Care Home: The Gables

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What the care home does well Prospective residents are given information about the home to help them decide if it is the right place for them. The home carries out, and records, assessments of need of those referred for possible admission. This helps the home in deciding to admit only those whose needs it can meet. Residents state that their health and personal care needs are met. This was also echoed by the staff and a healthcare professional. Staff are said to be kind and respond quickly when residents ask for assistance. Residents are given a copy of the home`s complaints procedure and staff are trained in the principles and procedures for protecting vulnerable adults. The home`s environment is clean, homely and well maintained. Specialist equipment is provided in bathrooms so that residents can safely access bathing facilities. Sufficient numbers of well trained and motivated staff are provided to meet residents` needs. The home`s staff recruitment procedures are thorough helping ensure that checks are carried out so that residents are protected. The home is well managed and run in the best interests of the people who live there. What has improved since the last inspection? The care plans have been reviewed and updated and the staff now have a key responsibility for monitoring care and records for named individuals. Staff training has been provided in dementia care, adult protection, the Mental Capacity Act 2005, deprivation of liberty procedures and infection control. The manager has been able to attend courses run by the local authority that allow her to train staff in adult protection and other subjects. Staff have been trained in National Vocational Qualifications in care. Specialist equipment has been purchased for activities for the residents. The environment has been improved. A new kitchen has been installed and the home has been rated as `excellent` for food hygiene standards by the Environmental Health Services. Toilets have been refurbished and user friendly taps installed. Bedrooms have been redecorated. Management and senior staff team meetings have been introduced. What the care home could do better: The home`s medication procedures need to improve so that there is an accurate dated record including the time that residents are supported to take their medication. Storage of medication classed as a controlled drug need to comply with the Misuse of Drugs (Safe Custody) Regulations 1973. Recording of the handling and administration of this medication should be in line with that of a controlled drug; this is a goodpractice recommendation. Clear guidelines need to be recorded so that staff have consistent procedures for the circumstances when occasional medication is required. Staff should be provided with protective gloves that are tight fitting and suitable for the control of hygiene. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Gables 13 St. Mary`s Road Netley Abbey Southampton Hampshire SO31 5AT     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: Ian Craig     Date: 2 0 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 Older People 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 Older People 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 Older People Page 3 of 29 Information about the care home Name of care home: Address: The Gables 13 St. Mary`s Road Netley Abbey Southampton Hampshire SO31 5AT 02380452324 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): davidjackson@thegablesresthome.fsnet.co.uk Mr David Jackson,Mrs Thelma Jackson Name of registered manager (if applicable) Miss Heather Jean Cardy Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 24 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Dementia (DE) Date of last inspection Brief description of the care home The Gables is a privately owned and managed care home offering accommodation and personal care for up to 24 people over the age of 65, some of whom may have dementia. Care Homes for Older People Page 4 of 29 care home 24 Over 65 0 24 24 0 Brief description of the care home The home is located in the quiet residential area of Netley on the outskirts of Southampton within walking distance of local shops and access to the M27 motorway. Accommodation is available on two floors and consists of 14 single and 5 double bedrooms. Communal space comprises a lounge, dining room and large conservatory on the ground floor. There is an enclosed garden and patio area at the rear of the property and ample parking at the front. Roadside parking is also available. At the time of the inspection the fees ranged from 435.00 to 460.00 pounds sterling per week. Care Homes for Older People 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection consisted of a site visit of approximately 4 hours, during which a tour of the home took place. Two staff were interviewed about their work at the home. Three residents were interviewed and several other residents were spoken to. Discussions took place with the manager. A healthcare professional also gave his/her views on the service provided by the home. Surveys were sent by the Commission to residents, health and social care professionals and staff, asking for their views on the service provided by the home. These were returned by 7 staff and 7 residents. Information contained in the surveys has been used for this report. Care Homes for Older People Page 6 of 29 Records, documents and policies and procedures were looked at. Staff were observed working with the residents. Care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for this report. What the care home does well: What has improved since the last inspection? What they could do better: The homes medication procedures need to improve so that there is an accurate dated record including the time that residents are supported to take their medication. Storage of medication classed as a controlled drug need to comply with the Misuse of Drugs (Safe Custody) Regulations 1973. Recording of the handling and administration of this medication should be in line with that of a controlled drug; this is a good Care Homes for Older People Page 8 of 29 practice recommendation. Clear guidelines need to be recorded so that staff have consistent procedures for the circumstances when occasional medication is required. Staff should be provided with protective gloves that are tight fitting and suitable for the control of hygiene. 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 Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Potential residents are given information to help them decide if the home is right for them. The home carries out assessments to help ensure that it accommodates only those whose needs can be met. Evidence: The AQAA states that all potential residents are offered a brochure, a Service Users Guide and a Statement of Purpose. Each person who completed a survey states that they received enough information about the home before moving in. Each persons needs are assessed before they move into the home. This involves an assessment of the persons needs by either the manager, or the owner, using a pro forma which is completed, signed and dated. These were seen for 4 people who have moved into the home since the last inspection. The pre admission assessment pro forma includes the persons details such as next of kin and general practitioner as well Care Homes for Older People Page 11 of 29 Evidence: as the following needs: walking, falls, confusion, feeding, dressing, washing, diet, hearing, communication, sight, continence, district nurse services, recreation and social needs and weight. Risk assessments are also completed and recorded. Care Homes for Older People Page 12 of 29 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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 home meets the health and personal care needs of the residents. Residents are treated with dignity and their privacy respected. The homes medication procedures need to change so that the system of storing, administering and recording medication is safer. Evidence: The manager described how the care plans have been recently reviewed and that a keyworker system has been introduced whereby named staff are responsible for updating allocated residents care records. Care plans were looked at for 4 residents. These are structured on the following care needs: dressing and undressing, washing, bathing and drying, using the toilet, dining, drinking and snack preparation, gross and fine mobility, recreation and leisure, hearing, oral care, foot care, family and social needs, risk assessments and mental Care Homes for Older People Page 13 of 29 Evidence: health needs. Each person has a night care plan giving details of the routines that the person has for teeth cleaning, hair,washing and other personal care needs. Records are made by staff to show when care routines are completed. Residents acknowledge the content of the care plans by recording their signature. Each person has a handling assessment with moving and handling instructions for staff to follow. A social history is recorded for each person. The home has introduced assessments under the Mental Capacity Act 2005 and staff have received training in this. Care records record the name that the person likes to be called by. Surveys from 4 of the 7 residents state that they always receive the care and support they need. The remaining 3 surveys state that this is usually the case. Residents also said that their medical needs are met and that staff are available when needed. One person said that the staff are very helpful, saying that staff respond promptly when the call points are used to summon help. Two other people spoken to on the day of the visit said that the personal care they receive is good. A health care professional said that the staff are very caring, are motivated to develop their care skills, and, have a good knowledge of the changing care needs of the people who live in the home. The homes staff and management are said to work well with the community health and mental health services and will ask for advice on care matters such as medical and lifting needs. A resident said how he/she is able to get up in the morning and go to bed when he/she prefers. Another resident said how he/she can choose where he/she eats his/her meals and prefers to spend time in his/her bedroom. The manager said that residents are able to have a key to their bedroom door if they wish and that in the past one person has used this facility. Those that share bedrooms have a privacy screen which was evidenced from observation and discussion with a resident. Care Homes for Older People Page 14 of 29 Evidence: The homes medication procedures were looked at. Each resident has a list of their current medication. A record of the signature used by each staff member to sign medication records is maintained. The home has a medication procedure which staff are required to read. Each staff member records their signature to acknowledge that they have read the procedure. The procedure needs to be updated to include details of the how controlled drugs are stored and administered, and the steps that staff should follow for any occasional medication. Medication is supplied in either blister packs or pharmacists bottles or packs. Two systems of recording are supplied by the pharmacist: medication administration recording sheets with the date but no specific times the medication should be taken other than how many times a day, and, a slip at the top of each blister pack with the time the medication is due but not dates other than a date stamp of 27/04/09 for a course of medication commencing on 11/05/09. Staff recorded a signature each time medication had been administered by recording on the tear off slips but no record is entered on the medication record sheets. For occasional medication the manager compiles another recording sheet which staff sign when they administer this medication. Whilst the records of medication administered are not completely clear the blister packs and signatures of staff indicate that residents receive medication as prescribed. For this reason, the judgement for health and personal care still shows good outcomes for residents. Three residents have medication as required for mental health needs. Guidance for staff to follow, so that medication is consistently given, is not recorded with only the following recorded on the medication record sheets: agitation or severe agitation. The manager acknowledged that this should be recorded in more detail. Medication classed as a controlled drug for the purposes of storage are not stored in a controlled drug cupboard as specified by the Misuse of Drugs (Safe Custody) Regulations 1973. Good practice procedures for the recording by two staff, including the balance remaining, are not used for this classification of medicine. Care Homes for Older People Page 15 of 29 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Residents benefit from a range of activities and outings that are arranged according to their needs. Nutritious and varied food is provided by the home. Evidence: Surveys from residents state that activities are either always or usually provided. Residents spoken to on the day of the visit also said that a range of activities are available. One person said that he/she prefers not to take part in the activities but that he/she is always asked if he/she wants to join in. The activities include outings and the home has its own mini bus to take people out. In the past, outings have included trips to the zoo, the theatre and trips on the river Hamble. 3 residents said that there hasnt been any outings this year and that they would like one. This was raised with the manager who said that outings take place in the summer and would be taking place shortly. Activities taking place in the home include movement to music, reminiscence, bingo, crafts such as card making, sing alongs and board games such as scrabble. Religious Care Homes for Older People Page 16 of 29 Evidence: services take place in the home. Musical entertainment takes place including a violinist and a keyboard player. A record of activities is maintained. Residents were observed reading books and newspapers in the lounge areas. One person said how he/she has specialist equipment to read books. The manager has attended a training course in planning activities for people with dementia. The home has working books for providing activities for those with dementia. A menu plan is used and picture menus are used to help residents understand the meals. A record is kept of the likes and dislikes of the residents regarding food. The manager said that residents are offered a choice at meal times. One person said that a choice is available and another person said that an alternative is always available. Residents spoke of being able to have cooked food for breakfast, such as a poached egg, although 2 people also said that they would like to have a full cooked English breakfast occasionally, such as at weekends. Surveys from residents state that they either always or usually like the food. One relative said, Care is taken by The Gables to ensure that she receives the foods she likes and needs for her care. One person said that the staff help him/her with his/her food by cutting it up. The midday meal on the day of the visit was home made steak pie with mashed potatoes, broccoli and mixed vegetables. The meal looked appetising and staff were seen helping residents to eat where needed. It was noted that where a resident had pureed food that all food was liquidised together. A suggestion was made that by pureeing the food items separately the meal would look more appetising and the resident would be able to experience the different food tastes. Care Homes for Older People Page 17 of 29 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 has an effective complaints procedure. Measures are taken to protect residents from possible harm. Evidence: The homes complaints procedure is contained in the Service Users Guide which the manager says is provided to each resident. Residents who returned a survey state that they know what to do if they have a complaint and know who to speak to if they are not happy. The AQAA states that the home has received one complaint in the last 12 months. Records of the complaint and how the home dealt with it were not available. The home has a copy of the local authority adult protection procedure. The manager has completed a training course run by Hampshire Social Services, which qualifies her to train staff in safeguarding vulnerable adults procedures. There has been one safeguarding referral which social services are dealing with. The manager says that the home is working with social services to improve its practices where this is needed. Care Homes for Older People Page 18 of 29 Care Homes for Older People Page 19 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, 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. 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 environment is clean, well maintained, comfortable and promotes the dignity of the people who live there. Evidence: A number of bedrooms and all of the communal areas were seen. There is a lounge and dining room on the ground floor as well as a conservatory area. Residents were seen using these areas. Decoration in these areas is intact and appropriate to the age of the residents. Bedrooms contain items of personal possession which the residents have brought to the home. There are 14 single and 5 double bedrooms. Lockable storage is provided for each resident in their bedroom. Six bedrooms have an en suite toilet. There are 3 bathrooms each with a modern specialist bath. These are located on each floor. In addition to this there are 4 toilets. The home has a laundry room and sluice facilities. Access to the different floor levels is aided by a passenger lift and a stairlift. The home has specialist equipment such as mobile hoists. Care Homes for Older People Page 20 of 29 Evidence: The home was found to be clean and free from any offensive odours. Surveys from residents state that the home is always clean and fresh. Staff receive training in infection control. Staff said that the protective gloves supplied by the home are not tight fitting and cause problems for hygiene control. Staff said that they have raised this with the homes management. The manager agreed to address this. Care Homes for Older People 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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 home provides a well motivated and well trained staff team supplied in sufficient numbers to meet the needs of the people who live there. Evidence: The home provides the following staffing levels: 7.30am to 8.30am 2 carers and a cook, 8.30am to 2pm 4 or 5 care staff , and, 2pm to 8pm 3 care staff which includes a senior care staff member. The manager works in addition to these hours. Night time staffing consists of 2 waking staff. The home also employs the following ancillary staff: 2 cooks, a kitchen assistant and 2 cleaners. The rota and observation on the day of the visit shows that the home is supplying these staffing levels. Staff said in the surveys and during the visit that there are sufficient staff to meet the needs of the residents. The home has an induction procedure for newly appointed staff. Each staff member Care Homes for Older People Page 22 of 29 Evidence: who completed a survey said that they received an induction which prepared them very well for the job. The manager completes an induction checklist to show that staff are instructed on the homes procedures before they work as part of the care staff team. A fuller induction based on the nationally recognised Common Induction Standards is completed and recorded. Records are kept of training courses completed by staff. These were looked at for 2 staff and the manager. The following courses have been completed since April 2008: adult protection, Mental Capacity Act 2005 and deprivation of liberty procedures, skin care and ageing, planning activities, effective management, infection control, food hygiene, moving and handling and first aid. Staff said in surveys that they are given relevant training which helps them understand the differing needs of the people they care for and that they are kept up to date with new ways of working. The manager said that 9 of the 20 staff have attained National Vocational Qualification (NVQ) level 2 or above and that 3 staff have NVQ level 3 or are studying for the qualification. The AQAA states that 13 of the 20 staff have NVQ level 2 or above. Staff spoken to on the day of the visit said that they attend various training courses including NVQ, dementia, palliative care and fire safety. Training is said to be of a good standard and is ongoing. Recruitment procedures were looked at for 3 people who have started work at the home since the last inspection. Checks had been carried out on each person including obtaining 2 or 3 written references, criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks. Residents described the staff as kind and helpful. A health care professional said that the staff are caring, have a good knowledge of residents changing needs and are motivated to develop their skills. Care Homes for Older People Page 23 of 29 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 managed and run in the best interest of the people who live there. Evidence: The manager is qualified at NVQ level 3 and intends to start the Registered Managers Award course in the near future. She has also completed various other training courses including an effective management course. A healthcare professional said that the homes staff are well managed. Staff described the manager as supportive and approachable. The homes management use surveys to ask health care professionals, residents and their relatives for their views on the service. Residents meetings are held and a record of these is kept. There are staff meetings and senior staff meetings where matters about the home and care of the residents are discussed. The home has a decoration plan but does not have an annual development plan for the Care Homes for Older People Page 24 of 29 Evidence: overall service. Monthly visits and a report are completed by one of the owners. Copies of these were seen. Monies and valuable are held for safekeeping for some residents. A record is kept of any amounts deposited or withdrawn with a corresponding balance. The amounts held were checked for one person and this tallied with the records. Staff say that they meet with their manager for support and to discuss ways of working. The manager uses a plan to arrange supervision which takes place six times a year. Records of supervision are maintained and were seen. The manager has completed a training course in supervising staff. The AQAA confirms that the homes appliances and equipment are tested and serviced by suitably qualified persons. Staff are trained in first aid, food hygiene, moving and handling and infection control. Care Homes for Older People 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 Older People 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 9 13 A record must be maintained 24/07/2009 of the date and time that each medication is adminstered to each resident. So that the home can demonstrate and track medication taken by residents. 2 9 13 Controlled medication, including temazepam, must be stored in a controlled drug cabinet as required by the Misuse of Drugs (Safe Custody) Act 1973. So that medication is securely stored. 20/08/2009 3 9 13 The homes written medication procedure must be amended to include details of the procedures that staff should follow for the storing, administration and recording of controlled drugs. 24/07/2009 Care Homes for Older People Page 27 of 29 So that medication is safely stored and administered. 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 9 Where medication that is classified as having to be stored, but not adminsitered as a controlled drug, two staff should record the amount given, including a balance of the remaining medication plus their signatures. Care Homes for Older People 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 Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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