Care Home: The Laurels - Fontwell

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well The Laurels provides an attractive, homely and well maintained environment and people tell us that they are very happy living there. People have their needs and wishes assessed and recorded in a plan of care and they have access to both physical and emotional health care support. The home excels in the day care and community options available to people and Service Users have supported employment opportunities, attend courses, have a wide choice of social activities they attend and they and keep in contact with their families and friends. People tell us that they are consulted in the running of their home and that the staff team are kind, caring and supportive. What has improved since the last inspection? Although the excellent lifestyle opportunities for Service Users has been sustained there have been identified shortfalls in health care systems and record keeping. What the care home could do better: Health Action Plans should be updated to include clear instructions for the staff team as to how to identify and manage Epilepsy care. To ensure the safety of Service Users at all times the system for recording and administering medication must be reviewed and updated. Records such as recruitment files and evidence that the staff team have attended training that evidences that they have the required skills and experience to support the identified needs of Service Users must be reviewed and updated Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Laurels - Fontwell Arundel Road Fontwell Arundel West Sussex BN18 0SB     The quality rating for this care home is:   one star adequate 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: Annie Taggart     Date: 2 4 0 6 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 28 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 28 Information about the care home Name of care home: Address: The Laurels - Fontwell Arundel Road Fontwell Arundel West Sussex BN18 0SB 01243544514 01243544514 paul.clausen@care-ltd.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Self Unlimited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 6 The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies 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 categories: Learning disability (LD). Date of last inspection Brief description of the care home The Laurels is a care home registered to accommodate up to six service users who have a learning disability (LD) and are aged between eighteen and sixty-five years. The Laurels is a purpose built care home that was opened in 1996; it is situated in the rural village of Fontwell near Chichester. Service users are accommodated in single rooms on the first floor, which is accessed by a flight of stairs. Every bedroom has a wash hand basin and there are are two bathrooms with separate toilet facilities on the Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home first floor. On the ground floor there is a communal lounge and an open plan kitchen and dining room. There is a large enclosed garden and patio area. Cottage and Rural Enterprises (CARE) own The Laurels. Mr Peter Williams is the responsible individual for the organisation. There is no registered manager at the present time and the post is vacant. Care Homes for Adults (18-65 years) Page 5 of 28 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: one star adequate 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: In preparation for this visit we looked at the last inspection report and any other information we have received about the home since the last key inspection. An Annual Quality Assurance Assessment (AQQA) was sent to the manager for completion, this was returned within the given timescales and contained clear and comprehensive information about the home. Surveys were sent to Service Users, Staff and professionals involved with the home, Five Service Users, three staff and one health care professional surveys were returned and all made positive comments about the service being provided in the home. The unannounced visit was carried out at 4pm on Wednesday 24th June and the visit Care Homes for Adults (18-65 years) Page 6 of 28 lasted for three and a half hours. During the visit we tracked the care plans and all supporting documentation for three of the six people currently living in the home and we looked at the system for recording and administering medication. Service Users asked if they could meet with the inspector together and this was achieved by having a cup of tea and discussion together over forty minutes in the dining room. People told us about their day care activities, hobbies and interests and how they were involved in menu planning, they told us they were consulted about the running of their home and how they were supported by the staff team. Everyone was very positive about their home and said that they enjoyed their chosen lifestyles. Records for the running of the business were seen and this included health and safety and maintenance records, Regulation 26 registered Providers reports, Regulation 37, incident records and the homes fire records. The recruitment and training records were tracked for three members of staff and we saw that not all of the required evidence was available at the home. The acting manager, who was at another home in the group at the time of the visit, came into the home to provide information and receive feedback following the visit. Following the inspection visit we received a letter from the Responsible Individual, Mr Williams, commenting on the draft report and informing us that the issues highlighted in the report had been addressed. What the care home does well: What has improved since the last inspection? What they could do better: 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 8 of 28 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 9 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users and their families have the information they need about the services on offer in the home. People have their need and wishes assessed and recorded and agree contacts of terms and conditions of residency. Evidence: There is clear and accessible information available about the services on offer in the home. Recently the organisation that owns that home has been re-branded and we saw that the information had been updated to reflect this. No new service users have been admitted since the last key inspection and from looking at records and from talking to people we saw that all of the people currently living in the home had been involved in a comprehensive and structured assessment process, they had been able to visit and stay at the home and had signed a contract of terms and conditions of residency. People told us that they were able to spend time in the home meeting the other people Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: who live there prior to moving in and had met the people they would be living with. One person told us I love living here, we all get on together and I would not want to live anywhere else. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs and wishes recorded in a person centred plan of care, they are involved in the process and the plans are kept under regular review. Evidence: For each person living in the home there is a detailed plan of care in place in place. The plans are person centred and give the staff team clear information about the individual support needs and wishes of each person using a system called Essential Lifestyle Planning. Care plans detail personal care preferences, social and emotional needs, daily and weekly activity programmes and risk assessments both personal and environmental. There is also a shortened version of the care plan in a working file that gives an overview of how people are to be supported. From tracking three care plans we saw that they are regularly reviewed and updated and that daily records are completed. There was evidence both from records and from talking to service users that care plans are agreed and discussed and that people are supported to be as independent as Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: possible. Each plan that we tracked had been agreed and signed by the person it related to. We saw that not all of the information relevant to services users care had been detailed in the daily care plans and the new manager told us that she was in the process of reviewing the files and producing a more user friendly version. Care Homes for Adults (18-65 years) Page 13 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home have access to a wide variety of day care, social activities and hobbies , they are involved in and consulted about the running of their home and are offered a choice of fresh, home cooked meals. Evidence: The six people currently living in the home asked the inspector if they could all sit down together so that they could discuss their life at the Laurels. This was done over a period of forty minutes and it was evident from the information that was discussed that people are having a happy and fulfilled lifestyle. Each person has a daily and weekly activities programme and as well as attending the Self Unlimited activities programme, people told us that they had supported employment jobs such as working in a charity shop, being a volunteer at the Amberley Chalk museum, working at a day centre for older people, gardening in the Bishops Gardens in Chichester and being a Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: volunteer at the Cats Protection League. One person told us that they worked with professional artists in Chichester and another person enjoys gardening. As well as day care activities people have lots of hobbies and we were told that some people go horse riding, swimming, and enjoy photography and bird watching. People attend discos and local clubs, they regularly go shopping and we were told that annual holidays are arranged. One person told us that they had a holiday booked on a tall ships training vessel and others were booked to go on a caravan park holiday. One person told us that they were supported to attend a church of their choice and also a religious group and we were told that people kept in contact with their families and friends. From talking to people and looking at records we saw that people are fully involved in the running of the home and they have their own agreed tasks to carry out. One person cuts the grass and grows tomatoes and vegetables in the green house and others help with housework and cooking. People have keys to their bedrooms doors and one person told us, I lock my door when I go out so that other people cannot go in there. In care plans we saw that there are signed agreements with people for the staff to enter their rooms in an emergency, for example if maintenance work is needed. Menus and food records showed us that people are offered a choice of fresh, home cooked meals, Service Users told us they took turns in helping to make up the menus, they help with cooking meals and go shopping for the house. There are pictorial choices of menu in place and we saw that people make their own packed lunches when going out for the day. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although people have their physical and emotional health care needs addressed, their are potential risks to Service Users by guidelines for peoples support not being complete and by improvements being needed in medication management Evidence: There is a Health Action Plan in place for each person living in the home and these had recently been reviewed and updated. From looking at records and talking to Service Users we saw that people are being offered support for both their physical and emotional health care needs. People told us that they regularly attended appointments with the dentist, optician and chiropodist and this was recorded in daily records. People also told us that they had good relationships with the local Community Learning Disability team and one person said, they are very helpful, you can talk to them and they ask you questions, they listen and then give you good advice. For one person who suffers from epilepsy we saw that there was a regular check up Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: carried out at the local surgery and there was a record of when seizures had occurred. From looking at records we could not see that there was an epilepsy plan in place that clearly identified to new staff what, for example, this persons seizures looked like, neither was there a clear risk assessment in place to guide the staff team what action to take should a seizure occur outside of the home. We spoke to the manager about this and she said that she would ensure these were put in place. There are policies and procedures in place for the storage and administration of medication and from looking at records we saw that there is a list of administrators in place who have attended the relevant training. When looking at Medication Recording Sheets (MAR) we saw that a number of medications had been transposed by being hand written by staff and these had not been signed and dated. We discussed this with the manager and found that there is no one on the staff team with the qualifications and training to transpose MAR sheets and we discussed how this posed a potential risks to Service Users by, for example, details not being copied correctly. A Requirement has been made regarding this Standard. Care Homes for Adults (18-65 years) Page 17 of 28 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. Complaints and concerns are recorded and acted upon and the staff members on duty at the time of the visit were aware of their responsibilities to report any suspected abuse. Evidence: There is a complaints procedure in place, a copy of which is included in the Service User Guide and also displayed in the home. Service users told us that their complaints and concerns were always listened to and one person said, the staff here are very good, they listen to us and always try to put things right. When asked how disputes between people are handled within the home, another person told us, I sometimes get a bit angry but there is an agreement in place that if we are cross, we give each other time out, we go and do something else and then we come back together and say sorry. From observation during the visit and from looking at records we saw that people are treated with dignity and respect and they have their views listened and responded to by the staff team. From looking at training records that were kept in the home we could not determine if all of the staff team had attended training in the protection of vulnerable adults from abuse. Following the visit were were sent a training matrix that identified that some of Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: the staff team had attended but all records were not complete. The staff on duty at the time of the visit were aware of their responsibilities and told us that they would report any suspected abuse straight away. Care Homes for Adults (18-65 years) Page 19 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Laurels provides a pleasant, safe, homely, clean and safe environment for the people who live there and the home is decorated and furnished to a high standard Evidence: The Laurels provides an attractive, homely and well maintained environment and people told us that they were happy living there. There is a large communal lounge and a light and airy kitchen/dining room and people have easy access to a pleasant and well maintained gardens, where they grow vegetables and flowers. The home is decorated and furnished to a high standard and there are samples of service users art and pottery on show. Service users private bedrooms have been decorated to their individual taste and have been personalised with their own belongings. People were very proud of their private space and showed us evidence of the hobbies and interests they followed and they told us that they were involved in cleaning and maintaining their rooms. One person said, I really love living here and I have all my own things in my room. Maintenance records were up to date and the home was very clean and hygienic throughout. Care Homes for Adults (18-65 years) Page 20 of 28 Care Homes for Adults (18-65 years) Page 21 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the staff team are kind and caring in their approach to caring for Service Users, improvements are needed to clearly evidencing recruitment practices and updating staff training files. Evidence: From looking at staffing rotas and talking to the staff on duty we saw that there are sufficient staff on duty to meet the assessed needs of the people currently living in the home. The rota showed that there is usually one staff member on each shift. We asked the manager and staff member on duty how peoples diverse needs were being met, for instance if people wanted to attend differing activities and we were told that extra staff would be provided to support this and as there are other Self Unlimited homes in the close vicinity, people sometimes shared transport to day care and social activities. The people living in the home were very complimentary about the staff team, describing them as kind and helpful and one person said, all the staff are really lovely, they help us with everything and ask us what we would like to do. From conversations held and observation during the visit we saw that the staff member on duty was aware of the needs of the people she was supporting and had a very good rapport with them. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: We tracked the recruitment files for four members of staff including one recently recruited person and found that they were not all in place at the home. The files showed that an intensive interview process is undertaken and that at least two references had been gained for each person. There was no evidence of POVA first or Criminal Bureau Checks (CRB) kept in the home for three people and for one person who was shadowing and being inducted on the day of the visit, although there was a letter saying that POVA First had been applied for there was no evidence that it had been gained. The manager told us that she understood that this evidence should be available at the home and said that it was probably at the core base for Self Unlimited, which is near by. Evidence was faxed to the inspector the next day to show the Criminal Bureau Check (CRB) numbers for all of the staff team and this also showed that a POVA First had been gained for the new member of staff on 23/06/09. New staff undergo induction via the Learning Disability Qualification and we saw evidence of this is in the work book for one person. Training files were not complete as training certificates could not be located for all staff. The manager also faxed the inspector a training matrix, which showed that staff had attended most mandatory training but this was not available for bank staff who work at the home. The training matrix also did not identify if some courses had been attended and two staff members had not had training in epilepsy awareness. Care plans identified that some Service Users have Autism and also at times display difficult behaviors but the training matrix did not show that this training had been attended by any of the staff team. In the AQAA we are told that two of the four core staff team have NVQ at Level 2 or above but we could not confirm this at the visit as evidence such as certificates were not in the home. The manager said that she would track down the evidence that people had attended training and would also update recruitment files. A Requirement has been made for this Standard. Records show that the staff team receive regular supervision and support and in a returned staff survey we are told, I always feel listened to and have a very good relationship with all of the staff team. A survey from a health professional said, it is a friendly and welcoming service, the staff carry out the work that is asked of them and they have Service Users interests foremost. Care Homes for Adults (18-65 years) Page 23 of 28 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. Although the manager of the home has the required skills and experience and Service Users have opportunities to give feedback on the service being provided, improvements are needed to health care recording, medication management and to recruitment and training evidence. Evidence: There has recently been a new manager in the home who is presently the Registered Manager for another of the homes for Self Unlimited. The manager has the skills and qualifications required, having NVQ 4 and The Registered Managers Award (RMA) and we have been informed that she is currently applying to be registered as the manager across both homes. There is an organisational quality assurance process carried out that elicits the views of families and other professionals and we saw surveys for Service Users on their files in the home. People told us that they also have an opportunity to give feedback on the service being provided at the weekly house meetings. Regulation 26, Registered Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Provider visits are carried out monthly and we saw that detailed reports with agreed action plans are completed. People are supported to manage their own monies and have locked cash boxes and records and for one person who is being supported with their expenditure we saw that records and receipts were kept and the money in their tin checked with the records. We looked at health and safety and maintenance records and saw that fire training and fire records were up to date and Service Users told us how they would evacuate the house if a fire occurred. Incidents and accidents are recorded and monitored and health and safety hazards identified and addressed by clear risk assessment. As identified in other areas of this report in order to ensure the safety of Service Users at all times, improvements are needed to record keeping with regard to peoples health care including clear epilepsy management guidelines and medication management, to ensuring that recruitment files are kept updated at the home and to ensuring that training records show evidence that the staff team have the skills and training they need to meet the identified needs of Service Users. Care Homes for Adults (18-65 years) Page 25 of 28 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 28 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 34 18 Recruitment and training records must be reviewed and updated to contain current information. This is to ensure that Service Users are protected by there being clear evidence of robust recruitment processes and the staff team having the skills and training they require. 30/07/2009 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 1 20 13 The system for the recording 30/07/2009 and administration must be reviewed and updated This is to ensure that service users are protected by only authorised people such as the pharmacist or doctor recording medication to administed on MAR sheets. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 28 - 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!