Care Home: Scope - Edward Street

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What the care home does well The service users guide is a clear and detailed document and people had their needs assessed before moving into the home. This means that people moving into the home and staff have the necessary information to make a decision about whether the person`s needs can be met by the home. The staff team is fairly stable and new staff have been recently recruited to the team. Staff are keen for high standards to be maintained, so that people who live in the home receive good quality care. Day to day supervision of staff is good and mostly staff received regular support from their line manager to make sure they provide good care to the people who live in the home. Plans of care and individual care notes for people who live at Edward Street are well documented so that the staff know what they should do to meet people`s needs. Referrals to the appropriate health care professionals take place when necessary to make sure that people stay as healthy as possible. Meals were varied and reflected people`s preferences. They are offered a range of choice and variety so that people who are living at the home were able to enjoy a varied diet to keep them well and healthy. People at the home said "The staff always treat me well and the home is always fresh and clean", "I always make decisions about what I do each day" and "The carers sometimes listen and act on what I say." Staff said "There are usually enough staff to meet clients needs", "We do most things well and meet service users needs" and "All care plans are up to date and are full of all the information you need." What has improved since the last inspection? From the previous inspection five recommendations were made, three have been addressed and the other two have been made again within this report. The statement of purpose has been printed in large print with photographs of the home and pictures included to make it easier for people to read. Staff files have been reorganised making it easier to access information. The slight damage to the walls and door frames has been repaired, improving the environment for the people who live at the home. What the care home could do better: One requirement has been made following this visit. The controlled drugs register must be signed by two people, one administering the medication and another person to check it has been completed appropriately. Eight recommendations have been made. We recommended that the statement of purpose for the home is reviewed to make sure it is up to date.We also suggest that the monthly key worker summary sheets are developed further to give a full picture of the activities undertaken by the people who live at the home. Also that the last entry on the health care sheets should be transferred to the new sheets for ease of reference to visiting professionals. The controlled drug register should be reviewed on a weekly basis to make sure that it is being completed correctly and that people`s medication is being stored appropriately. Also the drug storage trolley should be secured to the wall when not in use for added security. Formal staff supervisions should be brought up to date so that people who live in the home are supported by well supervised staff. An analysis of the satisfaction surveys should be produced and shared with the people who live at the home, their families, staff, other stakeholders and the commission. A manager should be appointed and they should apply for registration with the commission. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Scope - Edward Street 1 and 3 Edward Street Widnes Cheshire WA8 0BW     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: Maureen Brown     Date: 1 4 0 1 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. the things that people have said are important to them: They reflect 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.csci.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: Scope - Edward Street 1 and 3 Edward Street Widnes Cheshire WA8 0BW 01514203364 F/P01514203364 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) SCOPE Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The registered person may provide the following category of service only: 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 categories: Physical disability - Code PD The maximum number of service users who can be accommodated is: 6 Date of last inspection Brief description of the care home 1-3 Edward Street is a purpose-built care home providing personal care and accommodation for six service users who have physical disabilities. The home is located in a residential area of Widnes and is within easy access of local amenities including shops, social and educational facilities. The premises consist of two bungalows (each accommodating three service users), which are managed by Scope. Each bungalow has three single bedrooms, a kitchen/dining area, lounge, bathroom, separate shower room and a utility room. There is an office that is linked by a door to one of the bungalows. There are also pleasant and accessible garden areas to the side 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home and rear of the home that are fully accessible to service users. Limited car parking space is available at the home. Parking on the road outside the home is available. 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: We carried out an unannounced visit to the home on 14 January 2009 and this lasted five hours forty minutes. It was done by one inspector. The report will say we when referring to what was done and found at the visit, as it is written on behalf of the Commission for Social Care Inspection. The visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about the home. We sent out questionnaires to all the people living at the home and staff to find out their views about the home and service provided. Other information received about the home was also reviewed. Care Homes for Adults (18-65 years) Page 6 of 29 During our visit we looked at various records and the premises. We looked at the care records of all the people who live in the home, to see how their needs were being met. We spoke to people who live at the home, the person in charge at the time of this visit and other staff on duty. They all gave their views about the home. The fees for the home are from 766.00 pounds to 1,091.00 pounds per week. What the care home does well: What has improved since the last inspection? What they could do better: One requirement has been made following this visit. The controlled drugs register must be signed by two people, one administering the medication and another person to check it has been completed appropriately. Eight recommendations have been made. We recommended that the statement of purpose for the home is reviewed to make sure it is up to date. Care Homes for Adults (18-65 years) Page 8 of 29 We also suggest that the monthly key worker summary sheets are developed further to give a full picture of the activities undertaken by the people who live at the home. Also that the last entry on the health care sheets should be transferred to the new sheets for ease of reference to visiting professionals. The controlled drug register should be reviewed on a weekly basis to make sure that it is being completed correctly and that peoples medication is being stored appropriately. Also the drug storage trolley should be secured to the wall when not in use for added security. Formal staff supervisions should be brought up to date so that people who live in the home are supported by well supervised staff. An analysis of the satisfaction surveys should be produced and shared with the people who live at the home, their families, staff, other stakeholders and the commission. A manager should be appointed and they should apply for registration with the commission. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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 receive enough information for them to make an informed decision about moving into the home and their needs are assessed before they move in so that they know that these can be met by the home. Evidence: We saw a copy of the statement of purpose in each care file that we looked at. It was written in plain English, and available in a large print edition with pictures and photographs of the home to make it easier for people to read. The previous recommendation with regard to looking at other formats had been met. A recommendation was made that some of the information in the document needs to be brought up to date and old copies should be removed from files to avoid confusion. There is a document that is called the service delivery agreement that is used to assess peoples needs. It covers all personal care and daily living needs and it is completed before a person moves into the home. A copy of the needs assessment that social services carries out is also available to provide further information about the Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: individual persons needs. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal care needs of people living in the home are met effectively by the staff and support is provided in a way the ensures peoples privacy, dignity and choice is respected. Evidence: We looked at the care plans of all six people who live at the home to check on the care they were receiving. These showed the areas of support that was needed and how this was going to be provided by the staff team. Also available were 24-hour summary sheets of daily routines which were very useful to the staff team. Monthly key worker report sheets had been produced to give an account of each persons daily activities and it is recommended that this is developed further to give a full picture of each persons activities over each month. People who live in the home are assisted in making their own decisions about their daily lives. Individual choices are recorded in the care records so that staff know what Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: peoples preferences are and how they would like the support to be provided. People who live in the home are supported in managing their own finances and appropriate records are kept regarding this to show it is completed correctly. Staff encouraged the people who live in the home to do whatever they want to do. Risks are assessed and assessments are produced to make sure that people are safe in what they do. A wide range of risk assessments are available and these were up to date with reviews held to make sure they are still appropriate. 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. The people who live in the home were able to take part in a range of activities so they can stay active and staff help people to stay in touch with their families and friends. Evidence: Activities provided for people who live in the home included meals with friends, taking part in cooking, flower arranging, working on the allotment, woodwork and craft classes, taking part in computer sessions and current affair classes. People also go out for meals, to visit the cinema or theatre, holidays, visiting families and friends and using the dial-a-ride trippers trips for other local trips out. People spoken with said that they really enjoyed going out on the local bus. People who live in the home are offered choices in various ways, such as in the time they get up or go to bed, what they wear or by deciding what they do each day. Also Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: by deciding on whether or not to join in activities and also by how they wish to be addressed. These give people some control over their own lives and helps them to stay as independent as possible. A record of what each person eats and drinks is kept and these showed a variety of meat, fish, cheese, eggs and vegetables. The lunchtime meal tended to be a snack meal with each person often having something different and the main meal was usually in the evening. We saw lunch being provided during our visit. People were offered a variety of foods to choose from and after the meal each person said they had enjoyed what they had eaten. 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. The health care needs of the people who live in the home are met by the staff team in a way that promotes the persons independence, privacy and respect. Evidence: A monitored dosage system is used for medicines taken by the people who live at the home. Medication administration record sheets were completed when medication was administered. However in the controlled drugs register, it was seen that staff had ceased to complete a double signature for these medications. Two signatures are required to ensure that proper procedures are undertaken when administering controlled drugs and a requirement was made. The manager stated that she would make sure that all the staff were aware that two signatures should be used, and she would find out why staff had stopped this practice? It was also recommended that the controlled drug register is audited on a weekly basis so that any errors could be quickly identified. Staff complete medication training so that they know who to give medication to and are able to do this safely. It was recommended that the drug storage trolley be secured to the wall when not in use for further security of medication. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Visits from health care professionals were recorded and we saw from the records that visits to the GP, dentist, optician and chiropodist had been undertaken. It was confirmed that these people would visit the home if required to make sure that people remain well. The previous recommendation regarding health care notes that the last entry should be transferred onto the new sheets remains outstanding and is made again. From discussions with the people who live at the home it was clear that personal support is carried out as each person prefers, so that choice and respect are maintained. 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. The homes procedures for complaints and safeguarding adults are effective so that the concerns of people who live at Edward Street are listened to and they are protected from abuse and harm. Evidence: We looked at some of the staff files and saw that they had completed training on safeguarding adults. The manager confirmed this and showed that she was aware of the policy, procedure and guidance on safeguarding. Other policies were available regarding the protection of vulnerable adults and whistle blowing and these were available in the policy and procedure file and also on the organisations intranet for staff to look at. No safeguarding referrals had been made by the home over the last year. The complaints procedure was satisfactory and contained details of how to contact the commission. A large print copy was seen on the noticeboard and around the building. We have received one anonymous complaint about the home since our last inspection there. This was investigated during this visit and no evidence could be found to substantiate the complaint, therefore it was not upheld. The home had not received any complaints. People who live at the home said that they would speak to the staff or manager if they had a problem. Care Homes for Adults (18-65 years) Page 19 of 29 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. The home is well-maintained so that people who live at Edward Street live in clean, safe and comfortable surroundings. Evidence: We had a look around the home during our visit and saw all the shared (communal) areas and some of the bedrooms. All the bedrooms are single and the standard of decor is good. The home was clean and odour free. People who live at the home had made their bedrooms more homely using pictures, furniture, photographs and having TVs, DVDs, computers and music players which they either brought with them or purchased after moving in. All the people had chosen their own bedroom decor and had been involved in the choosing of the colours used in the communal areas. The previous recommendation with regard to the slight damage to the walls and door frames had been attended to and new security gates had been provided at the property to further protect the people who live in the home. Care Homes for Adults (18-65 years) Page 21 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. The recruitment procedures are thorough and staff had completed a wide range of training so people who live in the home are protected from poor practices. Evidence: The staff rota showed the staff on duty over the week. The staffing levels appeared to be sufficient to meet peoples needs. People who live in the home confirmed there were usually enough staff around to help them and during our visit we saw that staff were attentive to peoples needs. We checked three staff files to see how they had been recruited. All the necessary preemployment checks had been carried out and these included Criminal Record Bureau checks, identity checks, health checks, references and application forms. These checks are carried out to make sure that staff are suitable to work with the people who live in the home. A previous recommendation about the reorganisation of the staff files had been completed so it was easier to find all the relevant information about each person. The training staff had completed included a full induction which is linked to the Skills for Care and can be used to lead into the National Vocational Qualification (NVQ) level 2 in care. Other courses that staff have undertaken included moving and handling, fire Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: awareness, health and safety, cerebral palsy, first aid, food hygiene and care of medicines. Other courses include complaints resolution, adult protection, diversity and NVQ level 2 in care. Good progress has been made with the NVQ level 2 training. Seven out of ten staff have obtained this award. This means that a high percentage of staff have a nationally recognised qualification in care to help them provide good quality support for people who live in the home. Day to day supervision of staff was good and annual appraisals are carried out in June and these were up to date. Formal supervision sessions had been completed in the past and a few were up to date. We recommend that all these should be brought up to date, as formal supervision enables the managers to make sure that staff have a chance to discuss their work so they can continue to provide good quality care to the people who live in the home. Care Homes for Adults (18-65 years) Page 23 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. The procedures within the home are thorough so the health, safety and welfare of the people who live in the home is protected. Staff were supervised and there were processes in place to make sure that home is run in the best interests of the people who live there. Evidence: At the time of this report the home does not have a manager. It is recommended that a manager be appointed and that they then apply to be registered with the commission. The service manager from another area is currently overseeing the home to ensure that support is available to the team leader and the staff team. There is an established quality assurance process used in the home. This includes meetings for people who live and work at the home, monthly visits by a senior representative of SCOPE, and satisfaction surveys completed by people who use the service, their relatives and visitor satisfaction surveys. The surveys were completed in July 2008 and people commented generally very happy with the staff and the home. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: All the people commented about the lack of transport available to them, but since the surveys have been returned this issue has been resolved and on discussion people were happier about the access to transport. Visitors commented on surveys that theyWe are always well greeted, Made to feel welcome and I was made to feel welcome and offered refreshments. It was recommended that an analysis should be produced from the information from the surveys and that this should be shared with the people who live in the home, their families, staff, other stakeholders and the commission. This recommendation was made during the previous visit and has been made again. Resident meetings are held regularly and we saw from records that health and safety, accommodation issues and staffing issues were discussed. Monthly visits are made to the home by the provider and the purpose of these visits is to check how the home is running. All the records were up to date and no issues had been raised recently. Some policies and procedures were seen during this visit. A file is kept with policies and procedures and staff have access to these through Scopes Intranet. We saw that safe working practices were in place within the home. There were up to date safety checks on the homes gas installation and electrical hard wiring system. These are undertaken to ensure that the home is safe for the people who live there. The accident book was kept up to date and records seen were stored appropriately. The fire safety equipment test log book was up to date and completed appropriately. A range of policies were available relating to health and safety and these included dealing with hazardous substances, a variety of risk assessments and health and safety at work. Care Homes for Adults (18-65 years) Page 25 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 26 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 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 The medication noted in the controlled drugs book must be signed for by two members of staff. To ensure that proper procedures are undertaken with regard to controlled drugs. 27/02/2009 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 1 1 Some of the information within the statement of purpose needs to be brought up to date so that people have accurate information about the home. The monthly key worker report sheets should be developed so that a full picture of each persons activities over each month can be seen. The last entry of each health care note sheet should be transferred onto the new sheets before they are filed away so that staff and visiting professionals have easy access to the information regarding the last visit made. The drug storage trolley should be secured to the wall when not in use for further security of medication. 2 7 3 19 4 20 Care Homes for Adults (18-65 years) Page 27 of 29 5 6 20 36 The controlled drug book should be audited on a weekly basis so that any errors could be quickly seen. Formal supervision sessions should be brought up to date, as this enables the managers to make sure that staff have the opportunity to discuss their work. The provider should appoint a manager as soon as possible and then they should apply for registration with the commission. An analysis should be produced from the information on the surveys and that this should be shared with the people who live in the home, their families, staff, other stakeholders and the commission, so that people can see what others think about the home. 7 37 8 39 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk 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. 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