Inspection on 06/04/10 for 72a Broad Street House 2

This is the latest available inspection report for this service, carried out on 6th April 2010.

CQC found this care home to be providing an Good 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

72a Broad Street House 2 25/04/07

72a Broad Street House 2 04/05/06

72a Broad Street House 2 19/01/06

72a Broad Street House 2 06/06/05

72a Broad Street House 2 08/02/05

72a Broad Street House 2 16/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: 72a Broad Street House 2 Cedar And Douglas Units 72a Broad Street Clifton Shefford Bedfordshire SG17 5RP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Angela Dalton     Date: 0 6 0 4 2 0 1 0 This is a review of 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. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 28 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 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 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. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: 72a Broad Street House 2 Cedar And Douglas Units 72a Broad Street Clifton Shefford Bedfordshire SG17 5RP 01462813824 01462813824 Kathryn.chainey@hft.org.uk www.hft.org.uk HF Trust Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Jeanette Kay Marling Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Cedar and Douglas is one of two homes run by the Home Farm Trust in the small town of Clifton. The building is divided into two units to support 8 adults with learning disabilities; the units cater for 8 service users with complex needs and autism. The units are designed to accommodate four service users independently from the other unit. As a result of this, each unit has its own kitchen, lounge, and bathing facilities and is linked by the laundry room on the ground floor and the staff room on the top floor. There are separate entrances to each unit and service users communally share the garden facilities. The home is situated close to local amenities including shops and pubs. The service users are able to access other towns such as Bedford, Biggleswade, and Shefford with the use of their local transport or route cars and the homes own Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 8 0 5 0 5 2 0 0 9 Brief description of the care home transport facilities. 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: two star good 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: One inspector conducted this unannounced site visit on 6th April 2010 between 2.50pm and 5.55pm. Two people were case tracked. We followed the care of people who use the service to ensure the care they receive is reflected in the care plan and meets their individual requirements. The case tracking process cross references all the information gathered to confirm that what we are told is happening is actually occurring, and reflects the Statement of Purpose, which contains the aims and objectives for the service. We spoke to the people who use the service and members of the staff team. The manager was not on duty during the inspection. We were present for dinner preparations and observed interaction between staff and people who use the service. We toured the building and examined documentation to check that what was happening in the service was being recorded. The services weekly fees are under review but currently range from 919.19 pounds to Care Homes for Adults (18-65 years) Page 6 of 28 1806.65 pounds. This does not include toiletries and private chiropody and other personal expenses. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Evidence reflected that individual needs are assessed to ensure that they can be met by the service Evidence: There have been no changes to the number of people living at the service since the previous inspection. There is an assessment process to follow and staff are aware of the considerations that would need to be made if someone new moved in to Cedar or Douglas. A review would be held after 6 weeks and again after 12 weeks to ensure that the person had settled into their new home. Copies of individual contracts are held on file. Each person has a copy of their contract and this in a user friendly format. Documentation is available in a service user friendly format. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are consistent and reflect how individual needs are met. Evidence: We looked at care plans for 2 people. The contrasts that were identified at the previous inspection have been addressed. Information has been transferred from service users files onto the computer system and has ensured that all information has been reviewed and updated. There was also evidence that care plans held on the computer are being developed into service user friendly documents. We saw 2 support plans that had been developed into a pictorial format and were easy to read and understand. Care plans are detailed and fully explained how individual needs were met. We were able to see how personal care, behaviour, communication and health needs were met as clear records were kept and any changes were recorded. A communication book developed by staff supports a service user to identify which activity is to be completed to provide reassurance and reduce anxiety. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: Information that was previously held in the medication room to provide staff with information on how to manage or monitor Epilepsy has been incorporated into the care plan. It was clear that support from professionals was being received and it is now possible to identify when deterioration or improvement in health or behaviour had occurred which was not clear previously. Guidelines from the community nurse about monthly injections have been updated to ensure easy to follow records of changes in the amount of prescribed medication. The kitchen is locked at times because one person takes large amounts of specific food and there is a risk of cross infection. The care plan and risk assessment have been updated to explain how staff support the person and how often this decision is reviewed. We observed a service user enter the kitchen and take a large block of cheese. A staff member who was relatively new dealt with the situation in a calm and professional way. They offered the service user some slices of cheese and reached an amicable compromise rather than denying the person and avoided an altercation. Staff have reduced the time that the kitchen is locked and have updated records in line with the Deprivation of Liberty section of the Mental Capacity Act. Health guidelines have been updated to provide information on managing Transient Ischaemic Attacks (mini strokes) and how to tell the difference between a suspected mini stroke or epileptic seizure. There was information on a stomach bacterial infection and associated guidelines have been devised on the action required and how the condition was being monitored and managed have been devised. Weights were being recorded and information is linked to action that is taken if there was weight loss. Guidance regarding swallowing and a choking risk assessment have all been updated or introduced as necessary since the last inspection. Staff now have information about potential risks and how to manage them. Each visit to a GP or Psychiatrist is recorded and the reason for attendance documented. Falls were being recorded and body maps reflected whether injury was sustained. It is now clear how the information was being analysed and what action and precautions were being taken. Staff have received Moving and Handling training and care plans reflect any individual requirements which were not in place at the previous inspection. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Home Farm Trust use a specific system for care plans called SPARS - Support, Planning, Assessment and Recording system. Staff are in the process of entering information electronically and ensure a paper copy is available. The service also has software to enable text to be translated into pictorial or symbol forms. Existing information can be scanned into the system so that information is not lost. Each person has a person centred plan. This enables each person to record what they would like to do and plan it with staff. It also enables people to have hopes and aspirations that staff can assist in realising. People have the opportunity to meet with an Advocacy Alliance representative each month as an independent contact. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The leisure and occupational requirements of people who use the service are met in a flexible way. Evidence: There are some staff vacancies at the moment but the recruitment process is ongoing. There was evidence that service users have a varied leisure programme. This is devised in conjunction with people and changes as necessary. Some service users attend college and others go to Home Farm Trusts resource centre which provides occupational and recreational sessions. The peripatetic support worker that was previously employed to work in several services to promote individual interests has handed over their responsibilities to the staff team. Activities are person centred; examples are that opportunities are provided for people to go swimming and play snooker. Service users have access to a touch screen computer. One person was spending time on You Tube enjoying music from TV programmes. Some service users Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: are members of a Mens Group which promotes discussion and others enjoy going out walking. We saw evidence that people keep photo albums of days out and holidays. Each person has an activity planner to enable them to make choices about how they wish to spend their leisure time. Regular house meetings take place and there is the opportunity for people to meet on a one to one basis if preferred. A member of staff is responsible for taking minutes and ensuring any issues are dealt with. A copy of the minutes is available in a symbol format which makes it more user friendly. The Annual Quality Assurance Assessment told us that people had participated in a craft fayre and efforts are being made to forge links with local employers. This will enable service users to explore work opportunities. A member of staff has recently attained a GEM (Going the Extra Mile) award for reintroducing the opportunity for service users to attend a nightclub event on a regular basis. Holidays are booked in conjunction with service users. Where holidays cannot be taken due to health issues an alternative is provided with days out at regular intervals to ensure that people get to go away at a time they wish and enable staff to be given adequate notice. Some people are supported to attend church and everyone goes out regularly to places of their choice. Service users are supported to go shopping for food and decorative items. Menus are in a user friendly format. People told us that they liked the food and sometimes helped in the kitchen. We observed one person being supported to lay the table. 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 medication system ensures the safety of people who use the service. Evidence: Care plans have improved since the previous inspection and contain detailed information to assist staff to monitor and manage specific needs. Staff receive training to ensure that they are equipped with adequate knowledge. This was evident with regard to managing Epilepsy in both care plans we viewed and other specific needs detailed earlier in the report. People who use the service receive support from members of the multidisciplinary team. Records reflected that staff and individuals were assisted by a Psychiatrist, Speech and Language Therapist, Community Nurse and Psychology Team. Additional support could be accessed where necessary from a Dietician. One service user had visited the dentist and had had teeth extracted. They returned during the inspection and staff ensured that they were able to spend time recovering as they wished. Staff also liaised with the service users family to reassure them that the procedure had gone well and that their relative was making a good recovery. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: At the previous inspection a chiropodist visited each month where treatment was delivered in a communal lounge. This practice has ceased and service users now visit a community based chiropodist. No-one in Cedar and Douglas manages their own medication. Designated staff are responsible for checking medication in and ensuring that accurate records are kept. In addition to the Medication Administration sheets there are counting sheets and carers notes for omissions and as required medication. We checked medication for two people who use the service and all medication reconciled. Amounts of medication are recorded when leaving and returning to the home and records are now completed during the time people spend with their families. Improvements in recording on Medication Administration (MAR) sheets have been made as previously when there had been errors in amounts or dates the information had been scribbled out. MAR sheets clearly reflect the amounts of medication required as they previously contained unclear directions about the amount of medication that was required. Medication was stored at the correct temperature which had ensured an issue identified at the previous inspection had been rectified. The only means of cooling the medication storage room is by an extractor fan. This may not be effective in reducing the temperature if the outside temperature increases but staff continue to monitor its effectiveness. If it goes higher than 25 degrees Celsius medication is not licensed for use and has to be destroyed. The service does not currently have a medication fridge but would purchase one if required. There are currently no controlled drugs prescribed but the storage facility exists if necessary. Copies of prescriptions are not kept so a receipt of the doctors instructions are not recorded. The service has a copy of the most recent Royal Pharmaceutical Guidelines regarding administration of medication in a care home and staff receive medication training. 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 a clear system in place to enable people to express their concerns. Evidence: There is a complaints policy in place. Each person has a user friendly version and the people we spoke to confirmed that they knew who to raise any concerns with confirming that they would talk to their keyworker or the manager. A member of staff from Advocacy Alliance is available each month and acts as an independent representative for people who use the service. Records reflected that staff had attended Safeguarding training. A recent safeguarding issue has been dealt with appropriately and reported in line with the local Safeguarding of Vulnerable Adults protocol. Copies of compliments are kept with details of how concerns or allegations are dealt with effectively. It also ensures that the process of any investigation or process that takes place is recorded. Staff have completed SOVA training to ensure that it is a subject that everyone is familiar with and discuss any questions. Training on the Mental Capacity Act is ongoing and aspects have been incorporated into care plans and risk assessments. The manager has an ongoing relationship with the safeguarding team regarding one person who has complex needs. We checked two peoples financial records and there were no issues. The service uses a specialised system which has a separate number for a lockable tag. Each time Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: finances are checked a new tag is issued with a corresponding number. Staff are signatories for people but do not have access to their PIN number or cash point facilities. 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 environment meets the needs of people who use the service. Evidence: The home was tidy and odour free. The service manager is aware that most of the cleaning is conducted by night staff and is exploring ways to address the limitations that this places on the service. Refurbishment work has commenced and some bathrooms areas have been redecorated and new flooring and showers fitted. Work has yet to be completed but there was evidence that the environment has improved. At the previous inspection it was noted that some areas were worn and did not complement the homely style and atmosphere in Cedar and Douglas. Although there were toilet roll dispensers and a hand drier to meet the specific needs of people who use the service the extractor fans had a build up of dirt. This has now been cleaned. A leaking shower tap has been repaired and a shower now displays which direction to turn the tap for hot or cold water. This aids people to use the shower independently. The difference between the communal rooms downstairs and upstairs has been reduced. Previously, downstairs was warm and friendly whereas upstairs was more stark but this has been overcome. The kitchen in Douglas has been refurbished and Cedar is awaiting a date for the Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: repairs to missing cupboard and drawer handles in the kitchen. Staff reported that they had noticed a change in the environment and that the building had an overall more homely atmosphere. There are areas for people to relax in and we observed service users relaxing in the lounge or sitting with staff in the dining room. There is garden furniture and a hammock outside the house and access to a field and summerhouse in adjacent land. The laundry meets the needs of people who use the service and there was adequate protective clothing available. There are dissolvable alginate bags for use with soiled laundry if needed. All service users have access to a computer and can spend time undisturbed as it is located in a quiet corner. 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 who use the service are supported by an effective staff team. Evidence: The service currently has some staff vacancies but they are being covered by agency staff and the recruitment process is ongoing. All staff work in both Cedar and Douglas to ensure that they know all service users needs. As the manager was not on duty during the inspection we were unable to check staff records. However, we spoke to staff who had recently begun work at the service and they confirmed that they had been through the recruitment process and received an induction and appropriate training. Staff told us that they were aware of peoples requirements and the care plan reflected how individual needs were met. Training is focused upon meeting individual needs and staff confirmed that they were able to access training if new needs arose. There have been some new staff since the previous inspection in April 2007. We checked 4 staff records which evidenced that the necessary checks had been conducted to ensure the safety of service users. Although staff do not complete the Learning Disability Qualification they obtain the Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: companys equivalent and complete a 3 day induction. Staff complete a wealth of training: SOVA (Safeguarding), Person Centred Planning, Food Hygiene, First Aid, Health and Safety, Moving and Handling, Epilepsy, Nutrition, Loss and Bereavement, Dementia, Think Positive, Mental Capacity Act and Medication. Staff are encouraged to obtain an NVQ Award. All staff, with the exception of one staff member and new staff have achieved NVQ Level 2. Three staff members (including senior support workers) have NVQ Level 3 and three more staff are working towards achieving their level 3 award. Staff receive supervision from the manager every six weeks which enables staff to set their goals with regard to training and performance. 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. The views of people who use the service are incorporated into the running of the home. Evidence: As stated earlier the manager was not present during the inspection. They have worked at 2 Broad Street since January 2008. Since the previous inspection they have achieved an NVQ. They have commenced the Leadership and Management Award which has replaced the Registered Manager Award which will provide a management qualification. The manager has also been registered with the Care Quality Commission (CQC) since the previous inspection. We inspected fire records and found them to be in good order: all necessary checks were conducted and fire drills were taking place. Health and safety records are maintained and reflected that necessary safety checks were being conducted. The AQAA (Annual Quality Assurance Assessment) was completed prior to the inspection by the manager to demonstrate how the service had reviewed the care they Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: delivered and identified any improvements required. The service sends out a quality assurance questionnaire to families, people who use the service and to professionals. A report is published and sent out to all participants and reflects what action will be taken. The company meets with the Family and Friends Association quarterly, which enables the management team to address any concerns and provide an update of any developments within the service. The manager also attends these meetings. Regular house meetings are held to ensure peoples views are considered and implemented. 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 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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. 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