Inspection on 20/09/06 for Whitwood Grange

This inspection was carried out on 20th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Whitwood Grange 08/12/09

Whitwood Grange 06/09/07

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Whitwood Grange Smawthorne Lane Castleford WF10 4ES Lead Inspector Mr Tony Brindle Unannounced Inspection 20th September 2006 03:30 Whitwood Grange DS0000066146.V313023.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 Whitwood Grange DS0000066146.V313023.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. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitwood Grange Address Smawthorne Lane Castleford WF10 4ES 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) 01977 667725 Wheatley Construction Mr Kieran Leeder Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 1st Inspection Brief Description of the Service: Whitwood Grange is a new building offering high quality accommodation to any new prospective service user. This building is situated on a main road in Castleford close to community facilities shops as shops and leisure facilities. Offering 12 bedrooms, with adequate lounge, kitchen, and garden space. The bedrooms are not only all ensuite, but offer en suite bathrooms facilities. There is adequate car parking facilities, and the building offers disabled access. The current fees for June 2006 range from £2000 to £2700 per week per person. The service provider ensures that information about the service is available to prospective service users and the current service users by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection, a visit to the home took place. The inspector, Tony Brindle, visited the home unannounced from 1530hs to 1830hrs. Whilst at the home, key documents such as care assessments, care plans, daily records and the home’s policies were looked at, and so were the rooms and garden. The 3 service users currently living at the home were out at the time of the inspection. One person was on holiday, one was visiting their parents and one was out having an evening meal. 1 member of staff was spoken with, along with the manager. The manager had been asked to complete a pre-inspection questionnaire. This was returned to the Commission prior to the site visit taking place. Comment cards were sent to all the service users, their relatives, 3 visiting professionals and 1 GP. All the comment cards were returned to the Commission prior to the visit taking place. Feedback was positive with people saying that they felt welcome What the service does well: The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. The systems and procedures operated by the staff at the home make sure that the assessed needs of the service users are set out in a plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff. The safety of people at the home is promoted via a good mix of staff with different experience, skills, abilities and qualifications. The manager ensures that there is a good staff training and development programme and ensures staff fulfill the aims of the home and meet the changing needs of service users. Staff should keep up the good work in order that at least half of them are NVQ qualified. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. There are appropriate systems in place to protect people from abuse, and for people to complain. Staff know what to do if Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 6 alerted to suspected or alleged abuse. The systems and procedures followed by the staff at the home make sure that the healthcare needs of people are assessed and recorded, and opportunities are created to make sure these needs are met. Service users receive personal support in the way they prefer and require. Links with the community are good The health and welfare of the service users and staff is protected by the safety systems operated by the home. Service users experience good quality support and care. The home is run in a manner that ensures the best interests of the service users. 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. Whitwood Grange DS0000066146.V313023.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 Whitwood Grange DS0000066146.V313023.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The manager explained that admissions to the home are not made until a full needs assessment has been undertaken. The records show that the management team undertakes all assessments. The records show that assessments are conducted with the individual, and their family or representative, where appropriate. Where the assessment has been undertaken through care management arrangements the manager explained that he always insists on receiving a summary of the assessment and a copy of the care plan. This was evidenced within the service records. It is clear from discussions with the manager that admissions to the home would only take place if he felt confident that the staff has the skills, ability and competencies to meet the assessed needs of the prospective service user. The records show that the management team do consider prospective admissions together with other staff, where all information is shared, views, opinions, and comments are listened to and fully debated, before agreement is give for the admission. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 9 One service user who returned a comment cards to the Commission said that they were given the opportunity to spend time in the home before they moved in. The manager said that an individual member of staff is usually allocated to give them the person information and to help them understand how the home is organised and run and the facilities and services available. The manager explained that the allocated staff member gives the new person special attention, helps them to feel comfortable in their surroundings, and enables them to ask any questions about life in the home. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 679 The systems and procedures operated by the staff at the home make sure that the assessed needs of the service users are set out in a plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: It is clear from discussions with manager that the service has a strong belief that it is essential to involve people in the planning of care that affects their lifestyle and quality of life. Discussions with the manager and a staff member showed that they understand the importance of people being supported to take control of their own lives, and to encourage and enable them to exercise their rights and make their own decisions and choices. This belief is translated into the written care plans. The records show that the care plans are developed following person centred principles. Each person has a plan that has been agreed with him or her. The Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 11 manager said that the home has a key worker system, which enables staff to establish good relationships with people and work on a one to one basis. The records show that the plans are reviewed regularly involving the person living at the home, and, where agreed, their families or representatives. The manager said that the plans are updated and action taken to respond to any changes. The plans are written in such a way to focus on how people are to be encouraged to develop their skills and consider their future aspirations. Discussions with the staff show that they see the plans as a working tool. The records show that each care plan includes a comprehensive risk assessment. The management of risk takes into account the age, specialist needs of people who use the service, balanced with their aspirations for independence and choice. Where limitations are in place, records are kept of why this decision was made and who was involved. This is kept under review. The manager confirmed that there are procedures in place to ensure that people are informed of their right to confidentiality, and understand when staff may share information to ensure individuals are safeguarded. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Links with the community are good which supports people to use community facilities, engage within the community and take part in social and educational opportunities. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: Discussions with the manager and staff show that there is a strong commitment to enabling people living at the home to develop their skills. This including their social, emotional, communication, and independent living skills. The records show that people are supported to identify their goals, where possible, and work to achieve them with the support of the staff. People living at the home confirmed that they have the opportunity to develop and maintain important personal and family relationships. Staff are aware of the needs to promote individual rights and choices, but the need to consider the protection of individuals, supporting people to make informed choices. This was evidenced within the service records, with particular reference to care plans and risk assessments. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 13 The manager explained that people living at the home are involved in different daytime activities of their own choice and according to their individual interests and capability. The records show that people are supported to be involved in the planning of their daily life as far as possible. People living at the home are supported to access and take part in activities within the local community, e.g. using public transport, and local leisure facilities. The manager explained that the principles of inclusion are very much at the fore of the work of the home, and this is evident through comments made by the staff, and through information contained within the home’s records. Staff members confirmed that where appropriate people are involved in the domestic routines of the home, and if possible depending on people’s abilities, they take responsibility for or get involved in cleaning their own room, menu planning and cooking meals. The menus were seen to be varied with a number of choices. They include a variety of dishes that encourage individuals to try new and sometimes unfamiliar food. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 The systems and procedures followed by the staff at the home make sure that the healthcare needs of people are assessed and recorded, and opportunities are created to make sure these needs are met. Service users receive personal support in the way they prefer and require. The current medication storage and recording systems operated by the home do not meet the National Minimum Standards. Quality in this outcome area is adequate. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: Evidence was seen to show that any specialist health, nursing and dietary requirements are clearly recorded in each person’s plan; this gives a comprehensive overview of a person’s healthcare needs and the manager said that this acts as an indicator of change in health requirements. The Statement of Purpose details the specialist treatments the home can deliver and refers to the skills and ability of the staff group. Discussions with the staff showed that they understand the key principles of giving personal support and are responsive to the varied and individual requirements of the people living at the home. The care plans support this by giving details to staff about delivering care personal in an individual and Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 15 flexible manner. The manager said that there is an emphasis on consistency, which was supported by way of evidence, contained the supervision records. The staff said that where possible people are supported and helped to be independent and responsible for their own personal hygiene and personal care. This was evidenced within the service records. The manager said that if people living at the home needed any personal aids and equipment then these would be accessed through the appropriate channels and agencies. The training records show that the staff has access to training in health care matters and are encouraged and given time to attend seminars and lectures arranged by local health care organisations on specialist areas of work. A sample of the medication was checked and found to be satisfactory. On checking the medication storage facilities, it was found that controlled drugs are not currently stored in a metal cupboard, which complies with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. Furthermore, the records show that the administration of controlled drugs is not currently witnessed by two designated appropriately trained member of staff as recommended within the National Minimum Standards. The manager said that people living at the home who are assessed as being able to keep and take their own medication are encouraged to do so. The records supported this. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 There are appropriate systems in place to protect people from abuse, and for people to complain. Staff know what to do if alerted to suspected or alleged abuse. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The records show that the service has a complaints procedure that is up to date, very clearly written, and is easy to understand. The manager confirmed that it could be made available on request in different formats (including other languages, large print, etc) to enable anyone associated with the service to complain or make suggestions for improvement. Comment cards returned to the Commission show that people living at the home and others associated with the home understand how to make a complaint. The manager confirmed that unless there were exceptional circumstances the service would always responds within the agreed timescale. The records show that to date, the service has not had any complaints. The Commission has not received any complaints about this service to date. The policies and procedures regarding protection of individuals were found to be satisfactory. Discussion with the manager and staff showed that they are fully aware of when incidents need external input and who to refer incidents to. The records show that no adult protection referrals have been made since the home opened. The records show that the manager regularly arranges the training of staff in the area of adult protection. Comment cards from people living at the home and others associated with the service state that they are Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 17 very satisfied with the service provision, feel very safe and well supported by the organisation. Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: It is clear from touring the building that the home provides a pleasant physical environment that is appropriate to the specific needs of the people who live there. Each bedroom not only has en suite facilities, but a private bath. There are showers available for people who do not like using the bath. A tour of the bedrooms showed that people are encouraged to personalise their bedrooms. All the homes fixtures and fittings were found to be of a high quality. The shared areas were seen to provide a choice of communal space with opportunities for people to meet relatives and friends in privacy of their own rooms. The records show that there is a satisfactory infection control policy with staff at the home willing to seek advice from external specialists. Whitwood Grange DS0000066146.V313023.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 The current staffing numbers and skill mix of staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home. The manager should review the working patterns of the staff ensure that they receive the appropriate rest time in between shifts (11 hours) in line with working time directives. The safety of people at the home is promoted via a good mix of staff with difference experience, skills, abilities and qualifications. The manager must ensure that he operates a thorough recruitment procedure based on ensuring the protection of service users. The manager ensures that there is a good staff training and development programme and ensures staff fulfill the aims of the home and meet the changing needs of service users. Staff should keep up the good work in order that at least half of them are NVQ qualified. Quality in this outcome area is poor. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The rotas show that the home is well staffed. Many staff work long shifts which the manager called ‘marathon shifts’. These shifts run from 7:30am until Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 20 9:30pm (14 hours). A discussion took place regarding the length of shifts and the rest time between shifts, and the manager confirmed that staff are encouraged to take breaks while on shift, and that senior staff members monitor staff performance in order to ensure a professional approach to working with people living at the home is always maintained. The manager added that as far as he was aware, the working arrangements for staff complied with the Working Time Directives. The records show that staff members undertake external qualifications such as NVQ. Staff confirmed that they received job descriptions and specifications, which clearly define the roles and responsibilities of the staff. The records confirmed this. 6 out the 11 staff have obtained NVQ II (55 ). The manager explained that those staff without NVQ II in care are to be enrolled on the course once they have finished their induction and Learning Disabilities Award Framework training. The staff training records show that the staff undertake relevant training that is targeted and focussed on improving outcomes for people living at the home. The service uses both internal and external providers to deliver training. The manager explained that training can be small scale and individualised if necessary in order to promote the delivery of person centred services. Discussions with the manager and examination of some records relating to staffing found that some staff working in the home had not been checked against the Protection of Vulnerable Adults (POVA) List. The manager appreciated the seriousness of this issue, and explained that he would ensure the relevant checks were made for these staff, and any new staff that were recruited to work in the home. The manager explained that staff meetings take place regularly. The records confirmed this. Supervision sessions are regular and staff say that they find them helpful, and that notes are taken of meetings and sessions. The records confirmed this. Whitwood Grange DS0000066146.V313023.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 The health and welfare of the service users and staff is protected by the safety systems operated by the home. Service users experience good quality support and care. The home is run in a manner that ensures the best interests of the service users. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The manager has the required qualifications and experience and is competent to run the home. Comments cards returned to the Commission from people associated with the home supported the view that the home is run in an open and transparent way. The service has sound policies and procedures, which the manager effectively reviews and updates, in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice e.g. direct observation, supervision and team meetings. The home has a quality assurance scheme which involves sending out surveys to relevant stakeholders on an annual basis. As the home Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 22 has only been open for a short period of time, this has not yet been carried out. The health and Safety records were found to be of a good standard and are routinely completed. Whitwood Grange DS0000066146.V313023.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 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 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 x 3 X 3 X X 3 X Whitwood Grange DS0000066146.V313023.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 YA34 Regulation 19 Requirement The registered person must ensure that s/he all staff employed to work within the care are subject to a satisfactory POVA list check as detailed with Sch 2 of the regulations. Timescale for action 30/09/06 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 Controlled Drugs should be stored in a metal cupboard, which complies with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. The administration of controlled drugs should be witnessed by two designated appropriately trained member of staff. The manager should review the working patterns of the staff ensure that they receive the appropriate rest time in between shifts (11 hours) in line with working time directives. 2 YA33 Whitwood Grange DS0000066146.V313023.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 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 Whitwood Grange DS0000066146.V313023.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. 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