Care Home: Baba Sawan Lodge

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What the care home does well The care plans describe the care that the resident needs, what activities the resident likes and wishes to do and how these are to be achieved. The staff call the residents by the name that they prefer, support them in making decisions about their lives and treat them with dignity and respect whilst giving them privacy. `Look after us well`. The staff receive training to make sure that they can support the residents with their specific needs and disabilities. The staff always recognise peoples` different needs including cultural and spiritual and enable them to continue with them. The home maintains good communication with the relatives of the residents. This was confirmed in the care plans when there had been communication between them. What has improved since the last inspection? The home had no requirements made at the last visit. The staff are now having regular formal supervision with the manager so that they have the opportunity of discussing work and training issues. The forms that the provider completes when he makes his monthly visit are kept in the home. The home has told us that the policies and procedures have been updated but they have not been signed or dated to confirm this. What the care home could do better: They could consider making the Statement of purpose and the complaints policy into `easy read` documents to allow as many people as possible able to read them. The care plans could be reviewed and the risk assessments could have more information so that they were easy to follow and understand. When the medicines are checked in the result could be documented onto the medicine record sheets. The staff could have supervised medicine rounds so that the manager was confident that they were completing them correctly. The registered provider should make sure that the home is a safe and pleasant place to live by upgrading the carpets and decoration and encouraging the residents to personalise their rooms. The kitchen should be completely renewed to provide a safe and clean room to prepare food in. The floors in both the kitchen and the laundry should have attention to make sure that they do not have cracks or ridges that cannot be cleaned or could cause a trip hazard. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Baba Sawan Lodge 11 Bodnant Avenue Evington Leicester LE5 5RB     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: Anthea Richards     Date: 1 2 0 5 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: Baba Sawan Lodge 11 Bodnant Avenue Evington Leicester LE5 5RB 01162730008 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) : sureshadvani@btinternet Baba Sawan Lodge Limited care home 10 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 10 The maximum number of service users who can be accommodated is 10. The registered provider may provide the following category of service: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning Disability - Code LD Date of last inspection Brief description of the care home Baba Sawan Lodge opened in 1989 as a home for younger adults with learning disabilities. The home is registered to provide care and support for up to ten residents. The home is a converted, three storey detached house, which is situated in a residential area of Evington in Leicester. There is a good range of local amenities within walking distance of the home. There is a regular bus service into the City Centre, which is a ten-minute ride away. Baba Sawan Lodge has bedroom and bathroom facilities located on the ground, first, Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home and second floors. There is a large lounge and a dining room on the ground floor. At the back of the home is a large garden with a patio, lawn, and seating areas, which is easily accessible for the residents. There is information available in the main office including the Statement of Purpose and Registration certificate together with copies of the Inspection reports from the Commission for Social Care Inspection. The current fee level is at the local authority rate. There are additional costs for individual expenses such as personal toiletries, optician, hairdressing and some recreational activities. The home can be contacted by telephone, or email. 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: This was a key inspection of a care home for people with a learning disability, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of we indicates the Care Quality Commission), spent four hours reviewing information received by the Care Quality Commission (CQC) since the last Annual Service Review on the 14th May 2008. The visit took place on the 9th and 12th of May 2009 and lasted six hours. During the visit we checked all the key standards as identified in the National Minimum Standards. Care Homes for Adults (18-65 years) Page 6 of 30 This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to two of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents although some of the communication was difficult; we managed to get feedback from them. With their permission, the residents bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was looked at. We checked how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit we spoke with the manager, the staff and the residents, there were no visitors in the home on either of the days that we visited. What the care home does well: What has improved since the last inspection? What they could do better: They could consider making the Statement of purpose and the complaints policy into easy read documents to allow as many people as possible able to read them. The care plans could be reviewed and the risk assessments could have more information so that they were easy to follow and understand. When the medicines are checked in the result could be documented onto the medicine record sheets. The staff could have supervised medicine rounds so that the manager was confident that they were completing them correctly. The registered provider should make sure that the home is a safe and pleasant place to live by upgrading the carpets and decoration and encouraging the residents to personalise their rooms. The kitchen should be completely renewed to provide a safe and clean room to prepare food in. The floors in both the kitchen and the laundry should have attention to make sure that they do not have cracks or ridges that cannot be cleaned or could cause a trip hazard. 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. Prospective residents would have a thorough admission process and have the information to make sure that the home would be suitable for them. Evidence: All of the residents who were case tracked had been given a Statement of Purpose and terms and conditions. The Statement of Purpose and Service Users Guide is available in other formats such as large print, the home are considering producing it in an easy read style. Providing a comprehensive Statement of Purpose & Service Users Guide results in good information for the residents, making sure that they they can find the most suitable care. The home has not admitted any new residents for many years. The manager and the Annual Quality Assurance Audit that they sent to us describes Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: the process that she would use when she admitted a new resident. This included visits to the prospective resident, phased visits to the home and introduction to the existing residents. The current registration certificate from the Commission for Social Care Inspection (CSCI), the inspection report from the CSCI and an up to date certificate of insurance was displayed in the managers office. 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. The residents are supported to maintain their independence and to make decisions in their lives, giving them a good quality of life. Evidence: The care plans and records looked at contained information about how the residents needs were identified and their choices made. Some of the residents in the home have communication difficulties and the staff have developed different individual methods of communicating using Makaton, words, noises and gestures. The staff were seen to be communicating with the residents with patience. The care plans have all the information that is needed and describe each individual residents needs and wishes. Whilst all the information is in the care plans, some of it is difficult to find. It is clear that the residents have been involved in developing the person centred care plans in a picture book format, that describe the needs, choices and wants of the individual. This helps the resident to understand what they have Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: planned with their key worker. Key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that they have all that they need and that they have the activities and work or education needs met. Whilst it can be difficult to communicate with some of the residents, those that we spoke with on the day of the visit were able to communicate with speech, facial expression and/or gestures. There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. Some of the risk assessments are not very clear or detailed enough as to how an individual risk should be managed. The residents have regular meetings to discuss choices in the home such as activities and menus, but the residents and the staff make choices on a daily basis. This was seen on the day of the visit when a variety of meals and activities were being chosen. 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. The staff support the residents in maintaining their interest in their different activities and occupations and make sure that their nutritional and spiritual needs are met. Evidence: There was evidence of daily occupation and leisure activity being provided for the residents. Some of the residents went out on a daily basis to day care activity. There was an individual programme of activities in each care plan including activities in the evenings. The residents are part of the local community, visiting local pubs, restaurants, shops and parks. Some of them have recently joined a gymnasium that they told us that they enjoyed. They told us about a barbecue that they had in the garden at the home. On the day of the visit some of the residents were in the garden enjoying the sun. The staff were seen to be treating all of the residents as individuals Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: and recognised their different personalities and behavioural needs. Happy in home. like bedroom and food and things to do one of the residents told us. The activities are recorded in the care plans which are regularly reviewed as the residents needs change. The choice of food is good and the residents have choices every day. The home produces an Asian and an English menu every day that the residents can choose. Meal times are flexible to suit the needs and the activities of the residents. They are encouraged to all eat together in the dining room, but may choose to have their meals where they wish to. They were seen to be helping with laying the table and helping with the food in the kitchen. Religious activity is arranged to suit the diverse needs of the residents. Care Homes for Adults (18-65 years) Page 16 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff meet the care needs of the residents, with knowledge of their needs and how they wish to receive them. Evidence: The care plans for the case tracked residents were found to have good descriptions of their care needs. This includes a regular assessment of the residents weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents. Person centred care plans have been developed so that it was clear how each individual wanted to be treated. The staff and the records confirmed that the residents received good medical care when they needed it. The daily record of care is up to date, which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: Whilst the care plans contained the information that was needed, it was not easy to find it. There were risk assessments in the care plans but they did not contain enough information about how the risk should be managed. Medication records for the case tracked residents were in order. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were aware of the requirements for the receipt, storage and disposal of medicines. Medicines are stored in a locked cupboard in the home. There is a regular audit of the medicines and record sheets completed by the manager, but she does not record this onto the medicine record sheets. The staff were seen to be administering medicines safely and correctly. There is a self medicating policy in place but there were no residents responsible for their own medicines at that time. Care Homes for Adults (18-65 years) Page 18 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. There are good systems in place to support and protect the residents and staff are aware of the processes. Evidence: There is a complaints policy in place which gives the details of how to complain and who to complain to if the residents or their families needed to. This can be produced in other formats such as large print and and the home are considering producing it an easy read style. There have been no complaints received by the home, since the last Annual Service Review on the 14th April 2008. The Care Quality Commission have received no complaints since this date. The staff spoken with were aware of how to handle a complaint if they received one. One of the residents spoken with was able to tell us how he would complain and that he thought that it would be acted on. The staff receive training in safeguarding adults from abuse and are given a copy of the General Social Care Council (GSCC) code of practice, which tells them what their responsibilities are in making sure that the residents are kept safe. Training is given during their induction period. The manager, the records seen and the staff spoken with confirmed that they had had training. The staff were able to explain to us what forms of abuse there were and how they would deal with it. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Care Homes for Adults (18-65 years) Page 20 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are not always protected by the policies and procedures in the home to provide a safe environment, the home could be upgraded to provide a more pleasant place to live. Evidence: Baba Sawan is a converted house close to the centre of Leicester. The home was warm and welcoming. The carpet in the hall area was shabby and that on the stairs had holes in it that could cause a trip hazard. It has a lounge and a dining room on the ground floor, whilst the lounge has had new furniture, the room had a very faded carpet and appeared to be poorly lit, despite the patio doors leading onto the garden. The dining room was bright with a window and a door leading onto the garden. The bathrooms were free from hazards and clean, again would be improved by the decor being upgraded. With their permission we looked at the case tracked residents bedrooms. They were very pleased to show them to us. They provided good sized accommodation, which had been decorated to the residents choice. However they were not personalised well and the ceiling rose for a light in one of the bedrooms had come away from the ceiling with the wires exposed. This was too high for a resident to reach but should be Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: replaced. This added to the general feeling of the need to upgrade the surroundings. A resident did tell us that he liked his room. The kitchen is in need of re-furbishing as it has broken units and cracked flooring that are very difficult to clean and keep free of germs. The tiled walls are dirty as the staff cannot reach them to clean. The laundry floor has cracks and has ridges across it that could cause a trip hazard. The homes owner has contacted us since the inspection and confirmed that the work needed in the kitchen has been completed. He has also told us that the home is currently being decorated and upgraded and that the carpets and floor coverings will be renewed when the decoration is completed. The residents in the home are getting older with several over sixty and there is no means of reaching the upstairs floors other than by the stairs. This should be considered by the owner. The staff spoken with had received health and safety training and were aware of how to handle chemicals. These were all stored in a locked cupboard. The fire records for testing and drills was up to date as was the testing of hot water temperatures. Care Homes for Adults (18-65 years) Page 22 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. The recruitment and training of staff make sure that the residents are protected from harm and that their needs are met safely. Evidence: We looked at two staff files and all of the required information was complete in them. This included evidence of identification, adequately completed application forms, two written references, Criminal Records Bureau and protection of vulnerable adults (POVA first)checks. Staff spoken with confirmed that they had not started work until all the paperwork was complete. The home has a thorough induction programme in place for new members of staff. This is based on the common induction programme from Skills for Care. This gives new staff good knowledge for caring for the residents. All of the staff have attained or are undertaking the National Vocational Award at level 2 or above. The National Vocational Qualification is a qualification for care staff to make sure that they receive appropriate training in the needs of the resident group whom they are caring for. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: Records show that the staff have had training on many subjects relevant to their work. Staff members spoken with were happy with the amount of training that they were given by the home. This included mandatory training such as POVA, infection control, moving and handling, first aid, food hygiene, control of substances hazardous to health (COSHH) and fire. Training relevant to the client group that they are caring for is also given. There was evidence in the records that was confirmed by the manager and the staff that regular staff supervision was taking place. This process gives the staff and their line manager the opportunity to have individual discussions about work and training needs. Care Homes for Adults (18-65 years) Page 24 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 residents live their lives as they would wish to, with individual care being given in a home run for their benefit. Evidence: The manager of the home has worked there for several years, she has completed the Registered Managers Award and is registered with the Care Quality Commission. The residents and their families have regular meetings with the manager when their views are discussed and areas such as meals and activities are decided. We saw the minutes from both these and the staff meetings during our visit. The staff spoken with told us about the meetings. The manager sees the residents individually every day when she is on duty. The families have a quality questionnaire every year, which looks at all the areas of care and the general opinion of the home. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: The residents personal allowance accounts were looked at and found to be correct. The home has a complete range of policies and procedures that the Annual Quality Assurance Assessment told us had been reviewed. These had not been dated on the date when they had been reviewed, which would confirm that this had happened. Care Homes for Adults (18-65 years) Page 26 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 27 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 42 23 That the laundry floor is repaired or replaced To rduce the risk of harbouring germs and to avoid a trip hazard. 30/07/2009 2 42 16 (2)(g) That the kitchen is replaced and cleaned. To make sure that the residents are kept safe from the risks of infection or food poisoning. 30/08/2009 3 42 23 (2)(p) The Registered 30/06/2009 Individual must make sure that there is sufficient light in the home for the residents to live in the home safely. To make sure the residents are able to see adequately to be safe. 4 42 23 (2)(c)The registered person 30/07/2009 must replace the stair carpet Care Homes for Adults (18-65 years) Page 28 of 30 To make sure that the residents are not at risk of tripping and falling 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 19 19 That the risk assessments clearly identify how a risk is to be managed. That the care plans are reviewed to make sure that information is easy to find and all needs are regularly reviewed. That the manager undertakes regular, supervised drug rounds with the staffand documents the outcome. That a signature sheet is put in place to be able to identify the staff names on the medicine sheets and the care plans in the future. That the amounts of medicines received into the home are documented onto the medicine record sheets. That the consideration is given to producing the complaints policy in an easy read style. That when the policies and procedures are reviewed they are dated and signed. 3 4 20 20 5 6 7 20 22 40 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!