (1) of places Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2006 Brief Description of the Service: Shaftesbury Court is located toward the end of the village of Winslow, close to shops, pubs, transport links and a medical centre. The home has recently been taken over by Sanctuary Housing and provides accommodation for up to seventeen adults with learning disabilities. The home is divided into small groups, each with its own lounge, kitchen/dining area, bathroom and toilet facilities. There is an additional central common room. The home has a garden and there are parking facilities at the front of the building. The current fees are £621.60 to £919.89 per week. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was conducted over the course of two days and covered all of the key National Minimum Standards for younger adults. Prior to the visit, a detailed self-assessment questionnaire was sent to the manager for completion and comment cards were sent to a selection of people living at the home, relatives and visiting professionals. Any replies that were received have helped to form judgements about the service. Information received by the Commission since the last inspection was also taken into account. The inspection consisted of discussion with the manager and other staff, opportunities to meet with service users, examination of some of the home’s required records, observation of practice and a tour of the premises. A key theme of the visit was how effectively the service meets needs arising from equality and diversity. Feedback on the inspection findings and areas needing improvement was given to the manager at the end of the inspection. The manager, staff and people who use the service are thanked for their cooperation and hospitality during this unannounced visit. What the service does well: There is good regard for the diverse needs of the people living at the home and their requirements related to their disabilities, lifestyle choices and personal preferences are sought, recorded and met by the staff team, respecting their rights, choices and individuality. People using the service have a varied and active lifestyle which reflects their interests, provides them with nourishing meals and offers them opportunity to try new experiences and have contact with family, friends and the community. The health and personal care needs of people living at the home are well met, promoting health and well-being and ensuring that they receive medication in a safe and consistent manner. Complaints and adult protection are effectively managed to listen to views of people who live at the home and reducing the risk of harm to them. The home provides staff cover to meet needs and undertakes thorough recruitment procedures to ensure that the needs of service users can be met. The management and administration of the home promote continuity and quality of care for the people who live there and ensure that risk is safely managed to reduce the likelihood of injury or harm. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is adequate. Assessment documentation for new service users needs to be developed to ensure that people are fully assessed before moving in, to ensure that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has a statement of purpose in place covering all required areas of information to be made available to prospective service users. The manager was advised during the inspection to remove a couple of references to the previous provider, to ensure it was relevant to current practice. At the last key inspection of the service, a recommendation was made for the manager to develop the assessment documents used to ascertain prospective service user’s needs and for signatures and dates to be added. Additionally, a record of any meetings taking place with other professionals prior to admission needed to be reflected in the assessment. There had not been any new admissions to Shaftesbury Court since that time to review any progress made in meeting the recommendation and therefore the judgement and quality rating for this section remain unchanged. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. There is good regard for the diverse needs of the people living at the home and their requirements related to their disabilities, lifestyle choices and personal preferences are sought, recorded and met by the staff team, respecting their rights, choices and individuality. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care plans was looked at, including a recently developed person centred plan. The manager explained that there is intention for all care plans to be developed using a mixture of the provider’s corporate care planning documentation, which is comprehensive and primarily geared toward care of older people, and person centred information in formats based on individual needs. The new example that was seen had been produced in a way which made information accessible to the service user and included pictures and photographs as well as plain text. The service user had contributed to writing monthly summaries of her care plan. Important information about individual circumstances, such as religion, languages spoken, communication needs and ethnic origin had been noted. This way of producing care plans is a significant step forward at the home, with others due to be completed by May 2008. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 10 A look at other care plans showed that files contain a lot of information, some of it, such as copies of reports and letters from other agencies, which does not need to be included with the day to day care plan. Production of the new style care plans is likely to overcome this. Information contained within files showed evidence of regular review and all documents seen had been dated and signed. People’s likes and dislikes were noted and their personal care requirements and communication needs had been assessed and recorded. Individual monthly summaries were in place providing a useful look back on significant events and including important information such as health care appointments attended and useful details such as activities they had engaged in. Risk assessments were seen in files and showed contribution/signing by service users. The only point raised with the manager regarding care plans was the need to develop one person’s care plan regarding his epilepsy. It would be advisable to note all relevant information in one place, such as medication prescribed to control seizures, what measures are in place to monitor the epilepsy and the type and description of seizures that the person has. Staff would then have all the necessary information readily to hand. A recommendation has been made to attend to this. New policies had been circulated to the home covering a wide range of areas including privacy and dignity, the right to take risks, sexuality and relationships, smoking and alcohol and the philosophy of care. Practice at Shaftesbury Court seemed to be in accordance with these policies and reflective of people’s individual needs and lifestyle choices. The people living at the home are actively consulted and their views sought on a regular basis. Meetings take place in each of the small groups or flats with minutes kept of matters discussed. Opportunities to add or change menu items were clearly noted and responded to, ideas for activities and outings were a regular item and people had opportunity to raise any matters that were troubling them. Service users had been consulted about forthcoming decorating work and had chosen colour schemes. Service users’ money was being well managed at the home with individual records and wallets in place. A check of some of the records and balances showed that receipts are retained to verify expenditure and only senior staff have access to the safe. Records were in good order with signatures alongside transactions; actual balances tallied with recorded balances. There had been one instance of a service user going missing from the service. This had been reported appropriately to all relevant agencies, including the police, and ended when a relative confirmed that they had taken the person out for the day without informing staff. Comments received from survey cards were positive. A care manager said some of the things the home does well are “good individual support and problem resolution. Provides more support than is actually funded for in Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 11 relation to my client. Works well with other professionals to ensure service users’ rights.” A relative said “the care home has given good care to my brother for some time. I have great regard for what they are doing.” A relative said “the personal needs of our son are met by the home in every respect…we are very pleased and happy with the level of support provided by the management and staff and our son’s keyworker.” A relative said “I am extremely happy for the care given to my sister by Shaftesbury Court.” Another relative said “my daughter has had what I believe is the best possible care.” Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People using the service have a varied and active lifestyle which reflects their interests, provides them with nourishing meals and offers them opportunity to try new experiences and have contact with family, friends and the community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Feedback from people living at the home, relatives and professionals was that this is an area of practice that the home manages well with varied and regular opportunities to access the community. Several service users attend day care provision in the county and a few attend college courses. Holidays, going to the pub, Gateway Club, going to church, going into the village and trips out were noted in records and visitors are welcomed. A couple of the service users were seen enjoying daily newspapers which they have delivered. The home continues to have a bible study group every other week and supports service users to attend church externally if they wish to go. The home has been successfully fundraising for a people carrier vehicle to facilitate going out. Menus were varied and covered a range of meals with service users being consulted about what they would like plus occasional takeaway meals. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 13 A relative commented that they were always kept up-to-date with important issues adding “annual reviews with written reports. Regular visits to see our son and communication with staff. Update letters from his keyworker on his behalf. Periodic telephone contact with our son and keyworker.” A care manager said that one of the things the home does well is “support service users to make choices and always tries to arrange activities that they would like to do/have asked to do, including trips etc.” Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care needs of people living at the home are well met, promoting health and well-being and ensuring that they receive medication in a safe and consistent manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information regarding people’s health care requirements is noted in their care plans and supporting documents, and kept under regular review. Feedback from a doctor was positive, indicating overall satisfaction with how people are cared for and that staff have an understanding of care needs. A care manager said “staff are very good at ensuring my client’s care/health needs are monitored and any problems attended to quickly.” Service users and relatives commented via survey cards that they felt this was an area of practice well managed by staff and this was backed up by records showing access to health care professionals as required, according to people’s individual circumstances. Medication was being well managed at the home using a monitored dose system. Only senior staff handle and administer medicines and there was evidence of good quality training in the safe handling and administration of medicines. The manager said that further training was to be arranged, to refresh skills. Cabinets were secure and kept locked when not is use. A sample of medication administration records was looked at and found to be in good order. Storage of medicines was in accordance with safe practice and no out of Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 15 date medicines were found. A requirement made at the previous inspection regarding training on use of rectal diazepam, was no longer applicable. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Complaints and adult protection are effectively managed to listen to views of people who live at the home and reducing the risk of harm to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most people who completed comment cards were aware of how to make a complaint, if need be. A relative said “we have never had the need to complain about any aspect of the service provided but find staff willing to listen to any suggestions or comments…the concerns of clients are listened to and addressed at regular meetings between staff and clients.” The home has a complaints procedure and keeps a record of any matters raised by service users or external parties. There had not been any formal complaints received at the home, nor the Commission for Social Care Inspection. Procedures were in place for protecting vulnerable adults from abuse/safeguarding. Some incidents occurring over the past year had been appropriately referred to the Social Services Department and notified to the Commission for Social Care Inspection. Training had taken place for staff on understanding and responding to challenging behaviour and on Protection of Vulnerable Adults. The manager had introduced abuse awareness input for half of the service user group so far and would be completing this for everyone within the coming weeks. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. The home is generally clean and homely. Areas of the home are in need of updating and a programme of planned redecoration needs to be carried out to provide a comfortable environment for service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Shaftesbury Court is divided into small groups or flats, each with its own kitchen and dining area, lounge and with bedrooms and toilets/bathrooms close by. All of the bedrooms are single occupancy and service users are encouraged to personalise their rooms and arrange them to individual tastes. Adapted baths and hoists have been provided where needed. Two of the flats are located on the ground floor. The home is at the end of the main road running through the village of Winslow and there are shops, pubs, newsagents and post office services close by. There is parking at the front of the property. It was identified at the previous key inspection that some work was needed to improve the environment. A programme or redecoration and refurbishment had been agreed and was due to start shortly after the inspection. Service users have been actively involved in selecting colour options. Standards of Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 18 cleanliness were good and there were no unpleasant odours around the building. Toilets and bathrooms were stocked with necessary items and had door locks to provide privacy. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. The home provides staff cover to meet needs and undertakes thorough recruitment procedures. Some attention is needed to mandatory training to ensure staff have the right skills and competencies to support the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Positive comments were received about staff by people who returned survey cards. A care manager said “manager of flat for my client is extremely competent, caring and supportive.” Comments from relatives included: “We believe the care staff demonstrate the right level of skill and experience to look after and maintain a happy environment for the clients.” “Every one of the staff are very friendly and helpful.” “The staff are all cheerful and very helpful and seem to go out of their way to help the residents.” “They always keep us informed of any difficulties our son is having. The staff work hard to provide a caring atmosphere.” Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 20 The home was being staffed with a mix of senior staff and carers, with an administrator and manager also on duty. No agency staff were being used to help cover posts; the home had a good reserve of relief staff who cover for vacant posts and staff absences thereby providing continuity for service users. A sample of recruitment files was looked at and showed that all required checks are in place before people start working at the service. The provider’s induction programme covers common induction standards and links to National Vocational Qualification, providing new staff with a good foundation into social care provision. Information submitted before the inspection showed that only one person had left the staff team in the past twelve months. Thirteen of twenty two staff had achieved National Vocational Qualification at level 2 or above with a further four people working towards it. The manager had achieved National Vocational Qualification level 4. Records of staff training were, on the whole, reflective of skills being kept upto-date and input on understanding and responding to challenging behaviour and adult protection/safeguarding undertaken since the last inspection. One member of staff who started in May last year had not received training on food handling and hygiene or moving and handling. A requirement made at the previous inspection for new staff to undertake these two courses before taking on tasks related to cooking and moving and handling was therefore not being complied with. Other records showed that one person’s food handling certificate expired in April this year. The manager had training materials at her disposal for these areas of practice and was advised to address these deficits promptly. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. The management and administration of the home promote continuity and quality of care for the people who live there and ensure that risk is safely managed to reduce the likelihood of injury or harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a registered manager who is experienced in working with the service user group and who has achieved the Registered Managers Award. A relative commented “one would have to go a long way to find a better and more caring manager than Lesley Smith. She also has the knack of choosing caring and committed staff.” Regular monitoring was taking place by the provider to ensure that the service was running effectively and meeting people’s needs. Reports of these visits and two quality assurance audits were made available as part of the inspection and showed good evaluation of practice. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 22 Health and safety was being managed to a good standard with well maintained records and up-to-date servicing of equipment and appliances. Accidents were being recorded by staff and monitored by the manager each month. Persons visiting the home were being asked to sign in and out and a check of identification was made where necessary. Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 x 3 2 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA35 Regulation 18 Timescale for action All staff are to have up to date 01/01/08 mandatory training. New staff must undertake this training prior to taking on specific tasks in relation to cooking and moving and handling. Previous timescale of 30/09/06 not met. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA2 Good Practice Recommendations The assessment documentation for new service users should be developed to include the date of the assessment, the signature of the person carrying out the assessment and records of meetings and involvement of other professionals prior to admission, to provide evidence of a detailed and up-to-date evaluation of care requirements. All relevant information regarding management of epilepsy should be noted in one place on the care plan, such as medication prescribed to control seizures, what measures are in place to monitor the epilepsy and the type and description of seizures that the person has, in order that staff have access to the care regime in one place. DS0000067532.V348262.R01.S.doc Version 5.2 Page 25 2 YA6 Shaftesbury Court Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shaftesbury Court DS0000067532.V348262.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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