Inspection on 31/07/07 for Starboard House

This inspection was carried out on 31st July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 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

Starboard House 11/05/06

Starboard House 26/10/05

Starboard House 17/05/05

Starboard House 23/09/04

Starboard House 13/07/04

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

CARE HOMES FOR OLDER PEOPLE Starboard House 105 Obelisk Road Woolston Southampton Hampshire SO19 9DN Lead Inspector Tracey Horne Key Unannounced Inspection 31st July 2007 09:00 X10015.doc Version 1.40 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 Starboard House DS0000042317.V341004.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 Older People. 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. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Starboard House Address 105 Obelisk Road Woolston Southampton Hampshire SO19 9DN 02380 434317 02380 434317 theregardpatnership.com 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) The Regard Partnership Limited Mr John Creek Care Home 10 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (10) of places Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the LD category must be at least 45 years of age. Date of last inspection 11th May 2006 Brief Description of the Service: Starboard House is a unique detached home built over several floors including a basement (currently laundry and storage area) and has a separate selfcontained bungalow within the grounds of the home. Bedrooms are equipped with washbasins and are either single or for twin occupation. Communal space is appropriate for the number of service users. The garden is an adequate size for the number and needs of the people living at the home and provides a pleasant area to relax in, undertake hobbies and interests and provides shaded areas and a covered area for people who smoke. Starboard House is registered to accommodate up to ten service users from 45 years of age who have a learning disability. Starboard House is situated within a short walk of the shopping centre of Woolston and within a ten-minute drive from the city of Southampton, which has a range of shopping and leisure facilities. The home is owned by the Regard Partnership and managed by the Registered Manager, Mr John Creek who confirmed the fees range between £699.99£950.00 per week. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards (NMS) and Regulations. The findings of this report are based on several different sources of evidence. These included: an unannounced visit to the home, which was carried out on the 31st July 2007 between 09.00 and 17.30, during which Mrs Tracey Horne, Inspector had the opportunity to speak to service users and staff, look at records and observe interaction between people living and working at the home and tour of the home, including a number of bedrooms and the bungalow in the grounds. The people living in the home prefer to be referred to as service users, therefore the rest of this report will reflect this. We did not received an Annual Quality Assurance Assessment (AQAA) as required prior to this visit, therefore we were not able to obtain feedback in surveys from service users, relatives, staff and other professionals. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the CSCI. What the service does well: What has improved since the last inspection? The following requirements made as a result of the last inspection have been met: The service users’ guide is in a suitable format for the people who live at the home. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 6 A terms and conditions document in a format suitable for the service users includes details of the bedroom occupied by the service user, service users sign the document. The following improvements have been made to the home: There are now two wet rooms, the kitchen has been refurbished, the office has been moved up stairs (no longer in the basement with the laundry), an upstairs bathroom has been changed to a staff sleep in room and some redecoration has taken place. Plastic disposable gloves are provided in the laundry. Reference request forms ensure the person providing the reference dates the form to confirm that the reference has been received prior to the new employee commencing work at the home. Care staff have received training in adult protection procedures and Mr Creek has purchased a suitable video, which new staff watch as part of their induction work. Written evidence of staff supervision is maintained. 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 Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives have the information needed to choose the home that will meet their needs and have their needs assessed prior to receiving care. EVIDENCE: The inspector looked at two pre admission assessments of recently admitted service users. Mr Creek had visited the prospective resident to complete the home’s pre admission assessment before a place was offered at the home and said this usually occurs in the service users home and may co-insides with a care manager assessment. This was to ensure the home could meet their individual needs before the placement being offered. Mr Creek said prospective service users and their families/ representatives are welcome to look around the home to see if the home would meet the individual’s needs. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 10 The pre admission assessments included a moving and handling assessment, medical history, allergies, history and risk of falls, equipment needed, personal care needs (including behaviour action plan, personal preferences, strengths and needs and medication. A review of their placement had been held for both service users two months after their admission, this included input from the funding authority, to see if the home is meeting their needs. Mr Creek said he has discussed with the provider the possibility of reducing the number of registered beds. Currently the home is registered to accommodate up to ten people. In order to do this, three bedrooms would need to be shared by two people. Only one bedroom was being used for shared occupation. Mr Creek said that the CSCI should expect a letter from The Regard Partnership regarding this matter. Intermediate care is not provided at Starboard House, therefore standard six is not applicable. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further improvement is needed to show that individual’s needs are reflected in their care plan, which has been developed and reviewed with service user’s involvement. Medication practices in the home need improving to ensure they are managed well. Service users receive health and personal cares based on their individual needs and are treated with dignity and respect whilst their privacy is maintained. EVIDENCE: Four care plans were seen, there was evidence of a more person centred (PC) approach starting to be developed, staff said that they received PC training last year but not all staff have put this into practice. One care plan was very person centred. Photographs and pictures were used throughout. There were records of regular work toward achieving goals and dreams. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 12 One care plan of a service user who moved into the home in May 2007 did not include accurate information. The majority of information was relevant to their last placement and included details of ‘not being able to access the bathroom upstairs’ and ‘uses a commode’. The service user accesses the downstairs shower and does not use a commode. Information gathered during this pre admission process had not been transferred to the care plan. This was brought to the attention of Mr Creek who was not able to explain why the care plan had not been developed. A care review was held one month after the service user had moved in and records showed that issues had been arisen that had not been identified during the assessment process. Mr Creek said this was because he was not informed. The home have arranged for the service user to see their GP to obtain the appropriate support. Action plans relating to behaviour and achievements such as dance classes and road safety had not been reviewed for over two months. A service user’s opportunity to access the local shops was being hampered by the assessments not being completed regularly. One service user’s ‘house boundary agreement’ was due to be reviewed 13 May 2007 no records of the review were available. The majority of daily records had not been completed every day as they should and therefore were not consecutive. Some notes were written on blank paper making it difficult to look back over previous records. Records of visits to Doctors, dentist etc had been completed. Records of administration were not complete, medication that hadn’t been administered was still in the blister pack and had been signed for as administered. The deputy manager said that the reason for the missed dosage was because a service user was attending a medical appointment, records confirmed the visit but the MAR sheet did not state that the dose was missed for medical reasons. Therefore a requirement was made. There was no record of staff signatures to check against the initials made on the MAR sheet. Medication audits that had been completed monthly. The most recent audit carried out six days ago had not noticed the error just mentioned, this was brought to the attention of Mr Creek. There was no date on a tube of eye ointment to state when it had been opened (was prescribed 28/12/06) and therefore when it should have been discarded twenty-eight days after opening. During the inspection staff were observed to respect service users’ rights to make decisions within the limitations of their abilities. Staff asked service users questions and give appropriate time for them to respond in either verbal or non-verbal communication. Care staff were seen to seek service users’ permission before entering their bedrooms. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 13 Throughout the inspection it was clear that service users have control over many aspects of their own lives and in the organisation and running of the home. There are regular service user meetings, the minutes of which were seen by the. During these meetings service users are encouraged to discuss a variety of issues such as menus, holidays and changes to the home. Service users had been fully involved in the decision about where the home took their recent holiday. Mr Creek tells service users about anything that is to happen within the home. Service users are encouraged to participate in a variety of domestic activities within their rooms and the home, helping with shopping, gardening, meal preparation and cleaning as they wish. Service users spoken with during the inspection confirmed that their views and opinions are sought and that they felt able to express their opinions to the care staff and manager. One service user requested an alternative to what was being prepared for lunch, staff offered a variety of options to enable the service user to choose what he’d prefer. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a varied lifestyle with lots of opportunities for community and leisure activities. The home supports and maintains links with family members. Service users are involved in planning a varied nutritious diet. EVIDENCE: Service users said they are able to exercise choice by participating in social activities if they wish, one resident stated that ‘the staff spend time with me, although I like my own company and this is respected.’ Resident’s preferences are identified during the assessment process, and this information is included in the majority of individual’s care plans. Staff said they are aware of what Service users like doing, but records do not always reflect this. One service user’s weekly activity chart showed he works at a Salvation Army shop, as a volunteer, goes weekly food shopping with staff support and goes to a Mencap disco. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 15 Service users have decided to rent a house in Poole for their holiday this year, the home hire two vehicles and staff provide support. One service user has chosen to go on a cruise, whilst she is away her bedroom will be decorated. Service users stated they enjoy going out for meals, shopping, social clubs, for drives or to pubs for drinks and fish and chips and a film on a Friday evening. Each service user has an individual weekly programme of activities that includes a range of day services, volunteer work and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. Service users informed the inspector that they are able to have visitors at the home. Most care plans reflected service user likes and dislikes in respect of activities and daily routine, with the home’s routines being flexible to meet individual needs. Choices are only limited on safety grounds and are covered by appropriate risk assessments. Service users spoken with said that they liked the food available at the home and that plenty of choice was available. Each week a different service user chooses the menu for the week with guidance from care staff. Service users were seen to have access to fresh fruit, snacks and drinks. Most meals are taken in the dining room which is bright and large enough for all service users and staff to sit together to eat, although service users could have their meals elsewhere if they wished. Service users are encouraged to help staff prepare, cook and clear up after meals. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and staff are confident that their complaints will be listened to, taken seriously and acted upon. Staff have a good understanding of Adult Protection and Service users are protected from potential abuse. EVIDENCE: Service users spoken with said that they were aware of the complaints procedure, even though they have not had to use it. They said they would go straight to Mr Creek if they had a concern or their keyworker. Service users confirmed that the staff are good and listen to them. Staff said they were aware of the home’s complaint procedure which includes the address for the Commission and that all complaints will be dealt within 28 days. The complaint log was available which included one complaint that had been dealt with appropriately by Mr Creek. The log included sufficient detail to monitor complaints successfully. Staff said they were aware of the correct procedures to follow if a disclosure of abuse was reported to them, and they had received formal training in abuse awareness, certificates confirmed this. The home has procedures for staff to Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 17 follow should abuse be suspected, including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing. Mr Creek confirmed that policies and procedures are reviewed and available for staff to access regarding complaints and protection, staff confirmed this. Mr Creek has recently dealt with an alleged incident appropriately by referring the incident to the safeguarding adults team and the police to investigate. Mr Creek also investigated the alleged incident and informed the appropriate authorities of his findings. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment continues to be improved to provide Service users with a warm and comfortable home. There are good infection control procedures at the home to safeguard the welfare of Service users EVIDENCE: As mentioned earlier in the report, many improvements have been, and will be made. Service users said the home is warm and comfortable. Mr Creek said that further work is planned to improve other areas of the home, such as replacing the toilet in an upstairs bathroom, decoration of communal and individual rooms and to remove a partition wall in the laundry area of the basement to improve ventilation. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 19 Service users benefit from well-maintained gardens, one resident enjoys attending to the followers in pots. Service users said they are able to bring their own furniture for their rooms, this was seen when visiting some bedroom. The staff clean the home with service users support where appropriate. Service users place their laundry ready to be washed on specific days. Staff do the washing and drying, this is mainly due to the laundry being in the basement which is not accessible to service users because the stairs are steep and the ceilings low in the basement room. Infection control procedures were in place. Staff were observed to follow this guidance, gloves were available and the home have a contract with a clinical waste company to ensure bins are emptied regularly. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of Service users. Recruitment practices ensure resident’s safety. EVIDENCE: On the day of the inspection staff in sufficient numbers who had the skills to meet their needs was supporting service users. Mr Creek said that one member of staff provides wake cover during the night and there is always a member of management on call. The home do not employ separate ancillary staff, so care staff cook and clean with service users support where applicable. It was evident from practices and interactions observed that staff had developed a good relationship between themselves and Service users. Staff files were seen and included pre employment checks needed to ensure the persons identification. Criminal Record Bureau (CRB) records showed that the checks had been completed prior to the person being confirmed in post. References were dated and showed they had been obtained prior to commencing post. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 21 The staff said the induction programme run by the home was useful and detailed. The files seen held records of the individual staff induction training covering the key areas with the signatures of the staff member and trainer. Mrs Croft confirmed that the home’s induction programme meets the recently amended Skill For Care standards for induction standards in line with good practice. Staff confirmed that they undertake training regularly in the necessary health and safety subjects such as fire safety, first aid, moving and handling, health and safety, fire training, infection control and food hygiene. Certificates confirmed this. Other training courses attended by staff include safe handling of medication, abuse, PCP, dementia, autism, employment law and training provided by Age Concern regarding games, activities and exercises. Mr Creek said all staff are either working towards or have achieved National Vocational Qualification (NVQ) level 2 or above, this exceeds the National Minimum Standard of 50 . Staff said they receive support from Mr Creek as well as each other as part of a team. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Mr Creek is experienced and competent to run the home. Administration needs to be improved. An effective quality assurance system is in place. Resident’s finances are safeguarded by the home if Service users prefer. Service users’ health, safety and welfare are promoted and protected within the home. EVIDENCE: Mr Creek is a qualified and experience registered manager and has completed his Registered Managers Award (RMA). Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 23 Staff said there are clear lines of accountability within the home. Also the management approach of the home creates an open, positive and inclusive atmosphere. As mentioned earlier in this report, sufficient improvements have been made to meet previous requirements. The staff felt they were included in the day-to-day decision making within the home, stating that changes and or issues are discussed and actions agreed at regular staff meetings that are minuted. As mentioned in this report, Mr Creek has identified areas planned for improvement within the home and aware of the improvements needed to record keeping. Service users said they are asked their views and opinions of the home regularly surveys for Service users and their relatives are circulated. Mr Creek said resident’s family or financial appointees safeguard resident’s money, rather than the home. No unsafe practices were observed during the inspection. Certificates were available for required checks of systems and equipment. Risk assessments where necessary have been completed. Staff have received training in health and safety, first aid, fire safety, care of substances hazardous to health and moving and handling. The fire drill records showed that all staff had attended two fire drills in the last year as well as fire training every six months. The visual checks of all fire safety equipment has been recorded and undertaken at appropriate intervals and weekly fire alarm tests are carried out to ensure the safety of the Service users. The employer’s insurance liability certificate was displayed and current. The home has a satisfactory reference file for the Control of Substances Hazardous to Health (COSHH) information leaflets for each chemical being used in the home. Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15 Requirement Care plans must include details of individual’s specific care and support needs and is reviewed at least monthly with the service user’s involvement. Medication administration records (MAR) must be maintained for all medication kept within the home. Timescale for action 06/08/07 2 OP9 13.2. Schedule 3. 3(i). 06/08/07 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 Standard Good Practice Recommendations Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 26 8 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Starboard House DS0000042317.V341004.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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