Care Home: 103 Cliddesden Road

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What the care home does well When they were asked what the service does well service users made the following comments; "I feel that the home is very organised. The staff are always very friendly and polite" "Repairs are always maintained very promptly in the home all equipment, electrical and other things ie plumbing someone always comes to repair they are not out of order for long" "It listens and directs well" Health and social care professionals said: "Good communication between services , variety of activities offered to clients, good support,rehabilitation offered to clients living there" "Very good liaison, excellent monthly reviews, good range of staff appear friendly and well motivated" Staff said: "Move people back into the community" "reintroduce service users to independent living. They get all the support needed to take and achieve the first steps back to living in the community they are well supported getting through a difficult period of their lives, the support being tailored to the individual" The AQAA says "We continue to provide comprehensive, flexible and creative support to our service users, working in a strong sense of partnership to the aims and aspirations they identify." The evidence gathered during this inspection support these statements. The service is clear in its objectives and conveys these effectively to people who use the service and to their supporters. They are good at providing continuity of care both by providing outreach workers if people continue to need support when they have left the project and by ensuring that staff who work at the home are familiar with service users needs and wishes. They have maintained the quality of the service in the absence of a registered manager. The home is effective in supporting people to access a range of educational and social opportunities . It ensures that people who use the service are at the heart of the service provision, for example, in the daily running of the home, in staff recruitment and at an organisational level should they wish to be involved. What has improved since the last inspection? Cliddesden Road has now completed its second year as a pilot scheme. The pilot review panel reported the service to be successfully meeting the goals which it set out to achieve; clarification over target length of stay has settled to approximately one year. There have been some changes to the environment, for example, the room previously used as a smoking room is now being used as a relaxation and meeting room What the care home could do better: Service users asked this question said "More space" This has been at least partly addressed by the change in purpose of the old smoking room. The current practice of making up a weeks supply of medication in advance in a dossette box and administering it from there is called "secondary dispensing" and is generally not considered to be good practice as it increases the possibility of administrative error. We have made a requirement that the service must review their procedures and staff have already indicated that they are willing to do this. Some risk assessments or procedures could be reviewed to ensure that they reflect the aims and objectives of this particualr service rather than of the organisation as a whole. The service needs to ensure that they register a manager with the Care Quality Commission as soon as possible. The area manager is actively working towards this. Key inspection report Care homes for adults (18-65 years) Name: Address: 103 Cliddesden Road 103 Cliddesden Road Basingstoke Hampshire RG21 3EY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kathryn Kirk     Date: 2 8 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 103 Cliddesden Road 103 Cliddesden Road Basingstoke Hampshire RG21 3EY 01256333423 01256329402 pm-cliddesdenroad@together-uk.org www.together-uk.org Together Working for Wellbeing care home 7 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 7. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD). Date of last inspection Brief description of the care home 103 Cliddesden Road is a three-storey home set in a quiet residential area in Basingstoke, opposite one of the local colleges. It is within easy reach of the town centre and easily accessible by road, rail and other transport networks. The home is registered to provide care and accommodation to seven people who have mental health issues. The home comprises of seven single bedrooms, one sitting room, dining room, kitchen, a quiet room and laundry facilities. There is also a rear garden and patio area, providing additional recreational space. A small parking area is available at the front of the property. This service provides accommodation for up to one year, during which people who use the service are provided with emotional and practical Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 7 Brief description of the care home support to develop the skills and abilities to enable them to move to alternative independent accommodation. Care Homes for Adults (18-65 years) Page 5 of 28 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: two star good 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 purpose of this inspection is to assess how well the service is doing in meeting key National Minimum Standards and Care Home Regulations. We gathered evidence for this report from a number of different sources. This included: The last key inspection which was carried out in August 2007 and an Annual service Review conducted in August 2008. The last key inspection concluded that the service was providing good outcomes for people and the Annual Service Review did not change this opinion. We looked at an Annual Quality Assurance Assessment (AQAA) which was completed by operations manager in the absence of a registered manager. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. The AQAA was completed when we asked for it and contained clear and accurate information. Care Homes for Adults (18-65 years) Page 6 of 28 We sent out surveys to seven service users, seven staff and three health care professionals. We received back surveys from two service users, four staff and from two health professionals We visited the service on 28th July 2009. We looked at some records. Two people living at the home, , four staff members, and the area manager were involved in the inspection. The acting manager was also present for some of the time. We looked at what the service has told us about things that have happened at Cliddesden Road since the last key inspection. These are called notifications and are a legal requirement. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? Cliddesden Road has now completed its second year as a pilot scheme. The pilot review panel reported the service to be successfully meeting the goals which it set out to Care Homes for Adults (18-65 years) Page 8 of 28 achieve; clarification over target length of stay has settled to approximately one year. There have been some changes to the environment, for example, the room previously used as a smoking room is now being used as a relaxation and meeting room 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 10 of 28 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. Admissions to the home only take place when it has been established that the service can meet peoples assessed needs Evidence: We looked at the information provided about the service. This included information about the organisation Together, as well as brief details about the service and what support people can expect to receive. The leaflet seen makes it clear that Cliddensden Road provides support and accommodation for six months to a maximum of a year. We looked at the information gathered about people before they moved to the service. One persons file seen contained a lot of details about their needs, and wishes and included input from health care professionals . The service user said that this information was accurate and said that they had been given the opportunity to have an overnight stay and a trial period to help establish that the placement would be appropriate. The AQAA says that the service has had 5 people who have successfully moved on in the past twelve months. This helps to illustrate that the service is admitting people in Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: line with its aims and objectives. Two out of three service users surveyed said that they had enough information about the home before they moved in. One said that they had not. One out of three said that they were asked whether they wanted to move into the home and two said they had not been. This was discussed with the area manager who said that this was an area which would be worked upon. Care Homes for Adults (18-65 years) Page 12 of 28 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. The service provides good information and support to help people express their views and lead the lives they choose. Evidence: We looked at one persons care plan and assessment. The person concerned said that the information contained in the assessment was accurate and that the care plan was up to date. The service user said that they discuss their needs and goals with their keyworker and linkworker regularly and that they are aware of what has been written about them. Staff surveys said they are always given up to date information about the needs of the people they support. Ways in which information is shared generally works well. Health and social care professionals said assessment arrangements ensure that accurate information is gathered and the right service is planned for people. Peoples health and social care needs are properly monitored, reviewed and met. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Through talking with staff and service users it was evident that the service works hard to assist service users to make decisions about their lives. An example of this is that staff encourage and support service users to manage their own finances but will give assistance with budgeting if this has been identified and agreed as a need. The AQAA says that Positive risk taking is seen in the context of positive quality of life Records show that risk is considered as part of the care planning process. Some risks, for example , people taking responsibility for their own medicines were documented briefly, and the service had gained the agreement of a doctor that this would be appropriate. The degree of self medication can vary from person to person. It was discussed with staff that more information could be included in the risk assessment to ensure, for example, that the person knows what medicines they are taking , what they are for and what would happen if they miss taking them. It could also document that they understand the importance of secure storage. This is in line with good practice guidance. Care Homes for Adults (18-65 years) Page 14 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service supports service users to reflect on and set their own lifestyles; rules and guidelines are kept to an absolute minimum Evidence: People living at Cliddensden Road are supported and encouraged to continue with their education and training and take part in activities that they enjoy. When we visited, two service users were present , the rest were out, some were attending the local college. Health and social care professionals surveyed said that the care service supports people to live the life they choose where possible and that privacy and dignity is respected. Service users surveyed and spoken with said they make decisions about what they do each day. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: The AQAA says Support to access the community is available though not assumed as needed.This was found to be the case when we discussed this with one service user. The AQAA says Visitors to the house are welcome and may include friends, family and personal relationships. Visitors may eat here, spend time here and stay overnight by prior arrangement Service users agreed with this statement. One person said that although they could meet visitors in private in their room there was not much communal space in which meetings could take place. Staff agreed and said that a room on the upper floor is being converted and could be used for this purpose if needed. People are encouraged to be self caring for example in shopping and cooking for themselves.People living at Cliddesden Road said that they have fridges in their rooms and that they share the use of two fridges and two cookers in the kitchen. People eat when they wish to. The organisation provides staff and service users with training to help them in their daily lives. Courses available include: mental health recovery, assertiveness skills, mental health law and legislation and The Mental Capacity Act and Deprivation of Liberty Safeguards. Care Homes for Adults (18-65 years) Page 16 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Support is consistent and responsive to changing needs. Medication processes could be improved to ensure that they are as robust as possible. Evidence: The AQAA says We promote individual choice at all times. Our service user group do not require personal or nursing care. All residents are supported to varying degrees to address own care needs via the GP and other healthcare professionals. The service is structured so that residents have a high degree of contact and work closely with their keyworker. This relationship has also extended on occasions, so that the keyworker continues to work with the service user as an outreach worker once the individual has moved into independent accommodation. This has resulted in consistency of support during the transition. At present over half service users manage their own medication to some degree. One person confirmed that they had secure storage facilities in which to keep medicines. Medicines managed by staff are also securely stored and Medication administration Records (MAR) seen had been filled in without any unexplained gaps. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: Staff described how they take make up a dossette box every week of medication for each service user. Staff then administer medicines from this to people who are not managing their own medications. Although there is no evidence that medication errors had occurred because of this practice, the likelihood of mistakes being made is increased. It was discussed with staff that this method of administration does not follow best practice guidelines. Staff agreed that they would review medication administration practices and a requirement has been made that they must do so. Care Homes for Adults (18-65 years) Page 18 of 28 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. Staff follow procedures to safeguard the people using the service. Individuals concerns are listened to and acted upon Evidence: All service users surveyed and spoken with said that they know who to speak with if they were ot happy and that they know how to make a complaint. We saw information in written form in the home telling people how to make a complaint. Staff surveyed said they all knew what to do if someone has concerns about the home and confirmed that they received training in this.We observed that staff and residents interacted well and that issues raised by service users were quickly responded to by staff. Health and social care professionals said home had responded appropriately to any concerns raised. In the past year we have received one notification from the service about a safeguarding issue. The information provided demonstrated that they had followed procedures correctly. Care Homes for Adults (18-65 years) Page 19 of 28 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 good 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 and comfortable environment for people who use the service. Evidence: The AQAA says The house is clean, tidy and comfortable with a homely atmosphere. Residents are encouraged to personalize their own space and this is respected. There is a large garden, patio and courtyard which are all maintained and used by the residents. Involvement in using and developing the physical environment is encouraged. Recent re-decoration of some rooms has taken place. Purchases for the garden have taken place. Service user involvement is being supported. A housing association is responsible for any maintenance issues. One service user said that repairs generally happen within a reasonable time. People agreed that the home is kept fresh and clean and this was the case at the time of our visit. Since the last inspection there has been a complete re-decoration of the designated smoking room to a non-smoking relaxation private meeting room. As discussed earlier, this will increase opportunities for private meetings. Minutes of meetings seen show that staff and residents discuss hygiene and infection control issues that relate to the property. This helps to ensure that safe working Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: procedures are followed whilst supporting people to act as independently as possible. Care Homes for Adults (18-65 years) Page 21 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected by robust recruitment practices and welltrained staff. Evidence: Staff working at the service are all seniors with a lot of experience. Three staff out of eight currently have NVQ level 2 and above. The service employs relief staff who work regularly and only occasionally use agency. One service user said that staffing has been affected by two staff on long term leave but said that disruption was minimised as when agency staff are employed they are limited to a few who are known to service users. As referred to in a previous section staff demonstrated during the visit that they communicated well with service users, that they listened to their views and showed that they were interested and motivated in their role. At present the rota shows that there are a minimum of two staff on duty during the day and one staff member sleeps in at night. A senior manager discussed that these levels may be reviewed to ensure that they continue to reflect the changing needs of residents, for example, when residents need greater support. Staff surveyed and spoken with said that checks were carried out before they started work. Induction training covered everything they needed to know to do the job when Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: they started. One record was checked of a recently recruited staff member which showed that checks such as CRB and references had been completed before they had started. The manager confirmed that the employment history of prospective staff is discussed as part of the interview process. One service user said that people living at Cliddensden Road are involved in recruitment of staff , their views are considered and they can be part of the interview panel if they wish to be. Health and social care professionals felt that staff and managers have the right skills to support people needs. Staff said that training provided was appropriate to their role and any training needs are discussed as part of their appraisals and supervision sessions. There was evidence of training being arranged in the near future in first aid and in fire safety. The area manager said that this training is open to residents as well as to staff and one resident spoken with confirmed that they had undertaken fire safety training. Care Homes for Adults (18-65 years) Page 23 of 28 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 well run and effective quality assurance systems ensure that the views of people who use the service and their representatives are sought and acted upon. Evidence: Since the last inspection the registered manager has left and the service has promoted a staff member to act as manager. During our visit, they demonstrated that they had a good understanding of service users and their needs. One service user said that the change has not affected the quality of the service and described the new manager aspretty good Staff surveyed said that manager regularly gives them enough support and meets with them to discuss how they are working Changes in the organisation have meant that there has been a delay in registering another manager but the area manager said that this would take place in the near future and was aware of the services responsibility in ensuring that a registered manager is in post. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: There are a number of ways in which the service monitors the quality of what it provides. These include: A monthly visit to the home by a senior manager who meets with service users to gain their views and also looks at what has happened, for example, whether any complaints or incidents have been recorded. There are regular residents and staff meetings. Minutes of these were seen. Residents also have the opportunity to give their views during reviews of their care. There is an Annual Review where the service canvass widely for opinions from service users, families, carers etc plus professional partners. These results are published and available to all. The organisation has a service user directorate so that service users can contribute should they so wish at an organisational level. Service users spoken with and surveyed felt that staff listen to them . The AQAA dataset says that all equipment been serviced or tested appropriately. As discussed in a previous section, health and safety matters are discussed by staff and by service users regularly, for example fire safety checklists are completed with service users. There was some discrepancy between Organizational policies and practices within the home, an example in terms of food hygiene is that the organisational policy advocates the use of a food temperature probe to ensure meat has been properly cooked through. This may not be consistent with the aims and objectives of the home ie to promote independence. It was discussed that local policies and procedures relevant to the service might in some instances be beneficial. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Adults (18-65 years) Page 26 of 28 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 Care provider must 09/09/2009 make sure that a written procedure for giving medicines is in place and is monitored, to make sure that care workers follow safe practice, to protect the people they care for. The care worker administering medicine must be sure that each person receives the right dose of the right medicine at the right time, as prescribed 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 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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. 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