Inspection on 16/04/07 for Stroud Lodge

This inspection was carried out on 16th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stroud Lodge 16/03/06

Stroud Lodge 06/09/05

Stroud Lodge 21/02/05

Stroud Lodge 18/10/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 Stroud Lodge 319 Stroud Road Gloucester Glos GL1 5LG Lead Inspector Ms Lynne Bennett Key Unannounced Inspection 16th April 2007 14:00 Stroud Lodge DS0000055599.V329217.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 Stroud Lodge DS0000055599.V329217.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. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stroud Lodge Address 319 Stroud Road Gloucester Glos GL1 5LG 01452 306449 01452 312078 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) www.orchardendltd.co.uk Orchard End Limited Mr Mark Anthony Luce Care Home 9 Category(ies) of Learning disability (9), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Provide suitable training in mental health agreed by CSCI for all current staff. This condition will be reviewed within 12 months from 31/03/06. 16th March 2006 Date of last inspection Brief Description of the Service: Stroud Lodge is a residential home for 8 adults with learning disabilities and challenging behaviour. The home is a large detached building, situated approximately one mile from the centre of Gloucester. The home is close to local amenities and within easy access to public transport. Accommodation is provided over three floors, with communal areas on the ground floor and bedrooms on the other floors. There is a garden for the residents use and a parking area at the back of the house. Stroud Lodge is part of Orchard End Ltd, a subsidiary of C.H.O.I.C.E. Ltd. The Statement of Purpose and Service User Guide are displayed in the entrance hall along with the summary of the last report. Fees for the home range from £1158.78 to £2571.11 per week. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. This inspection took place in April 2007 and included two visits to the home on 16th and 17th April. The registered manager was in attendance throughout the visits. A pre-inspection questionnaire was supplied prior to the inspection. Comment cards were received from four people living at the home, one parent, three healthcare professionals and two doctors. Time was spent observing the care of people and their interactions with staff. All people living at the home were spoken to and several people’s rooms were inspected on their invitation. The care of three people was looked at in depth that included looking at their financial, medication and personal records. Five staff were interviewed about the care they provide. Other records examined included staff files, health and safety information and quality assurance records. What the service does well: What has improved since the last inspection? There have been considerable changes to the environment creating more communal space. People were observed making good use of the lounges and dining room as well as patio areas in the garden. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 6 Additional information about the needs of people with a mental health diagnosis has been incorporated into their support guidelines. Staff have also received training in this area. 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. Stroud Lodge DS0000055599.V329217.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 Stroud Lodge DS0000055599.V329217.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): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who may wish to live in the home have access to information about the service and are fully assessed before deciding whether to move in. EVIDENCE: The home has an admissions policy and procedure that involves obtaining an assessment from their placing authority and information from their previous placement. People are also invited to visit the service and provided with information about the service they will receive. Two files were examined for people who had moved into the home since the last inspection. These both contained copies of care plans from their placing authority. Care plans and risk assessments had also been provided from their previous placements. There was evidence that people had been offered the option of visits to the home and overnight stays with records being kept of these visits. A comprehensive transition action plan is in place to ensure that the admissions procedure is followed. The registered manager confirmed that three-month placement reviews are held with their family and the placing authority. Where there are concerns about the suitability of the home to meet the needs of any new admissions these are addressed in an inter disciplinary forum. Records confirmed this. Stroud Lodge DS0000055599.V329217.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. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A person centred approach to care planning ensures that people are able to take control of their lives. People’s needs are being assessed and they are being supported to makes decisions about their lifestyles. Risks are being managed safeguarding them from possible harm. EVIDENCE: The registered manager described the person centred approach to care which the home promotes. This was confirmed through observation and discussion with people living at the home and staff. The care for three people was looked at in depth. Each person has support guidelines that are regularly reviewed and provide staff with a holistic overview of the needs of the person. Staff spoken with have a good understanding of the needs of people they support. One person was observed to be in distress during the visit and staff supported them in line with their care plan with sensitivity and patience. Distraction was also used with another person and again this was done in a way that reflected approaches detailed in their care plan. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 10 Support guidelines provide information about the needs of people with a mental health problem and also pay attention to those people whose needs are changing due to old age. The registered manager stated that no restrictions are in place for people within the home. People have access to advocacy services when it is needed on specific areas of concern. Records confirmed that one person has had access to an advocate. Staff confirmed that good systems of communication are in place enabling them to be consistent in their approach with people. A communication book indicates when changes have been made to care plans. Staff are asked to sign to say that they have read any changes. This is good practice. People were observed being supported by staff to make decisions about their day-to-day lives. One person wanted to go shopping and another was deciding which college course to go on. Another person wished to earn extra money and negotiated jobs around the home for which they could be paid. House meetings are held occasionally but usually people ask to have a 1 to 1 chat with staff to talk about their wishes. These are then recorded as house meeting minutes. People are supported to manage their personal finances. Robust records are kept which cross reference receipts with expenditure. Balances are checked each day. Comprehensive risk assessments are in place with evidence that they are being regularly reviewed. Recent changes in the administration of medication were noted for one person and the risk assessment for this was amended during the inspection. Individual fire risk assessments will need to be amended in light of recent changes to fire legislation which state that only under exceptional circumstances should people be left in their rooms during a fire with the support of a staff member. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 11 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): 12,13,14,15,16 and 17. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home make choices about their day to day lives and have the opportunity to access social, educational, cultural and recreational activities which meet their expectations. EVIDENCE: Each person has a schedule of activities that they have been involved in choosing. At the time of the visits people confirmed that they are presently reviewing these with their key workers. Staff stated that although used as a guide people often choose not to follow these schedules and so they need to be flexible offering alternatives where appropriate. Most people said that they are happy with the opportunities they have going to day centres, colleges and access to a home tutor. They said they enjoy swimming, bowling, horse riding, shopping and day trips. Some people were planning this year’s holiday to a caravan at the seaside. On the night of the first visit one person was looking forward to going to a social club. Another person said that they felt Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 12 they did not go out much but their daily diary indicated that they do go out when they wish to. People also have the opportunity to work for Orchard End Ltd helping with recruitment and selection, unannounced regulation 26 visits and office administration. One person described the work they do in the main office and the payment they receive for this. People use local shops and go to a nearby park. Some go to church. They also use local transport in addition to the vehicle provided for the home. People regularly meet one person who attends a day centre at the end of the day for a drink or snack before returning home. People are supported to maintain contact with family and friends. One person said that they were looking forward to speaking to their family on the telephone. Others are taken by staff to have visits with their family. Records of contact with family and friends are recorded. A varied choice of meals is provided ranging from roast dinners to salads to curries and fish and chips. At the time of the visits there was plenty of fresh vegetables and people had access to fruit. Alternatives to the main meal are provided. Staff were observed giving people a choice for their evening meal. People said they are happy with the food that is provided. Portion sizes appeared to be generous and people appeared to be enjoying their meals. Some people were observed being involved in the preparation of meals. Others said they like to help cook and that there are opportunities to do this. Daily diaries contain a note of what each person has eaten. Where there are concerns about a person’s diet they are referred to a dietician and a healthy eating plan is put in place. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 13 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Peoples’ health and personal care is based on their individual needs and they are treated with dignity and respect. Medication systems protect most people from possible harm. EVIDENCE: The way in which people like to be supported with their personal and health care needs is identified in their support guidelines. Routines within the home appear to be flexible and largely dictated by the wishes and needs of people living there. Several people were observed having a leisurely start to the day whereas others were up early. People were observed being supported by staff sensitively and respectfully. Health action plans are being put in place for each person in consultation with the local surgery. Samples were available for inspection confirming that people are having annual health checks. For those without these plans in place records continue to be kept of all healthcare appointments including the outcome of these meetings. Records confirm that people have regular access to their doctor, dentist, optician, chiropodist and outpatient appointments. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 14 People have access to a psychology team employed by Orchard End Ltd and also to the local Community Learning Disability Team. Systems are in place for the administration of medication. Staff have received training in the administration of the monitored dosage system and are due to attend a course in the safe handling of medication. There was no evidence that their competency is being assessed. The registered manager has completed medication training for managers. On the whole good records are in place monitoring stock levels, the administration of ‘as necessary’ medication and daily medication. There was evidence that medication is being labelled when opened. A thermometer was purchased for the medication cabinet during the visits. This is presently situated in an office that can become warm during the summer. The systems in place for enabling people to take medication away from the home were discussed. At present the home is secondary dispensing the medication into labelled envelopes. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 15 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. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. An effective and robust complaints procedure is in place that listens to the views of people using the service. Systems are in place to protect people from possible harm due to accidents or abuse promoting and safeguarding their best interests. EVIDENCE: The pre-inspection questionnaire indicated that the home had received five complaints in the last 12 months of which one was substantiated, two were partially substantiated and two were not upheld. The complaints folder contains copies of these complaints and the action taken to investigate them as well as the outcome of the complaint. People living at the home have access to a complaints procedure that is produced in a format appropriate to their needs using a mixture of text and symbol. People said that they would talk to the manager if they have any concerns. The manager has an open door policy and people were observed spending time with him discussing any anxieties they might have. Staff confirmed that they attend training in MORE (Management of Response to Emotion) with annual refresher training being provided. They also have the support of a psychology team and access to the local Community Learning Disability Team. Reactive strategies are in place and state that physical intervention is used as a last resort. Staff and records confirmed this. ABC and physical intervention records are completed to describe incidents of challenging behaviour and can be cross-referenced with each other and daily Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 16 notes. Staff were observed using de-escalation and distraction techniques with people to help them to manage their anger. Where there are concerns about the ability of the home to continue to support people these are dealt with appropriately in an inter disciplinary form. Some staff have completed training in abuse either as part of the Learning Disability Award Framework or NVQ Awards. Discussions with staff identified that they have a good understanding of the issues around abuse and would know what signs to look out for and who to report abuse to. The organisation is accessing training for staff from the local adult protection team. Staff spoken with are confident that any issues would be dealt with efficiently and effectively by the management of the home. The manager is aware of the importance of liaising with key professionals including the adult protection team and the Commission if he has any concerns about the welfare of people. Stroud Lodge DS0000055599.V329217.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. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a wellmaintained and comfortable home that encourages independence. EVIDENCE: Since the last inspection there have been substantial improvements to the environment including the addition to the ground floor of a toilet, bedroom with en suite facilities, a computer room, new kitchen and dining room. Five bedrooms now have en suite facilities. Large areas of lawn and patio surround the home. The alterations ensure that people have access to a selection of communal areas. People said that they are happy with the changes to their home and with their rooms that they have helped to personalise. The home has access to a person to manage the day-to-day repairs for the home. The general maintenance programme indicates that these are resolved quite quickly. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 18 At the time of the visits the home was clean and there were no issues around hygiene. Staff records confirm that they have access to infection control training. Non-toxic cleaning products are used. Personal protective equipment is provided. Paper towels and soap dispensers are provided. Staff confirmed that they share cleaning responsibilities with people living at the home. Each person has their own schedule of responsibilities and checklists are maintained daily to ensure areas are clean. Stroud Lodge DS0000055599.V329217.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. People who use the service experience good quality outcomes in this area. 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 support people living there. People are safeguarded and protected by robust recruitment and selection procedures. EVIDENCE: There have been some changes to the staff team with staff moving to and from other homes in the group. Staff speak positively about team morale and the way in which they work together. There has also been some use of staff from an agency and again both groups recognise the skills and diversity of experience of their colleagues. They all confirmed that communication systems are good promoting a consistent way of working with the people living in the home. All new staff and agency staff complete an induction programme when they start working at the home. Staff also have access to the Learning Disability Award Framework foundation programme and a NVQ programme, with 19 of staff having a NVQ Award in Care. People living at the home are involved in the interviewing of new staff. Records for staff who have recently been appointed and applications being Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 20 processed were examined. The standard of information collated is extremely high with evidence that gaps in employment history are being obtained and recorded, that references request the reason why people left former jobs in care and two written references are in place prior to a person starting work. Where people start work with a povafirst check in place, there is evidence that we have been contacted first and that a risk assessment is in place to outline what duties they can do. Copies of training certificates are obtained as well as proof of identity. Where there may be concerns about references these are checked for authenticity or alternative referees are requested. The area-training manager maintains a training matrix that monitors staff requirements for refresher courses. Staff confirmed that they have access to a range of training including courses in mental health and autism. Copies of certificates of attendance are kept on their personal files. Training in the mental capacity act is being arranged. Stroud Lodge DS0000055599.V329217.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. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People benefit from a well run home, managed by a competent manager who promotes a culture of openness, respect and the wellbeing of people living there. People are at the heart of the quality assurance systems EVIDENCE: The registered manager has the Registered Managers Award and has considerable experience working in this field. He ensures that his continuing professional development is maintained having completed courses for managers in medication and safeguarding adults. He has also completed ‘Safe Food Safe Business’ course with the local environmental health department. He is also considering further management courses. Staff confirmed that the registered manager is open and accessible promoting a person approach to care. Records confirm he monitors care practice within the home and Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 22 challenges poor or misguided practice. Systems are in place to ensure that staff have access to the information they need and this is monitored by the manager. Record keeping is of a high standard. Quality assurance systems are in place. Each month an unannounced visit takes place by the area manager who is occasionally accompanied by a person living at another home in the group. Written copies of these visits were inspected and they provide evidence of a consistently high standard of practice within the home. A quality assurance report was produced from surveys completed with people living at the home and their representatives. A copy of this was supplied to the Commission. Health and safety systems are of a high standard. Sound food hygiene practice is promoted with food in fridges being labelled with the date of opening and the temperature being taken of hot food before it is served. Water temperatures are recorded for all outlets around the home. Fire records are maintained with evidence of regular monitoring of equipment and systems. Regular fire drills take place for all people and staff, including night staff. Evidence of regular fire training is in place. Stroud Lodge DS0000055599.V329217.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 24 No 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 YA9 Regulation 13(4) Requirement People should have a risk assessment, in line with current legislation, which identifies how risks to them are minimised in the event of fire. A safe method of enabling people to take medication away from the home must be put in place to reduce the risk of error. Timescale for action 31/05/07 2. YA20 13(2) 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations The competency of staff to administer medication should be assessed periodically to safeguard people from possible harm. Stroud Lodge DS0000055599.V329217.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Stroud Lodge DS0000055599.V329217.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. 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