Care Home: 14 Mengham Avenue

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What the care home does well What has improved since the last inspection? The home is reviewing and updating many of its procedures and documents. For instance, the manager is revising the Statement of Purpose so that it includes current information in a format that is easier for the residents to understand. Residents now have an Information Folder, which gives details about the staff and services provided. This is in pictorial format and is explained to each person. Care plans for residents have been improved to include pictorial diagrams for easier understanding. Monitoring of health and personal care needs has improved. Opportunities for activities for the residents have been improved. Improvements have been made to the environment by redecoration and new furniture. What the care home could do better: The home`s environment is in need of updating and upgrading. This is already in hand with plans to fit a new kitchen. Greater care needs to be taken to ensure that cleaning chemicals are stored away when not in use. Written guidance is needed so that staff have clear instructions of where and when to administer medication `as required.` CARE HOME ADULTS 18-65 14 Mengham Avenue Hayling Island Hampshire PO11 9JB Lead Inspector Ian Craig Key Unannounced Inspection 10th March 2008 02.15 14 Mengham Avenue DS0000064990.V359092.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 14 Mengham Avenue DS0000064990.V359092.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. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 14 Mengham Avenue Address Hayling Island Hampshire PO11 9JB 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) 0151 420 3637 01252 612 539 menghamavenue@c-i-c.co.uk www.c-i-c.co.uk Community Integrated Care ** Post Vacant *** Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2006 Brief Description of the Service: This is a home set in an attractive residential area of Hayling Island. The property cannot be distinguished as a residential service. The local shops are within walking distance. There are four single bedrooms on the first floor and one on the ground floor. One bathroom is available on the first floor and there is a separate WC. A shower room with WC is available to the rear of the ground floor and is accessed through the laundry. Residents have an adequately sized kitchen/diner and separate lounge for recreation and leisure. A garden is also available and residents are encouraged to use it. The building is owned and maintained by a landlord called New Dimensions. Care is provided by Community Integrated Care. The weekly fees are £736.37. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The visit was unannounced and lasted 4 hours. Records, policies and procedures and other documents were looked at. This included care records for 3 of the residents and staff recruitment and training records. A tour of the premises took place. The inspector met each of the residents. Two residents were keen to show their rooms and belongings such as a computer, DVD movie collections and football souvenirs. Discussions took place with the manager. Care services registered with the Commission are required to complete an Annual Quality Assurance Assessment. This was returned to the Commission and information contained in it has been used for this report. It was not possible to send surveys to residents, their relatives, or to care professionals, as telephone messages made by the Commission were not returned. What the service does well: Residents’ needs are reviewed on a regular basis and the home works with day services and social services to review care needs. Each resident has an assessment and care plan documents detailing how needs are to be met. These are in a pictorial format for easier understanding. Records show that health and personal care needs are addressed. Risk assessments are carried out and recorded for activities where risk has been identified. Residents have a programme of a daily activities, which includes day services, outings, exercise, college courses and library visits. Each person has at least 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 6 one holiday per year and the organisation contributes £358.00 per person per year for a holiday. Residents have a varied and nutritious diet and the home promotes healthy eating for the residents. Pictures are used to help residents contribute to the menu planning. The complaints procedure is freely available to residents. There is a copy in each of their bedrooms. The procedure is in a pictorial format and also on a compact disc with each resident’s care records. Staff receive training in adult protection and in dealing with any challenging behaviour. Newly appointed staff have an induction and are subject to the required checks such as the criminal record bureau check. There is a training programme for staff to attend courses and the home has a plan for forthcoming training for each staff member. What has improved since the last inspection? The home is reviewing and updating many of its procedures and documents. For instance, the manager is revising the Statement of Purpose so that it includes current information in a format that is easier for the residents to understand. Residents now have an Information Folder, which gives details about the staff and services provided. This is in pictorial format and is explained to each person. Care plans for residents have been improved to include pictorial diagrams for easier understanding. Monitoring of health and personal care needs has improved. Opportunities for activities for the residents have been improved. Improvements have been made to the environment by redecoration and new furniture. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 8 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 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with information about the home in a format for easier understanding. Care needs are reviewed and reassessed, often with other agencies, so that decisions can be made that person receives the correct support. EVIDENCE: At the time of the visit the home’s manager was reviewing and updating the Statement of Purpose. This will now include pictorial diagrams for easier reading for the residents. There is also a Service Users’ Guide, which also needs to be updated. Each person has an Information Folder with his or her care record, which gives details of the staff, the complaints procedure, fire safety in the home and other relevant information. This document is in pictorial and written format. The manager explained how each resident is involved in 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 10 devising their own Information Folder. A copy of the most recent CSCI inspection report is held with resident’s records. Each resident’s needs are reviewed on a regular basis. This includes a monthly review of needs by the keyworker and one of the management team, which is recorded. Evaluation plans are updated every six months for each resident and staff complete a daily behaviour report. Records show that the home liaises with social services and day services to review each person’s needs. Copies of social services’ care manager’s assessments and care plans are held with records. A representative from the home attends formal reviews of each person’s day service placement. Copies of these reviews are also held with records. Each person has 2 separate contracts: a shorthold tenancy agreement with the landlord, New Dimensions, and a care agreement with Community Integrated Care. These are signed by the interested parties and held with the resident’s case records. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are comprehensively recorded in assessments and care plans, which show that residents are supported to lead an independent lifestyle based on their needs and choices. Residents are able to contribute to decision making in the home. EVIDENCE: Written assessments and care plans cover the following needs: • Medical history • Diet and eating • Communication 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 12 • • • • • • • • • • • • • Personal hygiene, including, washing, bathing, drying, nail care, shaving, chiropody and toileting. Dressing Eating Health Posture and movement Maintaining safe environment Working and recreation Relationships and relatives Sexuality Sleeping Independent travel Abilities in reading, writing and money management Cooking skills These show that residents are involved in devising the plans, which contain pictures for easier understanding. Individual choices and preferences are reflected in these plans. Additional information is recorded in an Essential Lifestyle Plan, for social and recreational needs. Care plans are reviewed each month by the keyworker and the manager. Six monthly reviews also take place. Assessments of risk are completed for activities and where risk has been identified. These give guidance on the person’s abilities and how staff should provide support to reduce the risks. Activities assessed include going out, road safety, travelling in the car and going on holiday. Individual staff record a signature to acknowledge that they understand the details of the risk assessments. Residents are able to contribute to decision making and are consulted about colour schemes for redecoration of their rooms and communal areas. Each person’s records includes details of attendance at a monthly residents’ meeting where matters relating to the house are discussed. Pictures are used so that residents can choose food for meals. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lead a full and active life attending recreational and social events as well as work and educationally orientated activities. There is choice in the provision of food and the home promotes a healthy and nutritious diet. EVIDENCE: There is a separate care plan for activities and social needs entitled, Essential Lifestyle Plan. In each person’s bedroom there is a calendar plan with dates showing what activities are planned. A resident showed the inspector his/her plans for the week ahead. The same person also described his/her recent trip 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 14 to London with a member of staff us showing a photograph album of the places visited with written entries of the places visited. Activities are also planned on a timetable showing that swimming, cinema trips, art and crafts, walks, social clubs and art and crafts are all provided. Each of the residents attends a local day centre for structured activities. Copies of reviews of residents’ placements at day centres are held with the care records. Residents also attend evening educational classes. One person has his/her own computer, which does not have internet access. Residents are able to have limited access to the internet via the home’s computer when they are supervised by staff. The organisation provides each resident with £358.00 per annum for a holiday. One resident spoke of her forthcoming holiday at Butlins where a member of staff will accompany her. Other resident s have had similar holidays. Day trips are also arranged and one person has been to France for the day. The manager explained how residents are supported to maintain and develop relationships with family members. One resident showed a photograph display of friends and family. Daily running records are maintained for each resident. These show that residents are supported inside and outside the home to have a fulfilling life. Photographs are used to help residents contribute to the menu planning. The menu plan shows a varied and nutritious diet. The manager explained that the advice of a dietician has been sought, which was supported by records. The home tries to promote healthy eating. There was a large supply of fresh fruit for the residents to eat including bananas, apples, oranges and a melon. The early evening meal on the day of the visit was home made quiche with salad. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are met. Care is provided in the way residents prefer. Clearer guidance is needed so that staff know the circumstances of when to give occasional medication so that there is consistency. EVIDENCE: The support that each person requires for care is clearly recorded in the care plans, covering all aspects of personal care. Each person has a handling risk assessment and staff have received training in moving and handling. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 16 Records also demonstrate that health care needs are addressed. Eyesight prescriptions are held with care records. Medical needs are followed up with general practitioners and there are records to show that the home liaises with those providing more specialist support. Dental checks and treatment are arranged. Medication procedures were looked at. Staff sign a record each time medication is administered. Medication is stored in a medication cupboard. For two residents requiring occasional medication ‘as required,’ care records do not accurately show the circumstances when residents require the specific medication prescribed. Staff receive medication training from the supplying pharmacist and from the organisation. This involves an assessment every 6 months to determine if each staff member is competent to handle and administer medication. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make any complaints. There are policies and procedures that protect residents from possible harm, including property and finances. EVIDENCE: The home’s complaints procedure is in written and pictorial format and displayed in each resident’s bedroom. There is an audio version on compact disc with a copy in each resident’s care records. There is also a version of the procedure in makaton diagrams. The home has policies and procedures for dealing with any suspected abuse. Each staff member receives training in adult protection. Observation showed that residents are comfortable approaching and interacting with the staff. Where residents have behaviour needs, there are written guidelines for staff to follow so that any potential for conflict is reduced. Care staff receive formal training in handling behaviours entitled, Crisis Intervention Prevention. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 18 The home has policies and procedures for handling any resident’s finances such as personal allowances. This includes a record of balances, amounts withdrawn and deposited. It was noted that a record is not maintained of documents, such as passports and birth certificates, which are held for safekeeping. The manager agreed that this should be introduced and stated this would be done. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally clean and comfortable but is in need of updating and improvement in several areas, which the home is addressing. EVIDENCE: Responsibility for the maintenance of the building rests with the landlord, New Dimensions, with the exception of the interior of the bedrooms. A tour of the building was undertaken. The living room and dining room are comfortable with leather sofas which residents were observed using. There are photograph displays on the walls of residents taking part in activities. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 20 The home’s kitchen is in a poor state with drawer and cupboard fronts missing. A representative of the landlord New Dimensions was visiting the home at the time of the inspection and explained that preparations are in hand to fit a new kitchen. Residents’ bedrooms were seen. Two residents were keen to show how they have personalised their rooms with souvenirs, photograph displays, ornaments, music listening equipment and collections of movie DVDs. One person has a computer in his or her bedroom, which he or she was observed using. Bedroom door keys are provided to residents. This was confirmed from observation of a discussion between a resident and the manager. It was noted that the carpet in one bedroom needs to be cleaned or replaced and that a lampshade is missing from a ceiling light in another bedroom. In one bedroom there are marks to wall paint and plaster that need to be repaired. The home has plans to address each of these faults. A specialist bed and mattress is provided for one person. There is a bathroom on the ground floor with a shower and toilet. On the first floor there is a bathroom with a bath and wash hand basin. There is also a separate toilet on the first floor. There is a well maintained garden at the rear of the home. The manager explained how one resident has his or her own garden area to cultivate plants. The home was found to be clean. Staff have access to a training course in infection control. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides well-trained staff in adequate numbers to meet the needs of the residents. Residents are protected by the home’s recruitment procedures. EVIDENCE: The home operates with 2 staff usually on duty from 7am to 8 or 9pm at night. These staffing levels were observed and were reflected in the staff rota. The manager is aware of the need to review and adjust the staffing levels as residents’ needs and circumstances change. The manager also carries out an assessment of the numbers of staff hours that are needed each week to meet the residents’ needs. The home has access to a pool of relief staff to cover any vacancies in the staff rota. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 22 The home employs 7 staff, 2 of whom have attained the National Vocational Qualification level 2 or 3 in care. A further 3 staff are studying for these qualifications. Each staff member attends compulsory training in moving and handling, first aid, food hygiene, fire safety, medication and Crisis Prevention Intervention. There is a programme for staff to choose training courses. A training schedule has been devised for the training for the year ahead for each staff member and includes the following courses: autism, person centred planning, bereavement, Crisis Prevention Intervention, first aid and medication. The organisation has a set induction procedure which staff complete on-line. It was advised that printed copies of completed induction programmes are held with staff training records so there is evidence that the induction has taken place. Staff supervision takes place on a monthly basis and is recorded. This is primarily a review of individual resident’s care needs. Recruitment procedures show that for newly appointed staff that checks are made about the person’s identity and that criminal record bureau (CRB) and protection of vulnerable (POVA) checks. These details are also held for agency staff. Two written references are also obtained for each staff member prior to starting work. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the residents. Measures are taken to ensure the health and safety of the residents. EVIDENCE: The home’s manager is currently studying for the Registered Manager’s Award and has applied for registration with the Commission. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 24 Satisfaction surveys are given to residents’ relatives to ask their views on the service provided by the home. Monthly visits by a representative of the organisation’s regional management are made and a report compiled on the home’s performance. The home’s manager described the regional management as being supportive and that she attends regular meetings attended by managers from CIC registered care homes in the area. At present there is no annual development or business plan, but the manager states that this is being devised. The home’s appliances are checked and serviced by suitably qualified persons. Regular checks are made of the temperatures of the fridge and of cooked food. This is for food hygiene purposes. Hot water temperatures on baths and showers are controlled by a thermostatic device to prevent possible scalding to residents. Thermometers are also used by staff to check bath temperatures. Radiators are covered to prevent possible burns to residents. Restrictors are in place to prevent any possible falls from first floor windows. The fire log book shows that the fire safety equipment is tested in accordance with fire safety recommendations. Regular fire drills and fire safety training take place. It was noted that a cleaning chemical was not securely stored. This was addressed when brought to the attention of the manager. 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 X 4 X 5 3 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 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13(2) Timescale for action Where residents have medication 20/04/08 prescribed ‘as required’ there must be recorded guidance for staff to follow, which shows the symptoms and circumstances when the medication should be administered. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone, Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 14 Mengham Avenue DS0000064990.V359092.R01.S.doc Version 5.2 Page 28 - 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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