Care Home: 58 Featherstone Road

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What the care home does well The service has provided detailed person centred care plans and health plans. As a result of identifying personal goals and aspirations people have been assisted to access new life experiences and have achieved some of their goals. The service provides a choice in daily living routines and offers activities in the community with assistance from competent staff. The service has assisted people to experience new things and opened up new opportunities for learning. The service provides a four week varied and nutritionally balanced menu that offers choices and variety in a range of wholesome meals. The service has demonstrated a commitment to offering nutritious foods in different forms so that people can receive healthy foods in a way that they like. This has resulted in healthy living experiences for people who in some cases have provided significant improvement in quality of life and physical comfort. The service has evaluated people`s health care needs and has accessed health care services. The service has demonstrated an ability to pursue health care provision and services so that people living at the home receive support and health care advice that most suits their needs. What has improved since the last inspection? The service has a new manager who has made an application to us to be registered as the manager. They have a long career in social care and health settings, which have provided them with a wide knowledge base and experience in management of care services. The care plans and risk assessments have been reviewed so that people can have their choices and personal goals reflected in their plans. The manager is keen to provide person centered care which enables each person to influence how the service operates and how the service is delivered to them. This has resulted in an increase in choices being offered and has ensured routine choices are reviewed and alternatives offered regularly. The service has improved in how they manage the system of administering medication. There are accurate medication records and stock management is effective. Clear protocols for the administration of `As Required` medications is available. The promotion of equality and diversity is carried out in the way care is provided. The service is mindful of gender sensitivity and how to encourage expression of sexuality or gender identity. This can be seen in how people are encouraged to wear clothing and accessories of their choice. What the care home could do better: The practice of hidding medication in food needs to be addressed and should only be done after assessment of the multi-disciplinary team including the GP, a representative and the staff. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Featherstone Road, 58 Featherstone Road, 58 Kings Heath Birmingham West Midlands B14 6BE     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: Paula Dutton     Date: 1 9 0 3 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. 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. 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 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Featherstone Road, 58 Featherstone Road, 58 Kings Heath Birmingham West Midlands B14 6BE 01214446600 01214435968 Telephone number: Fax number: Email address: Provider web address: www.sense.org.uk Name of registered provider(s): Sense, The National Deafblind and Rubella Association Name of registered manager (if applicable) Mrs Barbara Chergui Mr Gareth Davies Type of registration: Number of places registered: care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability sensory impairment Additional conditions: Residents must be aged under 65 years Date of last inspection Brief description of the care home Featherstone Road is a substantial detached home providing spacious accommodation and a specialist service for adults with sensory impairment and learning disabilities. The home is registered for four service users. The home is in a pleasant residential 4 4 Over 65 0 0 Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home area of Kings Heath close to shops, churches, leisure facilities and Kings Heath Park. The home provides four single bedrooms, three on the first floor and one on the ground floor, and a small office / staff sleeping-in room. Two bedrooms have ensuite facilities and all are individualised to reflect service users personalities. There is a large bathroom upstairs and a toilet downstairs. The lounge is a good size and is comfortable and homely. The house has a large modern fitted kitchen and a dining room. Care Homes for Adults (18-65 years) Page 5 of 30 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 quality rating for this service is 2 Star. This means people using this service experience good outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people living in the home and their views of the service provided. This process considers the care homes capacity to meet the regulatory requirements, minimum standards of practice and focuses on aspects of the service provision that need further development. The visit to the home was undertaken by one inspector over a period of four hours and the manager was available to assist in the process. The home did not know that we were visiting on that day. Four people living at the home were available to take part in the inspection. Care Homes for Adults (18-65 years) Page 6 of 30 Information was gathered by speaking to and observing people who lived at the home. Three people were case tracked which involved discovering their experiences of living at the home by meeting and observing them, looking at their medication records, looking at their personal care plans and reviewing the areas of the home they use. This helps us to case track and to establish what the outcomes are for these people individually. In addition a range of documents were looked at including staff rotas, staff files, training records and discussion took place with two members of staff plus the manager. Prior to the inspection the manager completed and returned an Annual Quality Assurance Assessment (AQAA). This tells us how the service thinks they are performing and gives us information about their achievements through improvement and their plans for further development. The AQAA and surveys were taken into account as part of this inspection process. There was one requirement and no recommendations made as a result of this inspection. What the care home does well: What has improved since the last inspection? What they could do better: The practice of hidding medication in food needs to be addressed and should only be done after assessment of the multi-disciplinary team including the GP, a representative and the staff. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 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 30 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 considering moving to the home have access to information so that they can make informed decisions and choices about living at the home. Quality in this outcome group is good. Evidence: The AQAA told us the home gathers personal information prior to admission. It said the admission process is taken in stages so that the person and the home can get to know each other. It also stated that people are invited to visit the home as often as they wish to meet others and the staff before choices are made. It said there is information explaining the range of the services available. On the day of inspection the staff explained there had not been any new admissions recently but should there be any changes people are welcome to visit the home often before making decisions. Information about the service was available in the Statement of Purpose and Service Users Guide, which can be given to advocates of the people moving to the home. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: Staff said they would encourage people to meet everyone first so that the person and the staff could see if the home could meet their needs. The manager said people are welcome to visit and are offered a trial period so that everyone can be certain the home can meet their needs. Care Homes for Adults (18-65 years) Page 12 of 30 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 living at the home can have their needs addressed through a care plan which instructs staff clearly in the actions necessary to meet their needs. Quality in this outcome group is good. Evidence: The AQAA told us the home provides a care plan and risk assessment for each person livng at the home. It said care plans show all of the persons needs and the actions for meeting those needs and that they instruct staff on how to meet needs such as mobility, hearing, vision and communication. Three peoples care plans were seen during the inspection. Care plans were very detailed and contained a wide range of information. A separate record existed for each individuals health needs. This is called a Health Plan. A record had been created to summarise the key needs for each person so that staff Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: could efficiently gain access to information about how to meet someones needs easily. Summaries were very useful and included high risk information such as health conditions that required monitoring and observation. Care plans had been written in consulation with a high number of people including relatives, social care and health care professionals. One care plan had been generated following consultation with eighteen people. This is good practice to gather information from every source available so that the interests of the individual are protected and services are delivered in the best interests of the person living at the home. This is in line with the homes commitment to delivering person centred care which places the individual at the centre of the service and all others as supporting roles around them. Care plans and health plans were reviewed regularly and the manager had created a system of evaluation that included listing not just changes but also positive outcomes for people. This was a useful tool to highlight the need to change a care plan but also to ensure that positive practice was continued. Care Homes for Adults (18-65 years) Page 14 of 30 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. People living at the home can access meaningful and appropriate activities that are tailored to their individual needs. Quality in this outcome group is good. Evidence: The aqaa told us the people living at the home have access to a varied and nutritionally balanced menu. It said the home offered choices in foods and people were assisted to benefit from wholesome foods. The kitchen was viewed on the day of inspection. It was clean and tidy. The cupboards were full and a person was observed to make choices. The person had access to all of the cupboards and knew where all of the food items were located. Observation found staff were aware of the need to guide people to make appropriate choices in their Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: eating habits and staff were able to advise people of time and choices available. The manager had completed a review of the foods offered at the home. A four week menu plan was viewed which had hot dinners and plenty of fruit available. The menu had been designed to promote healthy living choices and included a range of different ways of presenting fruit such as fruit fool, fruit smoothies, fruit puddings and plain fruit. The manager said each person had been offered choices of foods through sampling and this had informed the new menu design. The home had worked to address a persons nutritional needs which included seeking health professional advice and services. The manager talked to the inspector about how the person centred care approach to assessing a persons needs had indicated further support was needed to assist with dietary and continence management. Records showed the manage had sought screening from the doctor for food allergy and subsequently specialist advice was gained from a dietician. This brought about a dietary change and a positive outcome for the person that increased their quality of life. Evidence was seen of further health and dietary management monitoring taking place through gaining blood tests for needs such as iron levels. The aim of the staff team is to bring meals and activities together as a focal point in the daily routine of living at the home. The dining room was light and had large windows to allow as much natural light as possible. The furniture was arranged so that people could enjoy their meal safely. The aqaa told us the home provides activities withinthe home and based in the community. It said staff assist people to over come barriers to accessing activities so that they can acheive personal goals. The aqaa said care is taken to consider each persons safety through risk assessments. Care plans showed peoples choices and preferences for activities in the home and outside in the community. There were risk assessments for assisting people to participate in community events and activities. Care plans included goals and aspirations for short and long term lifestyle choices. They listed the barriers to people accessing activities and the measures necessary to enable people to achieve their goals. One person had participated in a community based sports activity involving rock climbing. A staff member had supported this person to watch and learn for many months. After over six months the person had gained enough knowledge and trust to find the courage to participate in rick climbing. This shows people living at the home Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: can set personal goals and are assisted to experience new challenges and gain a sense of achievement. The same member of staff supported the person for this time period which shows dedication, consistency and careful monitoring provides a key framework for people to succeed. A person living at the home was observed using the new sensory room. A senior carer explained the wooden out building had been donated following fund raising by the persons relatives. The sensory room offered comfort, Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their personal care needs addressed so that their choices and dignity are maintained. People receive medication regularly although the way in which medication is administered must be accounted for and approved through appropriate health professionals so that the effectiveness of the medication can be ensured. Quality in this outcome area was adequate. Evidence: The AQAA told us the home operates a safe system of management and administration of medication. It said they have a policy and procedure for safe handling of medication including ordering, stock management and disposal. Three records of medication were viewed as part of the case tracking process. Records were accurate and clear. The manager and inspector spot checked some high risk medications including liquid medication and boxed medication. Supplies and stock records corresponded. The manager had a good system of stock control and monitoring. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Care plans contained a statement about how people at the home had their medication administered. Some people had tablets crushed and placed into cold chocolate spread. Some people had their tablets hidden in chocolate cake. The manager had identified high risk issues around this practice including covert administration denying people choices and how medication can be changed in effectiveness through mixing it with foods. The manager had recorded discussion with doctors about acting in the best interests of individuals and capacity issues. The manager said the home would consult the guidance on covert administration with the Nursing and Midwifery Council. She said she would complete a risk assessment showing consultation with health professionals and advocates including a pharmacist after consulting manufacturers. The AQAA said people could access a range of health professionals so that their health care needs are met. Care plans and health care plans showed if people needed specialist input from outside sources. Records demonstrated the home had gained health and social care services for people living at the home. Care Homes for Adults (18-65 years) Page 19 of 30 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 living at the home have their rights, welfare and safety protected and promoted at all times. Quality in this outcome group is good. Evidence: The AQAA told us the home has policies and procedures for making complaints and for the protection of vulnerable adults. It said all staff receive training to ensure peoples rights, welfare and safety are protected at all times. The manager said the home welcomes complaints as opportunities for the home to learn and improve. She said the team works in an open way and are always careful to up hold each persons safety. A senior member of staff talked to the inspector about how the team work in a way that ensures peoples safety. It was explained by the member of staff how vulnerable the people are and how staff at the home can monitor peoples welfare. People sometimes cannot express themselves verbally so staff are careful to observe body language, behaviour, physical appearance and routines. A discussion took place about how to prevent abuse and what abuse might be. The senior carer was very clear about what was good practice and explained that other Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: members of the team had a lot of experience in providing care safely. The senior carer explained all members of staff had training in protection of vulnerable adults and knew what to do should they have any concerns. The manager said the staff team had training and supervision about the prevention of abuse and the promoting of peoples rights. The team had considered ways in which to reflect and revise the the practice of providing choices to people so preventing instituionalised routines. A training record was seen which showed staff had attended training in the protection fo vulnerable adults. The home had received concerns and complaints which had been appropriately investigated by the manager. Care Homes for Adults (18-65 years) Page 21 of 30 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. People living at Featherstone Road enjoy a homely and safe environment. Quality in this outcome group is good. Evidence: The AQAA told us the home offers a safe and homely place to live. It said the home is well maintained and people can personalise their surroundings. A tour of the home found all areas of the building to be clean, tidy and free from obstacles. People living at the home were able to move freely around the building and the garden. There is a new sensory room built in the garden, which was donated by a persons relatives. It offers a comfortable and calm place to be with sensory lighting and sounds. Each person had a private room with their personal possessions in. Some people had their own furniture in their rooms including wardrobes. Observation found people could put their favourite things out in their bedrooms and keep them in specific places such as jewellery. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: Some walls and furniture had been covered or fixed to the floor for the purpose of maintaining the environment and providing a safe place for people to move around. The AQAA said the home maintained a clean and safe place free from cross infection. Observation found areas of the home were clean. Yellow clinical waste bins were available for disposal of continence management wear. Cleaning products were securely stored. Care Homes for Adults (18-65 years) Page 23 of 30 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 living at the home can access sufficient competent staff so that their needs are met. Quality in this outcome group is good. Evidence: The AQAA told us the home have staff on duty over a twenty four hour period so that peoples needs are met. The skills mix of the staff team are considered and staff are deployed according to what the home needs particularly at peak times. Staff receive a programme of training throughout the year and can access team meetings to reflect on current care practices. It said there is supervision available on a one to one basis. On the day of inspection there were two agency workers on duty with a senior carer. One person from the agency had not worked in the home before. The senior carer had over ten years of experience and was responsible for supervision fo the agency workers. The manager said there are always sufficient people on duty and this is helped by a centralised system of agency and casual staff. The manager satisfies herself of the persons suitability through liaison with the central office. Discussion with central office Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: found that recruitment checks are completed including a Criminal Record Bureau check and verification of work status. A rota was being planned for the next staffing period. The existing staff rota was viewed. This showed the staf on duty were on the rota. The week was looked at the sufficient skilled staff and numbers of staff were on duty. Care Homes for Adults (18-65 years) Page 25 of 30 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 people living at the home benefit from a well organised and managed home operating in their best intesterests. Quality in this outcome group is good. Evidence: The AQAA told us the manager operates the home in the best interests of the people residing at Featherstone Road. It said she is responsive to the needs of the home and ensures all legislative requirements in relation to health and safety inform how the home is organised. The AQAA said the manager works in an open and transparent way. It said she promotes staff team working and communicates efffectively. The manager was available on the day of inspection. She said she is currently being registered with the Care Quality Commission (previously CSCI) as the manager responsible for the service. The manager has an established career in nursing and care services. Discussion demonstrated the manager has a good understanding of the standards and current good practice. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: The manager organises the home to suit the needs of the people living there. She has reviewed care plans and how services are provided to people. The manager and the team have worked towards person centred care which leads the home to organise daily living according to the choices made by people living there. The manager has worked well with the staff team through team meetings and supervisions in building on existing skills and introducing current good practice. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 Covert medication should only be considered if a full assessment has been completed and consultation with the GP, staff, the person or theri representative has taken place. This is to ensure that the persons rights are met and to minimise the risk of abuse. 31/05/2009 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 29 of 30 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 30 of 30 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!