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Care Home: 3 Goodes Avenue

  • 3 Goodes Avenue Syston Leicester Leicestershire LE7 2JH
  • Tel: 01162608925
  • Fax: 01162608925

3 Goodes Avenue is registered to provide care for five people with learning disabilities. The home is situated in a residential area close to the centre of Syston, and is approximately a 15minute bus journey from the centre of Leicester. There are three single bedrooms on the first floor and a double room downstairs. Shared facilities include a large lounge, dining room, conservatory and kitchen. There is a well-maintained garden to the rear of the property. The home has its own vehicle. A service users guide to the service is available in a variety of formats and copies of the latest inspection report are available on request from the manager. Current fees at the home are £765.45 per week

  • Latitude: 52.69100189209
    Longitude: -1.0770000219345
  • Manager: Mrs Ditta Stokes
  • UK
  • Total Capacity: 5
  • Type: Care home only
  • Provider: Heritage Care Ltd
  • Ownership: Voluntary
  • Care Home ID: 556
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 30th June 2009. CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

For extracts, read the latest CQC inspection for 3 Goodes Avenue.

What the care home does well Some new people have moved into the home since the last inspection. The manager and staff made sure they found out about their needs and checked whether the home is able to give them the support they need. At reviews, the manager and staff look at the continuing needs of people. There is good written information which tells staff about people`s needs and what kind of support and help they want. Staff give good support to people. We saw that staff spoke with people calmly and gently. People who live in the home enjoy a good lifestyle - they are able to do different activities that they enjoy, both in the home and in the community. Friends and relatives are welcome in the home. People are supported to develop skills, like cooking. Staff make sure that they support people to follow up any health concerns that people have. Everyone has a local GP and has health checks that they need to helpthem stay healthy. The home is clean and comfortable for people who live there. Everyone can have their own things in their bedrooms. Staff get training in different subjects to help them to do their job well. There are policies which tell the staff how to do their job well. Checks are done to make sure equipment is safe. Staff support people to look after their money and to manage how they spend it. The same registered manager is in post. Staff feel that she gives them good support. What has improved since the last inspection? Some actions were required after the last inspection and these have been carried out:The Statement of Purpose (which gives details about the home) has been improved so it gives correct information about staffing levels in the home. A quality assurance system has been introduced, so that the provider (owner)can find out what people think about the home. What the care home could do better: Risk assessments must be completed where the manager and staff have seen that someone might be at risk - this had not been done for everyone relating to one issue.The manager and staff must ensure that any serious incidents which could affect the welfare of people living in the home are reported to us. It might be good if the home could develop individual communication plans for each person so that they can be sure they are meeting their communication needs on an ongoing basis. As part of this, it would be good if care plans specifically included information about how people who are unable to speak verbally can communicate any problems or concerns.It would also be good if the home looked at how each person can communicate their views about what they think of the home.It would be good if the kitchen could be refurbished or replaced, to improve its quality for people who live in the home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 3 Goodes Avenue 3 Goodes Avenue Syston Leicester Leicestershire LE7 2JH The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Chris Wroe Date: 3 0 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.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: 3 Goodes Avenue 3 Goodes Avenue Syston Leicester Leicestershire LE7 2JH 01162608925 F/P01162608925 ditta.stokes@heritagecare.co.uk www.heritagecare.co.uk Heritage Care care home 5 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 Over 65 5 0 learning disability Additional conditions: No additional conditions of registration Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 28 A bit about the care home 3 Goodes Avenue is registered to provide care for five people with learning disabilities. The home is situated in a residential area close to the centre of Syston, and is approximately a 15minute bus journey from the centre of Leicester. There are three single bedrooms on the first floor and a double room downstairs. Shared facilities include a large lounge, dining room, conservatory and kitchen. There is a well-maintained garden to the rear of the property. The home has its own vehicle. A service users guide to the service is available in a variety of formats and copies of the latest inspection report are available on request from the manager. Current fees at the home are £765.45 per week 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 Care Homes for Adults (18-65 years) Page 6 of 28 How we did our inspection: This is what the inspector did when they were at the care home We visited the home on 30th June 2009. The manager, Ditta Stokes, helped us with our inspection. Our visit to the home lasted a total of three hours. The main way we do our inspections is using a method we call case tracking. This means looking at the care given to people in different ways. The ways this was done are: - talking to the people who live in the home - talking to staff and the manager - watching how people are given support - looking at written records. We talked to two people who live in the home during our visit and spent some time with people and with staff. We watched to find out how comfortable people were in their home. We spoke to one member of staff during our visit to the home, who told us about working in the home and gave us their views. We also sent out surveys to people who live in the home, to staff and to professionals who work with the home. Two members of staff and one healthcare professional told us what they thought about the home in surveys. They all said good things about the home. We checked all the standards that the Care Homes for Adults (18-65 years) Page 7 of 28 Care Quality Commission has decided are key standards during this inspection. The information in this report just about what we checked in this inspection. We have kept details about individual people out of the report, to make sure these things are kept confidential. What the care home does well Some new people have moved into the home since the last inspection. The manager and staff made sure they found out about their needs and checked whether the home is able to give them the support they need. At reviews, the manager and staff look at the continuing needs of people. There is good written information which tells staff about peoples needs and what kind of support and help they want. Staff give good support to people. We saw that staff spoke with people calmly and gently. People who live in the home enjoy a good lifestyle - they are able to do different activities that they enjoy, both in the home and in the community. Friends and relatives are welcome in the home. People are supported to develop skills, like cooking. Staff make sure that they support people to follow up any health concerns that people have. Everyone has a local GP and has health checks that they need to help Care Homes for Adults (18-65 years) Page 8 of 28 them stay healthy. The home is clean and comfortable for people who live there. Everyone can have their own things in their bedrooms. Staff get training in different subjects to help them to do their job well. There are policies which tell the staff how to do their job well. Checks are done to make sure equipment is safe. Staff support people to look after their money and to manage how they spend it. The same registered manager is in post. Staff feel that she gives them good support. What has got better from the last inspection Some actions were required after the last inspection and these have been carried out: The Statement of Purpose (which gives details about the home) has been improved so it gives correct information about staffing levels in the home. A quality assurance system has been introduced, so that the provider (owner) Care Homes for Adults (18-65 years) Page 9 of 28 can find out what people think about the home. What the care home could do better Risk assessments must be completed where the manager and staff have seen that someone might be at risk - this had not been done for everyone relating to one issue. The manager and staff must ensure that any serious incidents which could affect the welfare of people living in the home are reported to us. It might be good if the home could develop individual communication plans for each person so that they can be sure they are meeting their communication needs on an ongoing basis. As part of this, it would be good if care plans specifically included information about how people who are unable to speak verbally can communicate any problems or concerns. Care Homes for Adults (18-65 years) Page 10 of 28 It would also be good if the home looked at how each person can communicate their views about what they think of the home. It would be good if the kitchen could be refurbished or replaced, to improve its quality for people who live in the home. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector Care Homes for Adults (18-65 years) Page 11 of 28 please contact Chris Wroe 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 12 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 13 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. People who live in this home benefit from ongoing assessment of their needs and a supportive living environment. Evidence: Two new people have moved into the home since we did our last inspection. The manager carried out assessments, to find out what their needs were, and whether the home could meet them. Staff have ongoing training to help them to meet peoples needs. Staff told us that the manager makes sure staff have enough information to help them to understand what each person needs. Written information is given to people who come to live in the home, to tell them about the home and about what they can expect. Some of this information is kept on peoples files. The homes service user guide and complaints policy are both written in plain language with pictures and symbols to aid understanding. Other main policies are also written in plain language with pictures, which is good. Care Homes for Adults (18-65 years) Page 14 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. People who live in this home benefit from having good attention paid to their needs. Evidence: We looked at the written care plans, which give information about peoples care needs and how they are supported. These had good detail in them. There is a part of the care plan called Core Information, which tells about the person in a person-centred way. It would be good if the home could develop more person centred recording. There were also written risk assessments, which talked about how people could be supported to do the things they wanted to but still be kept safe. Some of these had good detail. We did see that there were not risk assessments for everyone relating to an issue of risk in the home and this needs to be changed to protect people. Staff pay attention to peoples needs and the way in which they communicate. Speech and language therapists have been involved with people to support them. The manager and one member of staff have had Makaton training. It might be good if a communication plan was developed for each person, so that the manager could look at what needs each person has and how the staff can meet these - and what would help in an ongoing way. We saw that people are given choices, and although there is Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: structure and routine, people are not rushed. We found that reviews are held of peoples care, involving other professionals, like social workers and community nurses. Staff pay good attention to making sure that people get the right kind of support from professionals. Members of staff gave us their views about what the home does well. One told us: promote independence, helps individuals to achieve their goals... encourages service users to take a role in the running of their home. Another member of staff told us: The home is nice and the staff look after the service users well. We are able to give service users what they need. People who live in the home are supported to look after their money, and to buy what they need. An assessment is done for each person to see how far they are able to be independent and how much support they need. Care Homes for Adults (18-65 years) Page 16 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service Users enjoy a positive lifestyle, with individual support from staff. Evidence: We found that everyone in the home does different things each day. Some people go to college. People have certificates of achievement for things they have learnt at college and outside. Other activities and event are organised, such as bowling, horseriding, shopping, going to church (for people who choose to). Everyone has their own plan of activities. There are cars for people to use to take them to activities, and staff support is given as needed. The week before we visited, people who live in the home had been on holidays. The home has a large attractive garden, which people are able to enjoy. One person gives some help to grow plants in the garden. While not everyone has involvement with their families, relatives and friends are welcomed in the home. We saw during our visit that people who live in the home are comfortable in their environment and able to spend time where they choose. Members of staff showed good understanding of peoples needs and likes and dislikes. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: Meals are prepared by care staff, and people who live in the home sometimes help prepare meals or are involved in cooking other things. The manager confirmed that people can make choices about what they would like to eat. Care Homes for Adults (18-65 years) Page 18 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. People who live in this home benefit from good attention to their personal and healthcare needs. Evidence: People have access to a local GP, and they are supported to have ongoing health checks, such as eye care, and dental treatment. We received some comments from a healthcare professional who supports people who live in the home. They gave us positive comments and said that staff give people who live in the home good healthcare support. They told us what the service does well: Rarely requests home visits - brings clients to see me. Respect individual needs which vary. They told us they could not think of anything the service could do better. We found the home keeps good records about peoples health needs and contact they have with professionals who help them. Everyone has person centred health information. Staff showed good understanding of peoples needs, including their emotional needs. We found that staff and the manager follow up any concerns and make sure people get the right kind of support. Systems are in place to make sure that staff give out medication properly and keep good records. Following a recent incident where the wrong medication was given to someone by mistake, the manager has made sure that checks have been introduced to Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: improve the way medication is given. It would be good if the manager made regular checks of the medication to make sure there are no further mistakes. Care Homes for Adults (18-65 years) Page 20 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. People who live in the home benefit from generally good attention to safeguarding. Evidence: There is a good complaints procedure in the home, with pictures and symbols to aid understanding. Some people who live in the home would not be able to tell staff about any complaints they have. Members of staff and the manager were sensitive to picking up on the non-verbal communication of people. It would be good if the manager included information about complaints and protection in peoples care plans and risk assessments, to look at how they can make sure people who cannot verbally communicate any concerns are protected from harm. The manager and staff were able to tell us about how they protect people in the home from harm. There have been some recent incidents, which could have posed a risk to people, and the manager and staff have kept professionals involved so that people receive the right care and support they need. Reviews of care have been held, and staff have had training to help them to keep people safe. The service must make sure it reports any incidents to us also. This means we can keep an overview of how things are going in the home. Care Homes for Adults (18-65 years) Page 21 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. Service users live in an environment that is homely, comfortable and clean. Evidence: We looked around parts of the home during our visit, and we found that it was clean, fresh and comfortable. There is a homely feeling and the home has a good-sized garden for people to use. People who live in the home are able to personalise their bedrooms with their own things. We did note that the fitted kitchen is looking worn, with some cupboards falling apart - this could do with improving. Proper checks of equipment are carried out in the home, to make sure it is safe for people to use. There is good access from the house to the local community. The house is close to Syston town centre. Care Homes for Adults (18-65 years) Page 22 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 live in this home benefit from having supportive well trained staff. Evidence: Staff in the home are responsible for caring for people who live in the home, and for doing cleaning and cooking. More staff work at times when it is busier in the home. The manager makes sure that there are enough staff to meet the needs of each person. Staff work during the day to support people to live their daily lives and take part in different activities. At night a member of staff sleeps at the home to be available if anyone needs them. The provider (owner) makes sure that checks are carried out on new staff who come to work in the home, such as Criminal Records Bureau (CRB) checks, and collecting references. Staff have had training in different aspects to help them work well, and to help them meet the needs of people who live in the home. Staff have recently had training about the Mental Capacity Act 2005, to help them understand how they should support people to make their own decisions when they can. 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. People who live in this home mainly benefit from good management systems. Evidence: The registered manager remains in post in the home. One member of staff told us that they think she is a good manager and that they felt well supported in their work. There is a communication and consultation policy in the home, and a policy about quality assurance. These talk about how the service will try to communicate with people to get their views. The policies are quite general, and it would be good if more work could be done to match them to the needs of people who live in the home. Staff carry out safety checks of different equipment, to make sure it is fit for use. Members of staff have had training to make sure that they know how to work safely. Staff are given equipment they need, like safety gloves, to help them to prevent the spread of infections. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 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 Description 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 Description Timescale for action 1 9 13 The provider must ensure that where a risk is identified, risk assessments are prepared and action is taken to ensure that people are kept safe and protected from harm. 17/07/2009 This is to ensure that attention continues to be paid to eliminating risks to peoples health and safety. 2 23 37 17/07/2009 The provider must ensure that all serious incidents which could potentially affect the welfare of people who live in the home (including any aggressive behaviours) are reported to the Care Quality Commission. This is to ensure that the CQC can keep an overview of how things are going in the Care Homes for Adults (18-65 years) Page 26 of 28 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 Description Timescale for action home. 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 1 2 6 6 It would be good if the service looked at developing more ways of recording in a person centred way. It would be good if the service developed communication plans for each person, to ensure that they are meeting the communication needs of people who live in the home as fully as possible in an ongoing way. It is recommended that the manager carries out regular formal audits of medication processes to ensure safe adminstration of medication. It is recommended that the manager includes information about complaints and protection in peoples care plans and risk assessments, to address how they can make sure people who cannot verbally communicate any concerns are protected from harm. It is recommended that the provider gives consideration to replacing or repairing the kitchen, in order that it remains safe for use and in keeping with the good environment provided for people. It is recommended that the provider looks actively at ways to enable communication of peoples views about the home (where people re unable to communicate verbally), alongside the further development of a communication policy/action plan. 3 20 4 22 5 24 6 39 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone : or 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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 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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