Care Home: Eden Place

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• The Lodge Nursing Home
• Bracken House
• Sunnycroft
• Field Farm House
• Edgeview Nursing Home
• Church Terrace Nursing & Residential Home
• The Forbury

What the care home does well Prior to moving to the home people are offered information about the service. The home ensures they gain information abou the person`s needs so that the home can identify whether or not they will be able to meet those needs. People considering moving to the home can make their choices and decisions based on information and visits to the home. The home are very accommodating and offer a period of time to get to know each other. The home offers a range of meaningful and appropriate activities for people living at the home either at home or in the local community. Activities are arranged according to the choices made by people living at the home including social, cultural and spiritual activities. The home offers their own transport and provide staff to support people in the community. There is a varied and nutritional menu offered to people. The home makes sure people know what is available to choose from and make arangements for alternate choices to be given. People at the home express their views about the food and staff accommodate menu choices where possible. The team working at the home welcome comments and complaints as part of making the home a place where a person can express their views freely. Staff were able to prevent mistreatment of vulnerable adults and showed a commitment to promoting people`s rights. What has improved since the last inspection? The home has improved the environment through considerable investment in new rooms and shared areas. The main sitting areas were very pleasant and well equipped. People living at the home said they were very pleased with the improvements and the pleasant environment helped to encourage people to sit together. What the care home could do better: The home gains information prior to admission about each person and gains access to assessments completed by social care and health professionals. This information helps to inform staff how they should deliver care to people in the first days of admission to the home. The home should produce a plan of care within a reasonable time scale after admission so that people living at the home can receive care from staff who are directed by management. Whilst the home does provide close support to staff through daily meetings and by senior staff and management being available in the home there should be a programme of supervision. The home is in the process of organising a structured programme of supervision. The people living at the home and the staff are able to express their opinions freely and inform the management of their views. The home should complete a quality assurance process to measure the levels of satisfaction for people living at the home. The results of the quality assurance testing should be made publically available. The home has stated it intends to complete this excercise by December 2009.There is careful monitoring of people at night time by staff through regular checks of the building and those people who want their doors opened to be checked on. The home should consider further use of the call bell for those who are limited in mobility at night and who may want to call staff. The home is currently looking into how best to provide this support. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Eden Place 1 Vicarage Road Lillington Leamington Spa Warwickshire CV32 7RH     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: 2 0 0 2 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 29 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 29 Information about the care home Name of care home: Address: Eden Place 1 Vicarage Road Lillington Leamington Spa Warwickshire CV32 7RH 01926313227 01926887333 edenplace@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Eden Place Limited care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 34 the registered person may provide the following categorie of service only: Care Home with Nursing To service users of the following gender Both Whose primary care needs on admission to the home are within the following categories: Mental Disorder (MD) 34 Date of last inspection Brief description of the care home Eden Place is a spacious Edwardian Town House, situated in Lillington, Leamington Spa. The home accommodates 24 Service Users with enduring mental health problems. It is staffed 24 hours a day by a team of qualified nurses and nursing assistants. Currently over half of service users are over 65 years. Wheelchair access is from the car park. There is a new lift which has recently been installed in the home. The Home is within easy reach of local amenities including shops, churches, Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 34 Brief description of the care home libraries and the local bus route. The Home was established in 1984 and is a building of three storeys, a basement and extension, known as The Lodge. There are 22 bedrooms including two double bedrooms. There is a medium sized, private, sheltered garden. Range of fees: # 765 per week Care Homes for Adults (18-65 years) Page 5 of 29 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 a two star. This means the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of the service provision that needs further development. The visit to the home was undertaken by one inspector over a period of six hours. The registered manager was available to assist with the inspection process. The home did not know that we were visiting on that day. There were thirty three people living at the home on that day and five of those people participated in the inspection. Care Homes for Adults (18-65 years) Page 6 of 29 Information was gathered by speaking to and observing people who live at the home. Three people were case tracked which involved discovering their experiences of living at the home by meeting or observing them, looking at their medication, viewing their personal care files and reviewing areas of the home used by those people so that we could focus on outcomes. Case tracking helps us to understand the experiences of people using the service. In addition a range of documentation was viewed including staff files, rota, training records and discussion with three staff and the registered manager took place. Prior to the inspection the registered manager had completed and returned an Annual Quality Assurance Assessment (AQAA). This tells us how well the home thinks they are performing and gives us information about their achievements through improvement and their plans for further development. The AQAA and surveys sent to people living at the home were taken into account when writing this report. There was one requirement and some 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 home gains information prior to admission about each person and gains access to assessments completed by social care and health professionals. This information helps to inform staff how they should deliver care to people in the first days of admission to the home. The home should produce a plan of care within a reasonable time scale after admission so that people living at the home can receive care from staff who are directed by management. Whilst the home does provide close support to staff through daily meetings and by senior staff and management being available in the home there should be a programme of supervision. The home is in the process of organising a structured programme of supervision. The people living at the home and the staff are able to express their opinions freely and inform the management of their views. The home should complete a quality assurance process to measure the levels of satisfaction for people living at the home. The results of the quality assurance testing should be made publically available. The home has stated it intends to complete this excercise by December 2009. Care Homes for Adults (18-65 years) Page 8 of 29 There is careful monitoring of people at night time by staff through regular checks of the building and those people who want their doors opened to be checked on. The home should consider further use of the call bell for those who are limited in mobility at night and who may want to call staff. The home is currently looking into how best to provide this support. 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 29 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 29 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 living at Eden Place have enough information to make an informed decision about moving in. Quality in this outcome area is good. Evidence: The AQAA told us the home gains copied of assessments completed by social care and health professionals before a person moves to the home. The manager said people are encouraged to visit the home to meet the other people living at Eden Place and if preferred people can stay a few nights so that they can make an informed decision about moving to the home. A file belonging to a person who had just moved to the home showed assessments had been gained and notes were seen about the persons needs. The persons daily notes showed attention had been paid to their needs in the first two days of admission and observations had been recorded about their needs. Entries included the opinions of the person who had moved to the home. The manager discussed how the home promotes equality and diversity when admitting Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: a person to the home. The managers statements and evidence in the notes belonging to a person recently admitted showed consideration is given to a persons cultural background and life history. Care Homes for Adults (18-65 years) Page 12 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Eden Place have a care plan and staff know what they need to do so that their needs are met. However the home must be careful to provide care planning intructions to staff promptly after a new person has been admitted so that there is no risk of their needs being misunderstood or overlooked. Quality in this outcome area is adequate. Evidence: People living at Eden Place have a care plan showing their needs and how the home takes action to meet those needs. A person who lives at Eden Place sat with the inspector and read the care plan. The person said the information was true and covered all of her needs. Care plans included peoples needs and actions to be taken by staff to address those needs. Care plans included information about mental health conditions, ongoing care and prevention of relapse. Care plans had daily records that were professionally completed showing observations and information about each persons well being. Risk Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: assesments had been completed to address a range of issues including risk of self neglect and self harm. One person had moved into the home withn the last few weeks. On looking at the persons file it was clear the care planning had not been completed. The staff were not without information and could access most recent assessments. The manager said this care plan was in progress but had not been completed as promptly as expected. The manager agreed this was not safe because staff were not receiving direction as to how to meet the persons needs. The daily notes did show staff were providing care to the person and key issues such as pain and mobility were being monitored. Care Homes for Adults (18-65 years) Page 14 of 29 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 Eden Place can access activities within the home and in the community that are appropriate and meaningful. Quality on this outcome area is good. Evidence: The AQAA told us that the home provides appropriate activities every day in the home and in the local community. It told us people are consulted as a group in residents meetings and as individuals through a lifestyle assessment. Observation found people living at Eden Place can join groups of people going out on a daily basis. The home employs staff to drive the minibus and to safely assist people whilst out in the town. On the day of inspection people were going out for coffee in town. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Observation found people moved around the home freely and mixed with who they liked. The dining area was a place for socialising and people were seen sitting talking together and playing dominoes with staff. The daily menu was displayed for everyone to see in the dining room near the kitchen. A person said she loved the food at the home and liked the cook the best. People enjoyed a well laid table at lunchtime in a pleasant environment. Food was presented nicely and drinks were made available. A person discussed his dietary needs with the manager and made specific requests about the types of food. The manager listened closely and offered choices to the person to meet his needs. Care Homes for Adults (18-65 years) Page 16 of 29 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 living at the home can see a health professional when they need to and can gain health support and advice. People recieve their prescribed medication safely. Quality in this outcome area is good. Evidence: The AQAA told us people have access to health services when necessary and people recieve their prescribed medication accurately. The person responsible for the overall management of medication worked with the inspector in auditing the medications. There wa an organised system of ordering medication and stock was recorded and controlled safely. Medication was stored correctly in a lockable metal cupboard. The home uses a monitored dosage system and records all adminstered medication on a Medication Administration Record chart (MAR). A check of records against stock found all medications had been adminstered accurately including high risk medication such as boxed and liquid medications. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: The staff who adminis ter medication are observed for their competency by a senior nurse. The deputy manager said they would design a record of competency assessment. Some people living at the home have health conditions that require blood tests such as diabetes. Records were seen of daily and weekly tests being completed. Discussion took place about the frequency of taking blood. The method of testing bloods involved a small prick to the finger which canused minimal discomfort however regular test were distressing to some people. The deputy manager said she would seek a review of the frequency of testing given that some people had a twelve month period of stability. Care Homes for Adults (18-65 years) Page 18 of 29 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 Eden Place can express their opinions about the service and can influence the overall operation of the home. Quality in this outcome area is good. Evidence: The AQAA told us people living at the home were free to express thier views and opinions openly. It said complaints were welcome and taken seriously. Discussion with the manager established comments and complaints are valued as part of learning about the service and knowing which aspects of the service need further developing. The complaints policy and procedure was displayed prominently for people to see. Observation found a person who lives at the home was able to approach the manager and express his views. A complaint was made directly to the manager who was responded sensitively and promptly offered a solution. Interviews with two staff found the staff team were confident in dealing with complaints. They explained complaints were promptly addressed. They said if it was a serious complaint the directors would get involved. Staff knew who the directors were and said the directors regularly visit the home to make themselves available. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: The AQAA said staff are trained in the Protection of Vulnerable Adults. A staff member confirmed the staff team had access to training in the prevention of abuse. A staff file viewed showed training had occurred. Discussion with the manager established there is clear leadership in care practice and a good level of awareness in prevention of abuse. Care Homes for Adults (18-65 years) Page 20 of 29 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 Eden Place enjoy a clean, comfortable and homely environment. Quality in this outcome area is good. Evidence: The AQAA told us the home had received some improvements and redecoration. It said the home was clean and tidy. A tour of the home found all areas were clean and tidy. Staff were available for cleaning duties. All areas of the home were equipped with furniture and fittings that were homely and comfortable. Three bedrooms were viewed. All bedrooms had sufficient furntiure and a lockable space provided. Bedrooms could be locked and people could carry their bedroom door keys. Observation found that some people did lock their bedroms. People could take their personal property into the home and bedrooms viewed contained items of personal possessions and property such as small furniture and soft furnishings. Most people gathered in the conservatory and dining areas. These areas were sunny, Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: bright and comfortably furnished. The conservatory lounge had a large television and surround sound system. A person said to the inspector how lovely it was to sit in the conservatory. A tour of the home included viewing bedrooms belonging to people who were case tracked so that the inspector could understand what it must be like to live at the home. Each person had their room arranged to their personal taste. Two people had some physical limitations due to health conditions. They were particulalry affected by limited mobility at night time. The call bell system was available on the wall but out of reach for the people who might need to ask for help during the night. Discussion took place with staff who said there were regular checks on these people during the night and neither person had fallen during the night. The manager agreed that assistance during the night could be recorded so that staff could measure the falls risk to the people over a period of time. The manager said the home are planning to address those needs for people at night who may become more physically dependent. He had gained samples of alarm equipment to consider. Care Homes for Adults (18-65 years) Page 22 of 29 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 Eden Place have access to sufficient skilled staff so that their needs are met effectively. Quality in this outcome area is good. Evidence: The AQAA told us the home operates a robust recruitment policy and procedure. It said appointment of staff is subject to thorough checks and interview assessment. The manager said he screens all enquiries on the telephone through discussion with people about why they want to work at Eden Place. He invites people to look around the home prior to interview so that they can make choices about working at the home. The manager said after interview and security checks candidates are offered a trial two days so that everyone can be sure they can work at Eden Place. Discussion with a member of staff confirmed thorough checks are taken on new staff and the member of staff described support offered to new staff on their trial two shifts and subsequent working during induction. A senior nurse said she would not work in a place that did not have good standards of care and she thought Eden Place was a very nice place. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: A file for a new member of staff showed the home had gained an application form, held an interview and gained two written references plus a Criminal Records Bureau check (CRB). The manager said the staff have supervision on a daily basis and formally in meetings. The manager said the senior team meet every week to discuss the operation of the home. The manager said he receives a report on a daily basis from a senior nurse on duty about the welfare of the people living at the home. A member of staff said the manager is always available in the home and supervision can be arranged when needed. A staff file was viewed. This contained records of supervision addressing key issues including care practises. Care Homes for Adults (18-65 years) Page 24 of 29 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 living at Eden Place benefit from an organised and safely managed service. Quality in this outcome area is good. Evidence: The AQAA told us the home is organised and well run. A tour of the home found information for staff and people living at the home was readily available. Two members of staff said they could ask questions about the service and were encouraged to contribute to developing best practise in the service. The manager said he tried to encourage staff to challenge ideas and take part in the continuing professional development of the home. The manager said the consultation to measure quality assurance will be completed by December 2009. In the meantime he agreed they could provide a comments book for the opinions of people receiving services to be available daily in the main communal areas. Two people said to the inspector how they were very pleased with the home. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: A person sid the manager was very approachable and he looked after everyone at the home. A member of staff said the manager appreciated the staff team and their hard work. She said the manager always thanked the staff for their work. The AQAA said there is a system of risk assessment for all aspects of health and safety in the home. Files contained evidence of risk assessments for the operation of the home. The manager said health and safety was taken very seriously and staff had training on induction and on going in health and safety matters. The maintenance person said he completed checks regularly on all aspects of the fire prevention system. Care Homes for Adults (18-65 years) Page 26 of 29 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 29 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 1 6 7 Care Planning The home must generate a care plan on admitting a person to the home within a reasonable period of time to ensure staff are directed and the persons safety is addressed. 30/04/2009 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 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 20 20 The home should produce risk assessments or protocols for the adminsitration of PRN or as required medication. The home should produce a record of competency assessment for those staff authorised to administer medication. The home should consider how to provide a call bell system or way a person can call for assistance during the night when they have a limitation in their mobility so that their safety, independence and dignity is maintained. The home should provide a written record for people to enter their opinions about the services they receive. 3 24 4 39 Care Homes for Adults (18-65 years) Page 28 of 29 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 29 of 29 - 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!