Care Home: The Wansbeck Limited

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What the care home does well Residents that we spoke to appreciated the accommodation provided and said that the home provides good meals. Staff support the residents to access local amenities and to participate in a variety of social, leisure and educational resources. Residents are supported to be as independent as possible and to develop and maintain daily living skills and to express their views about the way that the home is run. What has improved since the last inspection? There were no regulatory requirements from the last inspection. The home has an ongoing programme of repair and replacement to the building both internally and externally. Residents now have shared access to a computer and the internet; this is located in the sitting room. What the care home could do better: The registered person must ensure that the storage of controlled drugs meets the amended regulatory requirements. It is recommended as good practice that Temazepam is recorded in an approved controlled drugs register/book. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Wansbeck Limited 36 Nightingale Road Southsea Portsmouth Hampshire PO5 3JN     The quality rating for this care home is:   three star excellent 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 Kentfield     Date: 0 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 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.csci.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 Wansbeck Limited 36 Nightingale Road Southsea Portsmouth Hampshire PO5 3JN 02392829240 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : wansbeckhouse@yahoo.co.uk The Wansbeck Limited care home 12 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 12 The maximum number of service users to be accommodated is 12 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: Mental disorder, excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home The Wansbeck offers care and support for adults under the age of 65 who have mental health care needs. The home is in a residential area of Southsea, close to the shops and the esplanade and offers a safe and homely environment for 12 residents, both male and female. The period building has four floors and is accessible for people who are independently mobile, there is no passenger lift or stair lift. There is a small and sunny courtyard area at the rear of the building for residents to use, and a communal sitting room and separate dining room. Current fees range from 330 pounds to 382 pounds per week and there are additional charges for chiropody, hairdressing, or other items listed in the service user guide. Care Homes for Adults (18-65 years) Page 4 of 28 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: three star excellent 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 made an unannounced visit to the home on 6 February and the visit lasted for 5 hours and was with one inspector (Annie Kentfield). During the visit we spoke to the manager and two members of staff. We spoke to one resident in the sitting room and two residents who were in their rooms. We looked at some of the homes records including care plans and medication records, staff recruitment and training records and some of the health and safety records. Before the inspection we received the annual quality assurance assessment (AQAA). This is a self-assessment that gives us a picture of the service; what has improved and what the service does well to improve outcomes for people using the service. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 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.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 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 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 a system for assessing and identifying the care and support that potential residents need before they move into the home to ensure that the home can provide the support needed. Evidence: We discussed the process for new residents moving into the home. A comprehensive assessment is completed with the new resident and relevant information sought from health care professionals involved in the care of that person. The manager invites potential residents to visit the home, stay for a meal, and stay for a weekend or trial period before a new resident makes the decision to move into the home. This means that existing residents have the opportunity to meet new people before they move in and new residents are able to make an informed decision before they move into the home. The manager told us that a prospective new resident is in the process of coming to visit the home and stay for a weekend trial visit. The person has already visited the Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: home several times, chosen their room, and stayed for meals with the other residents. The annual quality assurance assessment told us that the home plans to continue to ensure that residents remain active and motivated to be involved within the local community and in house activities. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents know that their care and support needs are agreed and recorded in a person centred way in their individual plan, and these are regularly reviewed and updated. Residents are supported to take informed risks as part of an independent lifestyle. Evidence: Each resident has an individual plan of care and these are reviewed every two months with the resident and their key worker. Individual goals and objectives are agreed in a person centred way and reviewed, with new goals to work to. We looked at the records for two residents. These confirmed that records are organised and securely held and care plans and reviews agreed and signed by the residents. Residents sign their agreement as to who information can be shared with. The home has a system for identifying any risks to residents and agreeing a risk management plan to minimise risks and ensure residents safety and well being. There is a system in place to record essential information in the event that any resident is Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: missing from the home, the information includes a photo of the resident. Residents are consulted about all aspects of life in the home during residents meetings, care plan reviews and quality assurance questionnaires, as well are regular meetings with their key worker in the home. One of the residents works several days each week as a volunteer in a charity shop. Another resident has been doing a computer course with a member of staff. Other residents take part in activities organised by local outreach services. Other residents pursue their own interests independently. The choices and preferences of the residents are respected and supported by staff in the home, this was confirmed in the care records and from speaking to residents in the home. The AQAA stated that the practice of the home is to ask residents their opinion at every stage of daily living from what people would like to eat and drink, to what activity they would like to participate in. The AQAA told us that the home has a clearly stated policy on promoting equality and diversity and this is demonstrated in practice in each individual care plan that incorporates and respects individual needs and wishes at all times. This was confirmed from our observation of practice in the home, care records, and some discussion with some of the residents in the home. 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. Residents are encouraged and supported to access and use local amenities and participate in a wide range of activities. Residents are encouraged to eat healthily and good nutrition is promoted and maintained. Evidence: The manager told us that the home considers providing attractive and nutritious food that the residents like, as very important. Menus and food are discussed during the residents meetings. The manager told us that the home has a four week menu with seasonal variations but the menu is varied according to feedback from the residents. Residents that we spoke to told us that the food is good and there is always an alternative available if they do not like the meal being prepared. Some of the residents like to do some cooking with staff. Residents have an area in the dining room where they can make drinks or snacks or prepare cereals and toast for breakfast. There is Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: always a bowl of fresh fruit available. Mealtimes are flexible around the preferences of the residents and residents can have their meals at other times if they are going to be out, or choose to eat at different times. Residents have a computer with internet access, this is available in the sitting room. We were told that the computer was purchased as the outcome of consultation with the residents during residents meetings. The dining room has an area with up to date information about local activities, events and courses etc, for residents to access. One of the residents works as a volunteer in a charity shop, another residents takes part in activities organised by an outreach group, and another resident is doing a computer course with a member of staff. The manager told us that staff encourage residents to take part in any trips to the cinema, museumns, meals out etc. and staff try to find activities that are free or low cost, because the residents are on limited incomes. A record of activities is kept in the home. All of the residents have bus passes and the manager sometimes provides transport in her car. The AQAA said that staff have also looked into the availability of groups that offer walks within the community to promote access to a healthier life style for the residents. Since the last inspection the home has adopted two guinea pigs and these are kept outside in the warm weather or inside in the winter. One resident that we spoke to enjoys having the pets around and helping to look after them. The home has a smoking policy and there are designated areas and designated times for smoking inside or residents can smoke outside. One resident that we spoke to thought the smoking policy was fair. All of the residents have their own rooms and are able to lock their bedroom door. Residents are able to choose when to be alone or in company and one resident told us they appreciated being able to spend time in their room, reading or listening to music. Residents are able to maintain contact with family and friends and visitors are welcome, we observed people visiting the home during our visit. Most of the residents manage their own financial affairs and the arrangements for money and financial affairs are recorded in individual plans. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensures that the health care needs of the residents are met. Care and support is provided in ways that respect choice, privacy and promote independence. There are safe systems in place for the management of residents medication. The storage for controlled drugs does not meet current regulatory requirements. Evidence: Each resident has an individual plan of care that includes health care needs and how these will be met. Each care plan has an individual needs check list so that staff have clear guidance on how care needs are to be met. Care plans include weight records and nutritional and dietary assessments, where appropriate. A list of appointments with GP, dentist, optician and out-patient appointments is separately recorded. Some people make their own appointments but others have appointments arranged for them and are accompanied by staff depending on the level of support agreed with residents. The AQAA confirms that the policy of the home is that staff communicate with residents and respond to residents preferences on how they want their care to be delivered. Staff said that they are aware that all of the residents have different needs and preferences and different levels of independence with their personal and emotional Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: care needs. The home maintains contact with local mental health services and there is a local authority care manager who carries out regular care reviews with all of the residents. Copies of the reviews are kept in the care records. Records show that the home is prompt to arrange GP appointments or access to mental health services when residents need this or there are concerns about residents health. Medication is securely stored and there is a clear audit trail of medication received into the home, dispensed, or returned to the pharmacy. Records show that staff have received training in the safe administration of medication. The home has completed risk assessments where it has been identified that residents are able to manage their own medication. The medication administration records were up to date, with one exception, where a medication had been given and not signed for. This was discussed with the manager. Temazepam is being stored and recorded as a controlled drug. The storage for controlled drugs does not meet the amended safe custody and storage regulations for controlled drugs. The manager is aware that guidance on controlled drugs and the amended regulations is available on the Commission website www.csci.org.uk It is recommended as good practice that temazepam is recorded as a controlled drug in a suitable controlled drugs register book. At the moment, this is being separately recorded in a receipt book and not a controlled drugs register. Care staff have up to date information about medication, and there is a policy and procedure for medication in the home for staff to use as guidance. 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. Residents are protected from the risk of harm or abuse. The home is open and proactive about listening to concerns or comments about the service. Evidence: The home has a formal complaints procedure and information about this is on display. Residents and visitors are also invited to comment, anonymously or otherwise, in a comments book, in the entrance hallway to the home. The notice board also contains information for residents on where they can seek independent help or an advocate if they have any concerns about anything. The AQAA states that the home is fully committed to resolving any concerns or problems that may arise, quickly and efficiently. The manager told us that the home has not received any complaints. No complaints or concerns about the safety of the residents have been reported to the Commission. Staff in the home receive training in safeguarding awareness. Staff would speak to the manager or deputy manager if they had any concerns about the safety of the residents, in the first instance. Both the manager and deputy manager are clear about referring any concerns about the safety of residents to Social Services under agreed safeguarding procedures. Care Homes for Adults (18-65 years) Page 18 of 28 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 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 safe, comfortable and homely environment that is suitable to the specific needs of the people who live there. The home is clean and hygienic and well maintained. Evidence: The AQAA listed the improvements to the home in the last twelve months: two bedrooms decorated with new bedding and soft furnishings replaced, fire escape repainted, replacement windows with double glazing in the lounge, new curtains, and awaiting a new three piece suite, laundry room ceiling painted, installation of new smoke detectors, purchase of carpet cleaner. The home is a large four storey period property in an attrractive residential area of Southsea. Residents benefit from close proximity to the seafront, shops and other amenities. Residents have access to a lounge and dining room and an outside courtyard area. The manager told us that there are plans being discussed to create another lounge for residents in the basement area, in the room currently used as an office. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The home is clean and well maintained and there are organised systems in place for cleaning schedules, daily maintenance, and servicing of equipment and safety systems. There is a laundry, this is kept locked because all of the hazardous cleaning materials are stored there for safety. Although the bedrooms are not en-suite, all of the residents have their own room, with a wash-hand basin, a lockable door, and access to bathrooms, toilets or showers. The home has a written policy for good practice in the control of infection and all staff have received training in this area of safe working practice. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care and support needs of the residents are met by a staff team who provide consistent and efficient care. Staff receive regular training and supervision for the work they do. Evidence: The home employs 8 staff including the registered manager who is also a joint owner of the home. The staff team is stable and the staff turnover is very low. All of the staff except one person have already achieved a National Vocational Qualification (NVQ) in care, level 2. Three people are currently enrolled for NVQ level 3, and the manager and deputy manager have obtained NVQ level 4, in care, and the NVQ, level 4, registered manager award, in management. The manager supports staff to also improve their language skills where english is not their first language, so that more staff can enrol to achieve higher qualifications in care, for the benefit of both residents and staff. This was confirmed when we spoke to some of the staff during our visit to the home. Staff told us that they like working in the home with the residents, the management style of the home is very positive and open and they feel well supported and are happy that they receive all of the training needed for the job they do. Records show that staff receive training in all of the mandatory areas of safe working Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: practice and there is a training matrix and calendar to prompt when updates to training are due. Specific training or information sessions are arranged in topics such as mental health disorders, mental capacity act, equality and diversity. Medication training is renewed annually with a local pharmacist and the next training will be in September 2009. We looked at the recruitment records for two people who have been employed since the last inspection in 2007. The records demonstrate that satisfactory checks are obtained before staff start working with residents in the home. One record did not contain a full employment history with starting and leaving dates and we discussed this with the registered manager. The home had not kept a copy of the criminal record check for one person but did have a copy of the disclosure number and date as evidence that the check had been done. Discussion with staff and evidence from the homes records demonstrate that the manager is committed to offering staff training and development and regular supervision, appraisals and team meetings to ensure that staff have the skills and confidence to do their work and for the residents to receive the support and care they need. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is effectively and efficiently managed for the benefit of the people living in the home. The views of residents and staff are listened to and the service aims to continually improve outcomes for people in the home. The health, safety and welfare of residents and staff is promoted and protected. Evidence: The home has organised and effective systems for managing the home and regularly monitoring the service provided. This was confirmed from evidence in the AQAA, inspection of the homes records, and discussion with the manager and staff. The views of the residents and staff are listened to and valued as demonstrated by comments from residents and staff and records of residents meetings and staff supervision. The manager and deputy manager are qualified and experienced and the registered manager has recently completed additional training in business skills in care. The management approach of the home ensures that equality and diversity and person Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: centred care planning are given priority by the manager in the practice of the home. The needs, rights and choices of the residents are considered at all levels and this was evident in the person centred care plans and key worker system. Health and safety and the well being of the residents is promoted through an organised approach to meeting the requirements of relevant health and safety legislation. Records show that regular checks and servicing of all safety equipment and systems is maintained with internal reviews to audit this. The home has a quality assurance process that looks at monitoring the quality of care provided in a number of ways: care planning and reviews, key worker reviews, residents meetings, staff meetings, and customer satisfaction questionnaires annually to residents, staff, relatives, visitors and health and social care professionals. The quality assurance processes demonstrate the homes commitment to continually improve outcomes for people using the service. The manager does not produce a summary of the quality assurance process, but this would provide further evidence of what the home does well and what improvements have been made, and be easily accessible to all stakeholders in the service. 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 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 registered person must ensure that the storage of controlled drugs meet current regulatory requirements. To ensure that controlled drugs are safely and securely stored. 30/04/2009 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 20 It is recommended as good practice that Temazepam be recorded in an appropriate controlled drugs register book. Care Homes for Adults (18-65 years) Page 27 of 28 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). 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