Inspection on 13/05/09 for 51 Havacre Lane

This is the latest available inspection report for this service, carried out on 13th May 2009.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

51 Havacre Lane 21/04/06

51 Havacre Lane 06/12/05

51 Havacre Lane 29/03/05

51 Havacre Lane 12/10/04

51 Havacre Lane 18/03/04

51 Havacre Lane 17/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 06/08/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 51 Havacre Lane 51 Havacre Lane Coseley Dudley West Midlands WV14 9NP     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: Linda Elsaleh     Date: 1 4 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for 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: 51 Havacre Lane 51 Havacre Lane Coseley Dudley West Midlands WV14 9NP 01902409704 01902493080 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) : Black Country Housing and Community Services Group care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 4 The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 4 Date of last inspection Brief description of the care home Havacre Lane is a purpose built four bedded single bedroom house situated within walking distance of local shops and facilities, close to the railway station and public transport services. Other facilities include a lounge/dining room, kitchen, laundry, bathrooms and toilet facilities. The registered provider is a not for profit social landlord who offers long stay accommodation at the home for younger adults with a learning disability. The service should be contacted for information regarding the most up to date fees. Care Homes for Adults (18-65 years) Page 4 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: The quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. We looked at the information that we had received about the service since it was last inspection. We sent out comment cards for people living in the home and their relatives to complete. Four were sent back to us and the views expressed in them are shown in this report. We sent the manager of the home a questionnaire to complete in order to bring us up to date with facts and figures about the service. This was returned us in good time. Care Homes for Adults (18-65 years) Page 5 of 28 This unannounced inspection was carried out by one inspector on 13th & 14th May 2009. We spoke to the manager, staff and met three people who live in the home and one visitor. We looked at some of the records and documents kept by the home, two peoples care files and two staff files to see if the home is providing a service that meets the national minimum standards. The atmosphere in the home was relaxed and friendly. A tour of the building found it to be suitably furnished, clean and tidy. People we met appeared healthy and well looked after and those spoken to told us they liked living at the home and they were treated well by the staff. 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 7 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 8 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. People are provided with the information they need to make an informed choice about where to live. Good systems are in place to assess peoples needs and aspirations and includes opportunities to visit and test drive the service. People are provided with an individual contracts/statement of terms and conditions. However, where people have limited understanding discussions about the content should be held with the persons representative this should be discussed. Evidence: Information about the service is available in its Statement of Purpose. A copy of this is displayed on the notice board in the lounge. People also have a copy in their bedrooms. They are also provided with a Tenants Handbook. One person living in the home and two relatives told us they have been provided with good information about the service. Staff told us the service arranges and pays for people to have at least one holiday a Care Homes for Adults (18-65 years) Page 9 of 28 Evidence: year or the equivalent in day trips. The Statement of Purpose and other relevant documents should be updated to reflect this. Each person is provided with an individualised Service User Guide. This is produced in a pictorial format with photographs of the staff team, the persons key worker and their bedroom and communal rooms. One person has come to live at the home since our last inspection. The file has information about the persons needs obtained by the service as part of its preassessment process and a detailed assessment of her/his needs carried out by the service and how these can be met. A programme of visits and overnight stays was produced. This provided good opportunities for the person to get to know the home, the people who live here and the staff team. Regular meetings were held to discuss how these visits had gone and agree a care plan. The Tenancy Agreement includes a breakdown of the fees and terms and conditions of residency. This was signed by the home and the person receiving a service. The manager and two staff told us this person does not understand the information contained in this document. The manager is advised to discuss this agreement with the persons relative/supporter and relevant agencies to ensure the content is fully understood. Care Homes for Adults (18-65 years) Page 10 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. Peoples needs and personal goals are reflected in their care plans and are supported to take risks as part of an independent lifestyle. They are encouraged to make their own decisions and are consulted with on the day to day running of the home. Evidence: We looked at the care plans for two people who live at the home. The plans for the most recent person to come and live at the home based on the information provided from the assessment process. Both peoples plans are produced in easy to read formats and include My Life So Far and Things I Can Do. Both plans provide good information about personal, health and social care needs, what the person is able to do independently, where they require support and how this is to be provided. Two staff we spoke to demonstrated a clear understanding of peoples needs and how they are to be supported. They told us their role as key worker involves monitoring the individuals daily records and supporting them at their reviews with a senior member of staff. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: Reviews are arranged on a regular basis to ensure peoples plans continue to meet their needs. One persons plan was reviewed with them, their advocate and relevant professionals earlier this year. The minutes include strategies previously put in place and how effective these have been. Daily records are kept and include the support provided to enable people to make informed decisions about how they spend their time. The files contain recent information on a persons capacity to give consent and the decision-making process. Training records show staff have attended sessions on the Mental Capacity Act Deprivation of Liberties Safeguarding. Risk assessments are carried to protect the well being of people living in the home for example to protect them from falls. This provides information about the support people require when bathing. A member of staff told us a risk assessment has been carried out for one person who chooses to smoke. She told us the assessment shows the person understands the house rules and is safe to do so. She also said X likes to make drinks in her/his bedroom. The person told us s/he understands the home needs to have rules to ensure everyone is safe. The risk assessments are available on the persons file with dates when these have been reviewed. This tells us the people living in the home are supported to take controlled risks to live the lifestyle they choose. We looked at the minutes of residents meetings. These included discussions about future activities, holidays and menus, health & safety issues such as fire procedures. A regular feature is peoples request for the home to have its own transport and discussions the manager is having with the company to try and make this happen. One meeting was attended by a representative from the Dudley Advocacy Service. Two staff we spoke to told us the meetings are beneficial and supports people to express their views and to listen to the views of others. This shows us the people are consulted on and participate in all aspects of life within the home. Care Homes for Adults (18-65 years) Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in appropriate activities and maintain relationships with family and friends. They are offered a healthy diet and a pleasant environment is provided for them to enjoy mealtimes. Evidence: People are involved in producing their own weekly activity programme which includes going to local day centres and clubs that meet their cultural needs and interests. One person attends the local Caribbean Centre and another attends flower arranging classes. The person who goes to flower arranging classes told us how much s/he enjoys this and showed us the flowers s/he had brought to take to her/his next class. The records show people recently enjoyed a trip to see a tribute band funded by the service. Other activities include going to the cinema, meals out and shopping trips. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: However, everyone we spoke to and who responded to our surveys said a wider range of activities/trips, planned and short notice, could be offered if the home had its own transport. The manager is exploring this with the company. One person told us s/he enjoys shopping for bargains and another said they were going shopping with their key worker to choose some clothes for their forthcoming holiday. The key worker reminded her/him of their planned shopping trip and what time they needed to leave when she arrived. This gave the person plenty of time to get ready. The records show arrangements are made for people to take an annual holiday and a budget for this is provided by the service. Both people we spoke to told us they have enjoyed some lovely holidays. However, one did tell us I dont think I want to go away this year. Staff we spoke to said this person had requested day trips instead and this would be arranged for them. Information provided by the service tells us all people living at the home are in contact with members of their family. Staff told us that relatives are very supportive and will join in celebratory events. There is a photograph in the lounge of a birthday party which relatives of all people living at the home were invited to. Everyone told us they had a good time. On each file is a list family birthdays and other celebratory dates. Key workers remind people of forthcoming events and will support them to send a card and buy a present. There is a telephone in the lounge which people are free to use. One person told us a relative was joining them for lunch today. Relatives tell us they are pleased with the service. The service looks after Xs needs very well, They keep us informed of things and The manager is always available for a chat are some of the comments we received. There are no restrictions on access to communal areas. We observed some people going in and out of their bedrooms during the day. A risk assessment is carried out for high risk areas such as the kitchen, and the support and/or supervision individuals need to ensure they are kept safe are detailed in their plans. We observed a person making hot drinks. A staff member told us s/he is more competent that others and does not require the same level of support/supervision. Menus are produced by the manager in consultation with people living at the home and the staff team. This ensures peoples dietary needs and likes and dislikes are catered for. Requests for alternative meals are provided wherever possible. Meals are prepared by the care staff team who have attended basic food hygiene courses. The certificates were seen on the training folder. Records of meals taken and portion sizes are kept for monitoring purposes. Any special dietary needs are detailed on the Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: individuals care plan. The service works closely with relevant health care agencies, for example dieticians, to ensure people dietary needs are appropriately met. A relative joined one of the people living in the home for lunch. This was served in the dining area of the lounge. People told us they enjoy mealtimes and the meals provided. Staff told us mealtimes, especially evening meals, are social occasions when people share their events of the day and plans for how they wish to spend the evening. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in the way they prefer and require to meet their physical and emotional health needs. Evidence: Two people we spoke to told us they choose what time they get up and retire to bed. Three staff said one person prefers to stick closely to her/his own routines and a member of staff is always available to support her/him. There are picture labels on her/his drawers and cupboards to help her/him to find the things they want, such as clothes, more easily. The files we looked at provide good details about peoples healthcare. The records show regular appointments are kept for routine health care checks such as the dentist and chiropodist. One person has an appointment tomorrow to attend the optician and appropriate arrangements have been made to accompany them. The manager told us people who live in the home receive a good service from their GP and other health care professionals, such as psychologist, dysphasia nurse and speech & language therapists. Risk assessments are carried out and guidance is provided to staff on how Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: to support an individual with any health care issues such as managing diabetes. Information provided by the service show this year 66 per cent of the staff team has attended training in diabetic care. Certificates are held on the training folder. A member of staff told us, as a key worker, she monitors the individuals health care records and ensures routine and follow-up appointments arranged. The service manages the medication on behalf of all people living at the home. There are written procedures for staff to follow and training is provided for the safe handling and administration of medication. One member of staff told us she is in the process of completing this training and does not administer medication at this time. We looked at the medication administration record (MAR) sheets for two people. These had been completed and, where applicable, the correct codes where being used. The manager carries out regular medication risk assessments and audits. There are procedures for dealing with errors. The local pharmacist carried out an audit in April and reported good arrangements and practice. Each persons medication is reviewed annually or when required by the prescribing practitioner. A list of current medication and/or creams is kept on the individuals file including information about any side affects that may be caused. Detailed guidance is provided where as required medication is prescribed. Homely remedies are only administered with the approval of the persons GP and a list of agreed remedies, signed by the doctor, is kept on the individuals on their file. Two people we spoke to told us they prefer staff to manage their medication. I dont look after my medication. I like the staff to do this for me. 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. The service has suitable systems to ensure the views of the people who live in the home are listened to and acted upon. There are procedures in place to promote peoples well being and they are protected by a trained staff team. Evidence: A copy of the services complaint procedure is available on the notice board in the lounge. Two people living in the home said the manager and key worker always talk to them to make sure everything is alright and they have a pictorial copy of the complaint procedure in their Service User Guide. The responses received from relatives tell us they are aware of the complaint procedure, but have had no cause to use it. Comments included The manager is always available for chat, Very satisfied with the care and No concerns or complaints at all. The records show that during the last twelve months all staff members attended training in dealing with complaints and protecting people from abuse. Policies and procedures are kept available for staff to refer to. Two staff we spoke to said they had no concerns and were confident any issues that may arise would be dealt with appropriately by the manager. Information provided by the service show there has been no complaints or safeguarding concerns. None has been reported to us (Care Quality Commission). Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: 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. People are provided with a homely, comfortable and safe environment to live in. It is well maintained and has are good arrangements for the prevention and control of infection. Evidence: The service has continued with a programme of redecoration and refurbishment. We looked around the home and found it to be clean, tidy and well furnished. The ground floor bathroom has been refurbished into a walk-n shower facility. The lounge and dining area is pleasantly decorated and furnished with photographs of people who live in the home on display. There are patio doors which lead to the garden which has a lawn area, variety of plants and ornaments. One person told he garden is kept nice by the staff and staff told us people are encouraged to look after some of the plants. All people living in the home have their own bedroom. These are decorated and furnished to the individuals taste. One person invited us to see her/his bedroom. They told us they had chosen the colour they wanted and was having a new carpet fitted. There is a range of photographs and ornaments on display and s/he has their own teamaking facilities. Another person has picture labels on their drawers and cupboards as a prompt to help them remember where their clothes and other items are. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The kitchen is spacious and well-equipped. Basic food hygiene certificates achieved by staff are kept on the training folder. We looked at some of the records kept in the kitchen. This shows us regular checks are carried out to ensure appliances and equipment are kept in good working order. There are suitable arrangements for the safe storage of cleaning fluids and there is good information about the control of substances hazardous to health (COSHH). The Environmental Health Agency awarded the home 5 stars at its last visit. The laundry is well organised and the staff team has been trained in the prevention and control of infection. Personal protection clothing, such as aprons and gloves, are readily available. 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. People are supported by trained staff that know them well and understand their needs. They are protected by the services recruitment and selection policies, procedures and practice. Evidence: The staff team is made up of people of different ages and life experiences who have a clear understanding of their roles and responsibilities. Information provided to us by the service show over 55 of the staff team have achieved the National Vocational Qualification (NVQ) Level 2 or above. One person who is receiving a service was at home when we arrived. The three other people were at day centres. The manager, deputy and support worker (care assistant) were on duty. The support worker had accompanied on person to the day centre as detailed in her/his care plan. Two staff told us on rare occasions a staff member is not available to go with this person and therefore is unable to attend. This was confirmed by the person concerned. The manager told us her she is in the process of recruiting to a vacant post and has made a request to the company for the staffing complement to be increased. In the meantime, the services of a staffing agency are used. She told us the agency provides them with staff that has been to the home before. This provides Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: continuity of care for the people who live here. We looked at the recruitment records for a recently employed member of staff. There was a completed application form, references (verified by the service) and a satisfactory criminal record bureau (CRB) check. There are also records of supervision sessions held with the worker as part of a planned induction programme. All new workers are supported to complete the Skills for Care Induction programme as part of their probationary period. This shows the service follows good recruitment and induction procedures to ensure the well being of people living at the home is protected. A staff training matrix is produced and shows courses attended by staff, plans for future training and when refresher/update training is due. The individual staff files we looked at included their training needs on their supervision and annual appraisal records. 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. People who live in the home benefit from a well planned and managed service. They are provided with good opportunities to express their views. However, for people to be fully confident their views are listened to an annual development plan for the service should be produced. Evidence: The service is run by a well qualified and experienced manager. She undertakes training to update her own knowledge and skills. Recent courses have included a managers workshop and caring for people with epilepsy. She is supported by a representative of the company who makes regular unannounced visits to the home and provides written reports of their findings. There are good systems for monitoring different aspects of the service. This includes issues such as environmental standards and reporting of accidents for which action plans are produced. People who live in the home are supported to express their views about the service on a daily basis, during individual meetings with a member of staff Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: and at their residents meetings. For people and their relatives/representatives to be fully confident their views are listened to an annual develop plan should be produced based on the services findings of its own performance. We looked at a random selection of information held in respect of appliances and equipment, such as the portable electrical appliances, gas appliances and fire detection and equipment. These showed us appropriate systems are in place to ensure regular servicing and safety checks are being carried out to ensure the safety of everyone at the home. 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 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The Statement of Purpose and relevant documentation should be revised to reflect the arrangements for providing people with an annual holiday. Relatives/representatives should be involved in discussions about the contract/terms and conditions of residency to ensure the rights of people with limited understanding are more fully protected. An annual development plan for the service should be produced so people can be fully confident their views are listened to and acted upon. 2 5 3 39 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!