Care Home: Villette Lodge

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)
• Craigmore House
• 1 Lanark Close

What the care home does well Detailed assessments are carried out by staff to make sure they can meet the needs of people coming to stay here. Potential service users are given lots of opportunities to visit and experience the home before deciding whether to come and stay. Staff have good knowledge of service users’ background, which helps them to provide the care and support they need. Service users are encouraged and supported to make decisions about their lifestyles and future. As part of this, they are supported to develop skills if they wish to live independently, such as shopping, laundry. They are encouraged to keep in touch with relatives and friends. Service users are able to express their views and feelings and staff are sensitive and supporting in addressing any concerns or anxieties. There was a happy, relaxed atmosphere in the home. Service users spent time doing the things they wanted to do or spending time with the people they wanted. The home is kept clean and comfortable for service users. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. They were positive and enthusiastic and have good relationships with service users. A former service user still enjoys coming back to see them. The staff team are currently also providing support to another service, which is putting additional pressures on them but they remained committed and flexible. The manager was implementing strategies to resolve these issues. What has improved since the last inspection? The care records contain detailed and accessible information. The manager has made sure that the Commission is informed of significant events that happen in the home. They do this in order to comply with the regulations about this. This helps the Commission to know how the home deals with situations that arise from time to time. There has been some minor refurbishments to improve the internal décor. What the care home could do better: The records being kept to record the administration of medicines were confusing, inaccurate and did not enable staff to record the information required. This means that errors could be made with medication which couldVillette LodgeDS0000032750.V378069.R01.S.doc Version 5.3 potentially harm people. Appropriate medication administration records must be kept. The home therefore need to redesign the records. Or alternatively, they could ask a pharmacy service to provide pre-printed medication records specifically designed for the monitored dosage system they use, which would help reduce the potential for errors to occur when transcribing information about prescribed medicines. Key inspection report CARE HOME ADULTS 18-65 Villette Lodge 1 Edith Street Hendon Sunderland SR2 8JS Lead Inspector Janine Smith Key Unannounced Inspection 21st July 2009 10:10 Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Villette Lodge Address 1 Edith Street Hendon Sunderland SR2 8JS 0191 553 2165 0191 553 2166 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Council of City of Sunderland None at present Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. One person over 65 years of age may be admitted in the learning disability category LD(E) 28th November 2007 Date of last inspection Brief Description of the Service: Vilette Lodge is registered to provide personal care to six adults with learning disabilities. The Home specialises in emergency care and assessment, with a view to making recommendations regarding more permanent accommodation. Nursing care is not provided. There are good links with primary health care and specialist teams. Villette Lodge is a purpose built, six bedroom detached bungalow within its own grounds. The layout of the Home is suitable for the stated purpose. It is well furnished and tastefully decorated. Car parking is available in an enclosed rear yard or to the front of the home on the street. The Home is within easy reach of Sunderland City Centre via public or private transport. Fees for the service are £693.00 - £893.00 per week. Information about the service is readily available. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit we looked at: • Information we have received since the last visit on 28th November 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. An unannounced visit was made on 21st July 2009. During the visit we: • • • • • • Talked with people who use the service, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the assistant manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The manager at the time of the last inspection has been promoted and a new manager, Mr Richard Alford, appointed. He was in the process of gathering the information he needed to make an application for registration with the Commission. The quality rating for this service is two star good service. This means that the people who use this service experience good quality outcomes. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The records being kept to record the administration of medicines were confusing, inaccurate and did not enable staff to record the information required. This means that errors could be made with medication which could Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 7 potentially harm people. Appropriate medication administration records must be kept. The home therefore need to redesign the records. Or alternatively, they could ask a pharmacy service to provide pre-printed medication records specifically designed for the monitored dosage system they use, which would help reduce the potential for errors to occur when transcribing information about prescribed medicines. 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 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. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 People using the 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 who may use the service and their representatives have the information needed to help them decide if this home will meet their needs. EVIDENCE: The service user guide was available to service users and was available in other formats and languages. The manager has described the detailed admission process followed so that they only admit people whose needs they know they can meet. A new service user had been able to make a number of visits to the home before coming to stay, which helped him to know whether he would like it here. Staff were knowledgeable about his needs and a full assessment and plan of care had been put in place. His room had been personalised with his belongings and he was given time and space to help settle in. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Support plans are put into place for each service user. Staff had good knowledge of each person’s background and needs and use this information to good effect to plan the care they need. Three care records were looked at, which contained detailed assessments of each person’s needs and how they would be supported. The records also reflected service user’s views about what they wanted. Very creative use of IT and digital photography had been made to make the care records meaningful and accessible to service users. Observations and discussion with service users showed that they are supported and encouraged to make decisions on a daily basis. This can range from small Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 11 decisions about how to spend the morning to big decisions about their future. One was excited about plans for where she would live in future and how this was going to be achieved. Discussion with staff confirmed that they have a good knowledge of individual service user’s background and the support they need. Risk assessments are put into place to help protect service users where an area of risk has been identified. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17. People using the 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 who use the service are able to make choices about their lifestyle, and supported to develop their life skills. Social educational, cultural and recreational activities meet their expectations. EVIDENCE: Service users participate in various work or other appropriate activities depending on their individual needs and wishes. For instance, one person attends a local day centre; another works in a horticultural environment, one is retired. Service users are encouraged to keep in contact with family and friends. Events are held such as parties and barbecues. Previous service users are welcomed to drop in. Service users and staff talked about the leisure pursuits Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 13 people enjoy, such as going out to bingo, bowling, pubs, cinema, shopping. One person was going camping on the day of inspection and was very excited about this. The records also showed when these activities happen. Part of the daily routine is helping service users to develop their domestic skills, such as laundry, cooking and shopping, using public transport. Each service user chooses the menu on one day. Lunch was taken with the service users and this was an enjoyable experience. One service user had been shopping with a member of staff to purchase the items needed and she had chosen her own particular favourites. Service users and staff obviously enjoyed chatting about the things that were happening or going to happen. Later on in the day the evening meal of spaghetti Bolognese was prepared. Plenty of fresh fruit was available for service users to eat. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy and put into practice. Poor record keeping in respect of medications could put people at risk, however. EVIDENCE: Comprehensive health profiles are in place giving details of all healthcare professionals involved in supporting each person’s health care needs. Information in service users’ care files confirmed that regular appointments and check ups are made with chiropodists, dentists, opticians. They also see GPs, community nurses and other health professionals when necessary. One service user spoke about seeing her consultant and how pleased they had been with her progress. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 15 The care plans and staff confirmed how personal care is provided to ensure that people’s dignity and personal wishes are respected. For instance, only female carers provide personal intimate care to a female service user who needs a great deal of support. Staff know how to communicate effectively with service users, for instance staff use signs with one service user who prefers this method of communication. Staff know about and understand the effects of health conditions on service users. For instance, they showed great care and sensitivity towards a service user with dementia. They were alert to changes of mood, behaviour and general wellbeing of service users and immediately took steps to find out why and offer the support required. Where particular behaviours are a concern, support plans had been put in place. Staff take responsibility for administering prescribed medication to service users. All staff who handle medication, are said to have received training. Evidence of training was seen on a staff record and a new member of staff said they were to receive training shortly before they dealt with any medication. The system for ordering, storing and handling medication was discussed. The records had been changed since the last inspection. Staff said they had been advised to do this, although they had not agreed with the advice given. As a consequence, there were several different medication sheets in use which did not accurately describe their purpose, for example, a sheet for one service user was named, “Record for Monitored Dosage System Self medication”, but the service user concerned does not administer their own medication. Staff were signing records to indicate that all the drugs contained within a monitored dosage container for each service user have been given at the appropriate times. However, this meant that each individual medication could not be accounted for and the system would not be able to show those circumstances when a service user might not take a medication for any reason. The contents of a monitored dosage container for one service user were listed on a document but the recording was inaccurate and not in sufficient detail about the quantity and strength of medication to be given. The supplying pharmacist was also not providing a description of tablets so that staff can tell which medication is which. A bottle of eye drops were not marked with the date of opening and staff were unaware of the need to do this. Photos were in place to identify service users, which helps reduce the potential for errors to be made. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People using the 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 who use the service are able to express their concerns and have access to an effective complaints procedure. Systems are in place to protect them from abuse. EVIDENCE: There is a complaint policy and procedure in place, which management said had been recently revised to take account of new legislation, such as the Mental Capacity Act. Observations made through the inspection showed that staff are sensitive to the feelings and moods of service users and that they support service users appropriately if it appears they may be unhappy or concerned about something. Service users responded well to staff, telling them how they were, and evidently had good relationships with them. Care plans identified the support service users needed with their finances. Records were kept showing the amounts held and purpose for which service user’s money was used, though receipts were not always kept. The monies are audited regularly. Villette Lodge has a policy and procedure in place, which set out the steps taken to protect service users from abuse. All staff are said to be trained Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 17 about this. Sample checks on a staff record showed that training had been given and another member of staff confirmed the training they had received. They could also clearly describe the action they would take if they had any concerns. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People using the 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 physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment. EVIDENCE: The building is rented from a housing association who are responsible for maintenance and repair. It is purpose designed and provides level access throughout. Some internal redecoration has been carried out since the last inspection. The home was toured and found to be clean and well maintained. Bedrooms are personalised with service users’ belongings. Suitable equipment is obtained for any service user with physical disabilities. Service users are supported to keep their rooms clean and use the laundry facilities. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: The home has an established, experienced staff team which means they rarely need to call on relief staff. The rota and discussion with staff showed that three staff work between 9 am to 11 p.m. with one person sleeping in the premises overnight. Account is taken of the gender of carers, so that people receive the support they need and want. Currently, the staff team are also providing support for people living independently in the community. This has lead to greater demands on the assistant manager and staff team, who have worked flexibly to meet the needs of both services. It has meant that the assistant manager does not have as much time as needed for managerial duties and that staff have not always been able to attend training, so it is important that this is not prolonged. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 20 However, the staff team are positive, cheerful and enthusiastic. Service users evidently had good relationships with them. Discussion with staff and a check on two staff records showed that a range of training is provided including managing risks, continence, personal safety, physical intervention, social care values, social role valorisation, and others. 33 of the staff team have a National Vocational Qualification. There had been no new staff recruited recently. But the file for someone previously recruited showed that proof of identity, two verified written references and checks with the Criminal Records Bureau had been carried out before they were employed. Staff spoken to confirmed they had received induction training. They also confirmed they had supervision regularly, which is where they have a private meeting with their manager or supervisor to discuss how their work is going and whether they have any training/development needs or wishes. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People using the 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 management and administration of the home is based on openness and respect and has effective quality assurance systems in place. EVIDENCE: The manager at the time of the last inspection has been promoted and a new manager, Mr Richard Alford, appointed in her place. He also manages another separate service but said he spend most of his time on Villette Lodge. He said he would be applying for registration with the Commission very shortly. He recognised that there were some difficulties for the staff team in also providing support for another service but was implementing strategies to resolve this issue. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 22 A quality assurance system was in place. The home is visited by a senior manager from within the local authority to check on the quality of service provided. Staff meetings are held regularly. Meetings are held with service users and the minutes of these were very good, using pictures and photographs to communicate what was discussed. Surveys are done when any service user leaves to obtain their views about their stay. Audits are carried out. Staff spoken to and a sample of staff records looked at showed there was a system in place to ensure that staff received essential health and safety training. This included training in medication, fire safety, moving and handling, first aid, food hygiene and infection control. Documents were seen showing that checks are made on the fire alarm and water temperatures. A sample of maintenance contracts/documentation was seen for the gas system and electrical wiring. Sample checks on equipment showed that it was serviced and maintained. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 X 3 X 3 X X 3 X Version 5.3 Page 24 Villette Lodge DS0000032750.V378069.R01.S.doc No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 17(1)(a) Requirement A medication administration record must be kept for each service user where the staff administer their medication. The record must detail for each person. • What is received • What is currently prescribed (including those self administering medicines) • What is given by care workers (including the quantity) and the date and time it was given Good accurate records help to ensure that people receive the correct medication and reduce the potential for mistakes to be made. Detailed advice is available on www.cqc.org.uk. Timescale for action 30/11/09 Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations Write the date of opening on bottles of short life medication, such as eye drops. This helps ensure that the medication is not used beyond the date it is safe for use. Any person transcribing the details of prescribed medicines onto the medication administration record should sign and date the information recorded. Keep receipts for items purchased on behalf of service users, so that there is a clear audit trail of how their money has been used. 2. YA23 Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 26 Care Quality Commission North Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.northeastern@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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Villette Lodge DS0000032750.V378069.R01.S.doc Version 5.3 Page 27 - 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!