Inspection on 19/03/07 for Sycamore Drive (9)

This inspection was carried out on 19th March 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sycamore Drive (9) 12/02/08

Sycamore Drive (9) 18/10/05

Sycamore Drive (9) 15/04/05

Sycamore Drive (9) 27/09/04

Sycamore Drive (9) 27/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Sycamore Drive (9) Carley Lodge Fulwell Sunderland SR5 1PP Lead Inspector Miss Nic Shaw Key Unannounced Inspection 19th March 2007 9.30 Sycamore Drive (9) DS0000015759.V325879.R02.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 Sycamore Drive (9) DS0000015759.V325879.R02.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. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Drive (9) Address Carley Lodge Fulwell Sunderland SR5 1PP 0191 549 6083 0191 549 6083 sycamoredrive@c-i-c.co.uk www.c-i-c.co.uk. Community Integrated Care 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) Mr Robert Trueman Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2), Physical disability (1) of places Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2005 Brief Description of the Service: The home provides personal care to four men both over and under the age of 65 years all of who have a profound learning disability. One person also has a physical disability. The current age range is from 51-77 years. It provides residential care only and any health needs are dealt with by the Community Nursing Services. The home has been open since 1995 and was especially adapted for the current service users. The house is a bungalow and sits in what could be described as a small exclusive housing estate. It would be difficult to determine from the outside of the home that it provides a residential service as it blends in well with other houses in the cul de sac in which it is located. There is a local bus service, which offers access into the City Centre where there is a range of services and shops. The home also has its own transport. The weekly fee payable by service users is £94.45. The total weekly cost of the service per service user is £818. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day in March 2007 and was an unannounced key inspection. The inspection included information which had been provided by the manager in a questionnaire. Time was spent talking to the manager and staff and the service users were present throughout. Some time was spent looking at the home, including the lounge/dining room, conservatory, one service user’s bedroom and the garden. A sample of staff records were also looked at. The inspection focused on all four service users, all of who have with very different needs. This is known as “case tracking”, and this involved looking at what it was like, from their point of view, living at Sycamore Drive. As the service users are not able to use speech to express their views this involved watching the staff’s care practices with them and checking that information obtained from discussion with staff and observation was accurately recorded in the care records. What the service does well: Admissions to the home only take place if the manager is certain the staff have the skills and ability to meet the needs of prospective service users. The people living at Sycamore Drive have complex needs and in order to involve them more in making choices and decisions the staff have made sure there is lots of information in their care plans about how they communicate. Care plans are good and the staff have worked hard to make sure that the information in them is kept up to date. Service users can take part in a variety of leisure activities like going to a local disco and trips to the local beach. There are also things for people to do in the house such as listening to music. One person’s bedroom has special sensory equipment creating a relaxing yet stimulating environment for them to enjoy. If a service user is unwell the staff make sure they get to see their GP quickly and the staff always arrange for service users to attend other health care appointments regularly. The food is nice and lots of choices are available. Service users have contact with their families and friends. Staff have had training so that they know what to do to stop people from being abused. The house is homely, clean and safe and there is a lovely garden that the service users can use in warmer weather. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 6 The staff have had lots of training so that they can do their job well. As well as health and safety training all of the staff are completing training in dementia care, which is excellent, as it may help them recognise the signs if one of the service users begins to develop this illness. Staff recruitment is good and only suitable people are employed to work in the home. All of the staff receive a regular 1:1 meeting with their manager, known as a supervision, and this helps make sure they are carrying out their job well. The manager has lots of experience of managing a care home and there are good quality assurance systems in place to make sure that high standards of care are provided. 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. Sycamore Drive (9) DS0000015759.V325879.R02.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 Sycamore Drive (9) DS0000015759.V325879.R02.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users needs are always assessed prior to admission in order to determine that their needs can be met in the home. EVIDENCE: Although there have been no new admissions in the last four years there are clear admission policy and procedures in place. This includes obtaining an upto-date care management assessment so that future prospective service users are assured that the service will be able to meet their needs. It also includes people being able to “test” the service prior to moving in by having a meal and staying overnight. The needs of all four service users are regularly re-assessed within the care plan review meetings. These meetings involve the manager, service user and keyworker. Sycamore Drive (9) DS0000015759.V325879.R02.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&9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The plans of care for individual service users give specific information about service users as individuals, which helps to provide a good quality of care. Service users are able to take risks and the staff continue to develop ways of communicating with the service users in order to help them make choices in their daily lives. This enables the service users to lead independent lifestyles. EVIDENCE: Care plans provide staff with clear guidance on the action they need to take to meet the service users assessed needs. They are continually reviewed and updated and it was evident that the staff work hard to make sure that the information contained within these is kept up-to-date. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 10 Staff were clearly knowledgeable of how the service users communicate when they are becoming agitated and information in respect of this was contained within their care plan. Information on the service users method of communication is available in a communication care plan. This provides staff with good information and enables them to support the service user’s to make decisions and choices. During the inspection this was observed when a service user used non-verbal communication which staff understood to mean that they wanted to leave the dining table and take their drink to their bedroom. In another person’s plan it was identified that if they are shown their boots then they will know that staff are asking them if they would like to go out. As demonstrated through the care plans service users are encouraged to be independent in all areas of their daily life, such as personal care tasks and taking part in activities inside and outside the home. All of these can involve a degree of risk. The manager assesses any hazards that may be involved in carrying out certain tasks, as well as identifying any benefits and pitfalls. If hazards are too great, choices may be restricted to promote safety for that person. Information about risks are recorded in the format of a risk assessment; this allows staff to give the correct amount of support to the person as well as reducing any further chances of hazard. Examples of risk assessments in place include making a hot drink, the support people need whilst in the kitchen and the support people need at mealtimes. Sycamore Drive (9) DS0000015759.V325879.R02.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): 12,13,15,16&17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a wide range of activities both inside and outside the home. Service users are assisted to maintain links with their families and to have a regular community presence. This will assist them to lead a full and enjoyable life. Service users are provided with a nutritious, varied diet which helps to promote their general health and well being. EVIDENCE: The activities for each day are identified on the staff rota which shows what each service user will be doing. The range of activities available to service users includes attending a monthly disco, trips to the local beach, going shopping for clothing and other personal items and going to the pub. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 12 The home has its own transport. However, the current vehicle only allows two service users to go out at any one time, and as such, sometimes this limits the opportunities for everyone to enjoy activities in the local community. The manager is pursuing this issue with his line manager. One service user likes to spend part of their day in their bedroom listening to their classical music c.d’s. Another service user likes to spend time in their bedroom, particularly after lunch. Their room is equipped with a range of sensory equipment including a mirror ball, fibre optic lights, “bubble tube” and projector and provides them with a safe, comfortable stimulating environment in which to relax. The manager has a budget so that each service user can have an annual holiday. Last year two of the service users enjoyed a break at a holiday cottage and another service user had the experience of a holiday in Spain. The manager is looking into the fourth service user, who has complex health care needs, being able to enjoy a short break in a specialist hotel. This hotel offers overhead tracking, a therapeutic pool as well as bathrooms which offer disabled access and would be suitable to meeting their needs. One service user’s relatives visits them monthly and the manager said that they were really happy with the leisure opportunities now being offered to their family member. Another service user visits his friends who live in another home run by Community Integrated Care. It was evident that the routines of the home are flexible and reflect the service users choices. Service users are encouraged to take part in daily activities, however, their decision not to help is also fully respected by staff. Mealtimes are also very flexible and times of meals depend on the routines and activities that service users are attending. The Inspector sat and chatted with service users and staff over lunch, the experience of which was similar to that of a large family. The meal had been prepared by staff, and consisted of a finger buffet type meal which was beautifully presented. Staff offered support to those people who needed it in a sensitive respectful manner involving the service users fully in choosing what to eat. Menus are planned and decided based upon the service users likes and dislikes and this information, together with the special support those people with more complex needs require in relation to eating and drinking, was recorded in their care plans. Sycamore Drive (9) DS0000015759.V325879.R02.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&20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive the support they need from staff to ensure that their personal, physical and emotional health needs are met. The service users are protected by the homes medication policies, however, some improvement needs to be made to the stock control procedures and record keeping to fully safeguard the service users. EVIDENCE: The care plans provide clear guidance to staff on the service users preferences on how their personal care needs are to be met. The areas covered within the care plans include personal hygiene, shaving, bathing and eating a meal. The care plans are all different and the content reflects the personal care needs of each service user. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 14 Care plans examined confirmed that the service users have regular access to their GP and other medical professionals such as psychiatrists, occupational therapists, physiotherapists and dieticians. Discussion with the manager concluded that he has fought tirelessly to ensure that referrals made to other health care professional, such as occupational therapists, when a service users health care needs have changed, are acted upon. Equipment such as specialist slings to be used with moving and handling equipment have been provided. Detailed moving and handling plans are in place in relation to this. A monthly review of the service users needs is carried out within which any changes in the service users health care is closely monitored. Medication records confirmed that medication is administered to service users appropriately. Systems are in place for ordering and the safe disposal of medication. A brief audit of the medication held in the home was carried out. The medication administration record, (MAR), did not accurately reflect the amount of medication held in stock. This was investigated and resolved by the manager, who agreed it would be beneficial to review the stock control system so that an accurate record of medication held in the home is maintained at all times. Medicines are stored safely and securely and follow the Royal Pharmaceutical guidelines. No controlled drugs are held within the home at this time, although an examination of the controlled drugs book confirmed that staff had in error entered the amount of aspirin held in the home. All of the staff have completed training in the safe handling of medication. Sycamore Drive (9) DS0000015759.V325879.R02.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&23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Whilst service users communication skills are very limited, arrangements are in place through the complaints process to promote their safety and offer protection. Appropriate policies and procedures are in place, supported by staff training, which ensure that service users are protected from abuse and neglect. EVIDENCE: There is a complaints procedure available to the service users in plain language and large print. However, due to the communication needs of the people living at Sycamore Drive, none of them would be able to use the complaints procedure to make a formal complaint. However, it was evident that staff were well aware of the service users method of communication and how they would show whether they were unhappy or dissatisfied. As previously mentioned this information is included in the care plan so that staff know what to do should a service user become agitated. There have been no complaints made by relatives or other professionals involved in the care of the service users since the last inspection. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 16 The home has copies of the policies and procedures issued by Sunderland Social Services which deal with the protection of Vulnerable Adults and which are know as MAPPVA (Multi Agency Panel for Protection of Vulnerable Adults). All of the staff, including the manager, have received training in the MAPPVA procedures. Policies, procedures and staff practices also ensure the financial protection of service users. Records showed that for all transactions made on behalf of the service users, two staff signatures as well as receipts are obtained. Regular internal and external audits of the service user’s personal money are carried out. Sycamore Drive (9) DS0000015759.V325879.R02.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&30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment is homely, comfortable and clean providing the service users with a safe place to live. EVIDENCE: The building throughout was found to be clean with no unpleasant odours. There is a spacious conservatory, which leads from the communal lounge/dining area into the garden. These are bright, airy comfortable places in which the service users can engage in activities of their choice. Overall the building was well maintained, however, the bathroom is showing signs of wear and tear. This was discussed with the manager who confirmed that a new shower, which will be fully accessible to the service users, new flooring and toilet is to be installed later this year. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 18 All bedrooms are single occupancy and those viewed were well personalised reflecting each individuals likes and tastes. As mentioned earlier one person’s room has been equipped with a range of sensory equipment. The garden area has been re-designed and is now fully accessible to all of the service users. There is a separate laundry room where staff can deal with all of the laundry in the house and protective gloves and aprons are available for staff to use in order to promote infection control. Sycamore Drive (9) DS0000015759.V325879.R02.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): 32,34,35&36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from skilled, experienced staff and the good staffing levels ensure that the service users needs are readily met. Staff recruitment policy and practises fully protect the service users. EVIDENCE: There were two staff on duty, including the manager, and this is the minimum staffing level for the home which is appropriate to meeting the needs of the four service users. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 20 There is a detailed training plan and this was on display in the office confirming the training arranged for the forthcoming twelve months. The majority of staff have completed the NVQ level 2 qualification in care. In addition to this staff are provided with a range of other training, including “the Mental Capacity Act” “epilepsy” and “non-violent crisis intervention”. Currently, as the majority of people living at Sycamore Drive are getting older, all of the staff, including the manager, are undertaking training in dementia awareness. This is excellent practise, as it will help staff be more aware of the changes a person may undergo when in the early stages of dementia and will therefore ensure that appropriate referrals can be made quickly for specialist support and advise. Staff said that they felt the training provided by the organisation was good. There are no staff vacancy’s and staff turnover is very low, which is important in terms of promoting continuity of care. Staff recruitment records confirmed that two written references as well as an Enhanced Criminal Records Bureau check and a full employment history are taken before new employees can work in the home. An interview is also carried out as part of the assessment process. Staff said that they received regular supervisions with the manager. Sycamore Drive (9) DS0000015759.V325879.R02.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&42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Overall management systems are effective and ensure that the health, safety and welfare of service users is fully promoted. EVIDENCE: The manager has eleven years experience of managing this service. He has completed the Registered Managers Award and in order to up-date his skills and knowledge he is currently undertaking the dementia care training with the rest of the staff team, which is excellent as it will help to ensure that this training can be put into practise. Staff said that he was “fair” and there was clearly a good rapport between him, the staff and service users. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 22 The organisation has an excellent quality assurance system in place. This includes a monthly audit completed by the service manager in which a selection of core standards are reviewed. Following the completion of this audit an action plan is developed to ensure any outstanding issues are addressed within specified timescales. A detailed six monthly audit entitled “All About Me” is also carried out by the service manager and focuses upon the needs of the service users and whether or not positive outcomes have been achieved. Appropriate records are held in relation to accidents. Staff are provided with training in health and safety issues such as fire safety, food hygiene and first aid and one member of staff is undertaking training so that they cane become a moving and handling co-ordinator. Working practices in the home are safe and the home has a full range of policies and procedures to promote and protect the service users. The manager has a strong awareness of health and safety issues and is in the process of purchasing door guards, (a magnetic device which holds a fire door open yet automatically closes in the event of a fire), in order that service users can safely use their bedrooms. During the inspection there were no health and safety risks noted. Sycamore Drive (9) DS0000015759.V325879.R02.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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 3 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 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 4 X 4 X X 3 x Sycamore Drive (9) DS0000015759.V325879.R02.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 YA20 Regulation 13(2) Requirement A review of the medication stock control procedure must be carried out. Timescale for action 31/05/07 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. 2. Refer to Standard YA14 YA20 Good Practice Recommendations The manager should continue to pursue with his line manager the possibility of purchasing a more appropriate vehicle. The controlled drugs register should only be used for controlled drugs. Sycamore Drive (9) DS0000015759.V325879.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Sycamore Drive (9) DS0000015759.V325879.R02.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!