Inspection on 19/11/08 for Weaver Court

This inspection was carried out on 19th November 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

Weaver Court 26/11/07

Weaver Court 09/01/07

Weaver Court 07/12/05

Weaver Court 19/04/05

Weaver Court 09/11/04

Weaver Court 28/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Weaver Court Moorfield Place Idlecoft Road Idle Bradford BD10 9TL     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Cuddington     Date: 1 9 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Weaver Court Idlecoft Road Moorfield Place Idle Bradford BD10 9TL 01274615538 01274612708 julie.hillam@bdct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Bradford District NHS Trust care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability physical disability sensory impairment Additional conditions: Date of last inspection Brief description of the care home Weaver Court is a Bradford District Care Trust home situated in the Idle Croft area of Bradford. The home is registered to provide personal care for up to 22 people with learning disabilities. The home provides long-term and respite care. Accommodation is provided on two floors; there are 22 single bedrooms. Shared lounges are located on both floors. There are five bath/shower rooms, some of which have hoisting facilities. Weaver Court has a large enclosed garden and car parking is located at the front of the building. Local shops and bus routes are within easy access. 1 22 22 2 Over 65 0 8 0 0 Care Homes for Adults (18-65 years) Page 4 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Weaver Court. The visit to the home was carried out Care Homes for Adults (18-65 years) Page 5 of 29 over one day by one inspector. The last key inspection was in November 2007. The methods used to gather information included conversations with the people living at the home, their relatives and the staff, as well as looking at care plans and examining other records. We received the homes self-assessment questionnaire before the inspection visit. This gave us a lot of useful information about the home and helped us plan the visit. We also received four questionnaires from people who live at Weaver Court; these provided a valuable insight into how people view the service. The fees charged are variable and depend upon the level of the individuals care and support needs. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the care home does well: What has improved since the last inspection? The homes staff have started to help people organise short breaks and holidays. New floor covering has been laid throughout the house and the walls have been freshly painted. Care Homes for Adults (18-65 years) Page 7 of 29 The homes manager is now registered with us. The fire safety systems are now being checked regularly and unsafe practices, such as using wedges to hold open doors, have now stopped. The homes management are working hard to try and recruit sufficient permanent staff, to make sure that they can offer continuity of staff so that the people who live at the home can get to know them well. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. Evidence: People said that they were given enough information about the home before deciding to move in. Where possible the home encourages people and their families to visit and talk to the people who already live at the home, their relatives and the staff. The home invites them to come and spend time at the home, share a meal, take part in the days activities and stay for overnight visits if they wish. This means that the home can get to know the persons needs and the individual and their family have the information they need to make a decision. A phased admission procedure, taking as long as the person needs, helps the individual become familiar with the new surroundings and new people. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: The care and support plans include pre-admission assessments completed by the home. Before moving in, peoples needs are assessed to make sure that the home is able to meet their needs. This assessment forms the basis for the individual plan of care and support. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To maintain their autonomy and independence, staff support people to make choices and decisions about all aspects of their daily lives. People are involved in planning and agreeing the level of care and support they need and how this is to be provided. Evidence: The care and support plans reflect peoples individuality and contain sufficient detail to guide staff and help them understand each person. Everyone is supported and encouraged to make their own choices about how they lead their lives. The care plans reflect this and show that people are supported to achieve their goals. Those who commented confirmed that the service supports people to live the way they Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: choose and agreed that the service meets their different needs. The plans are updated frequently, to make sure they always reflect peoples choices and wishes. Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting peoples right to independence and choice. These assessments are reviewed and kept up to date. All the evidence we saw clearly indicated that the homes staff support people to maintain their independence and improve the quality of their lives. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Where needed, people are supported to follow the activities they choose, to make sure their needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. Evidence: One relative said that staff do not alway spend enough time on one to one activities with people and said that peoples daily life would be improved if the staff spent less time on tasks and more time with the people who live at Weaver Court. On the day of our visit several people went out to the sensory garden at Cartwright Hall. The home has its own minibus and uses it to take people to places they would Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: like to visit. This could be on local shopping trips or further afield, such as going to Blackpool to see the illuminations. There are plans to widen the range of activities and make sure they really reflect what people want to do. The home has started to help people arrange holidays and short breaks. They plan to continue this, arranging holidays for people who would like to go away. Since the last inspection visit the timing of the meals has changed in order to make them more relaxed and give staff more time to spend with people. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are met. People are not fully protected by the homes medication systems. To maintain their privacy and dignity, the staff treat people with respect, care and consideration at all times. Evidence: People receive the medical and healthcare support they need and any concerns about their health are followed up. Everyone we spoke to said the care and support is of a good standard. Peoples relatives said they are very satisfied with the care offered. They felt that the staff know what they are doing and understand peoples needs. Our observations confirmed that the staff understand peoples care needs. For example, when supporting someone to carry out a task such as eating a meal, the Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: staff clearly understood how the person likes to be assisted. In the questionnaires we sent out, some relatives said they had concerns about the staffs ability to communicate effectively with the people they are supporting. This may be related to relatives other concerns about the high use of agency staff; an issue which the home is working hard to improve. Two care and support plans were looked at, to make sure that peoples health and personal care needs are being met in the way each person prefers. The plans cover each area of the individuals needs. They all contain enough information to guide staff in how to care for and support each person. The plans are straightforward, well organised and easy to follow and each area of a persons needs is detailed. Because the system is computerised the plans can easily be updated when someones needs change. The people themselves, and their relatives if they wish, are involved in reviewing and updating the care plans. The plans are all reviewed monthly by the staff, to make sure they still reflect the individuals care and support needs. The Trust has not yet introduced a fully person centred planning system, despite the fact that this way of developing peoples care and support plans has been in use for several years. We were told that the Trust intends to work with Mencap on this. To bring care and support planning in line with current good practice, the Trust needs to introduce this without further delay. People said that staff are very good and understand their needs. They said staff do what people want, in the way people prefer. People said they are happy with the care they receive. During our visit, one relative said that the staff are very good and understand peoples needs and said that staff support people in the way they prefer. This relative also said that peoples personal care is good and that everyone is always well dressed. The plans include very detailed risk assesments for all areas of identified risk. The daily records are kept up to date and include information on significant occurrences. There are systems for highlighting information that needs to be passed onto the next group of staff. Detailed medical records are kept showing, for example, when the GP visited and the Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: outcome, as well as any further healthcare suppport that is needed. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. For security, the medicine cabinet was locked during the time between giving each person their medication. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some is received in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. One persons medicines are brought in by their family. The amounts received had not been recorded. It is essential that the quantities of all medicines received into the home are recorded, in order to be able to keep an accurate check on the numbers administered and remaining. The records of amounts received, administered and in stock of some medicines that were supplied in their original packaging were not accurate. We found a number of medicines where the amounts remaining in the packets did not tally with the quantities received and signed for as administered. For example; the home had received 56 tablets for one person on 6/11/08. The MAR chart showed that 26 tablets had been administered and there were 35 tablets remaining, making a total of 61. Therefore it seems that five tablets had been signed for and not administered. If these five tablets had been carried forward from the previous four week MAR chart they had not been recorded. An accurate brought forward system would make it easier to check all quantities of medicines, to confirm that administration is always accurate. The Trust had carried out an audit of the medications on 14/11/08, five days before our visit, and had not identified any inaccuracies. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. Peoples relatives confirmed this. Everyone said the staff listen and act on what they say. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the home and their relatives said they are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people staying at the home are safe. Evidence: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Staff said they know what to do if anyone has concerns. The relatives said the home responds appropriately to any concerns. People said they know what to do if they have a concern or complaint. One relative said she would feel happy to make a complaint or raise a concern as she was confident that the manager would deal with it effectively. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. Most of the care staff have had adult protection training, and further refresher training is planned. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: All the appropriate policies and procedures are in place to guide staff. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, clean, comfortable and well-maintained environment. Evidence: The home is clean and generally well maintained and everyone who commented said the home is always kept fresh and clean. The home has started their extensive refurbishment programme. The walls have been re-painted and there is new flooring throughout the home. Some of the bathrooms would be more attractive and hygienic if they were refurbished. One bathroom has tiles that have been painted and the paint is now peeling off. Another bathroom has missing wall tiles and there is a wooden skirting board around the bath, which does not fit and looks unhygienic. The rooms are comfortably furnished and there are sufficient, accessible toilets and bathrooms on both floors of the house. Staff are employed to help look after the maintenance of the house and grounds as well as keeping the gardens tidy. The bedroom doors still have locks which are not suitable for most peole to manage Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: themselves. The home plans to have electronic locks fitted that are operated by passing a key fob in front of the lock. These are individually set and would give many people greater independence. There are still no lockable storage spaces in peoples bedrooms. This means that people do not have anywhere to keep private possessions. The gardens are attractive and there is seating for people to use in the better weather. A sensory garden is being developed with new walkways so that everyone can enjoy the area. Some of the garden paths are uneven and moss covered, making them unsafe for people to use. Protective gloves and aprons are available for staff to use when necessary. The home uses red bags for soiled linen, as part of their infection control measures. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by the recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require in order to meet peoples needs. Evidence: The staff rotas, and peoples comments, confirmed our observations that there are usually enough staff on duty to meet peoples care, social and leisure needs. There are four support staff on duty during the day and evening and two or three waking staff during the night. The staff confirmed that staffing levels are adjusted to meet peoples needs. People said there are usually staff around and our observations confirmed this. The home has plans to increase staffing levels so that there are more staff available to support people with their leisure activities. At the time of our visit the home was recruiting more staff, in order to have a full team of permanent staff. This will mean that they will not often need to employ agency staff Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: and this will make sure there is better continuity. Although the manager said the agency staff they use are well trained and they always try and have the same staff, so that they know the people who live at Weaver Court. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. The members of staff we spoke to confirmed that the procedures are thorough. There is plenty of training available for staff. All the staff we spoke to said the training is good and keeps them up to date. The home keeps good records of staff training, which also shows when updates are needed. All new support staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. Eleven of the twenty-four support staff have achieved an NVQ in care. In addition staff attend training courses covering all areas of the general principles of care. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and run in the best interests of the people who live there. Evidence: The manager has the necessary experience and qualifications to manage the home, in the best interests of the people who live there and attends training to keep up her professional development. The manager has now completed the registration procedure with us. The records and the staff confirmed that all staff have regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. Peoples personal information is stored in locked cabinets or on a secure computer system when it is not being used. Where the home helps people to manage their Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: personal finances, accurate records are kept of all transactions and all monies are securely stored. The homes policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home has improved its fire safety procedures and door wedges are no longer in use. The kitchen has recently had an inspection by an Environmental Health Officer. The home was awarded a three star rating out of a possible five stars. The requirements of the report are being addressed. These include proper recording of hot food and refrigeration temperatures and deep cleaning the kitchen. The laundry is well organised and peoples personal clothing, as well as their bedding and towels, are properly cared for. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home and their relatives, meetings for people and their relatives, staff meetings and regular audit checks. The home sends out a quarterly newsletter to parents, carers and other people to keep them up to date on what is happening and any changes that have been made or are planned. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 25 23 People need to be able to lock their bedroom doors; suitable locks need to be fitted to their bedroom doors. The bedrooms also require lockable storage within the room so that people?s privacy and belongings are protected. 01/04/2008 Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 The medication records must 31/01/2009 accurately show the quantities of medicines received, administers and in stock. This is to make sure that people are receiving their medication exactly as prescribed and the home knows, and can account for, the exact amounts of all the medicines in stock. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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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