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Inspection on 04/05/10 for 8 Coriander Close

Also see our care home review for 8 Coriander Close for more information

This is the latest available inspection report for this service, carried out on 4th May 2010.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This home continues to provide a high standard of care to five people who have complex needs. There are detailed records of people`s needs and preferences so that staff are well informed about how to undertake their role. These are reviewed and updated on a regular basis so that people continue to receive appropriate care and support. There are good systems to make sure that people`s health needs are met. People are supported to take part in a range of activities in the home and the wider community. People are involved in the running of the home and in making decisions which affect their lives. There is a welcoming and homely atmosphere. The physical environment is well maintained and meets the needs of the people who live there. There are good arrangements for making sure that people are kept safe, including information about making complaints and safeguarding people. There are sufficient numbers of staff, who are well trained and competent. The home is well managed. There are good arrangements for monitoring the service and for making sure that the high standards are maintained. The manager is proactive in identifying areas for further improvement in the service.

What has improved since the last inspection?

The individual records of people`s needs have been improved so that they are more person centred and provide clearer instructions for staff. There are improved arrangements for monitoring the quality of the service, so that good practice is maintained. There have been improvements to the physical environment including new furniture and carpets and people who live in the home have been involved in choosing these. There are better systems for making sure that repairs are carried out in a timely manner. The numbers of staff in the team have increased. Staff have received more training so that they are better equipped to provide suitable care. The implementation of a weekly menus means that people are more involved in meal planning.

What the care home could do better:

We have not made any requirements following this inspection. However, the manager has identified a number of areas in which further development could help to improve the service. These include further developments in methods of communication with people who live in the home, more activities to provide more new experiences for people and supporting people to extend their social networks.

Key inspection report Care homes for adults (18-65 years) Name: Address: 8 Coriander Close 8 Coriander Close Northfield Birmingham West Midlands B45 0PD     The quality rating for this care home is:   three star excellent 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: Christine Lancashire     Date: 0 4 0 5 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: 8 Coriander Close 8 Coriander Close Northfield Birmingham West Midlands B45 0PD 01214537292 01214530831 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Trident Housing Association Name of registered manager (if applicable) Ms Sophia Kinina Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 5 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: Physical disability (PD) 5 Learning disability (LD) 5 Date of last inspection Brief description of the care home 8 Coriander Close is registered to offer long-term residential care to five people who have learning and physical disabilities. All of the people have complex health needs and all are wheelchair users. The home was purpose built in 1995 and is owned and managed by Trident Housing Association. The house has two levels. On the ground floor there is a spacious open plan lounge/dining room, a sensory room and two well Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 5 5 Brief description of the care home equipped bathrooms with mechanical baths, shower trolleys and hoisting facilities to aid lifting. The kitchen is also on the ground floor and is accessed from the lounge area. The first floor is accessed via a stairway. Located on this floor is the office, the laundry and staff facility including a bathroom and bedroom. The fees depend on people needs and are assessed at time of admission. Fees are not inclusive of items such as toiletries, hairdressing, outings, and reflexology. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We visited the home on a weekday, without telling anyone that we would be visiting. We looked round communal areas of the building. We met several members of staff and two people who live in the home. Before the inspection we had asked for information about how the home runs in a questionnaire called an Annual Quality Assurance Assessment (AQAA). The manager provided detailed information when we asked for it. On the day we sampled the records which the home keeps in respect of two people who live there, so that we could find out how they are being supported and kept safe. We looked at other records which the home is required to keep. These include the staff training records, rotas, menus, safety records and minutes of meetings. We used this information to write this report. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: We have not made any requirements following this inspection. However, the manager Care Homes for Adults (18-65 years) Page 7 of 28 has identified a number of areas in which further development could help to improve the service. These include further developments in methods of communication with people who live in the home, more activities to provide more new experiences for people and supporting people to extend their social networks. 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. Peoples needs and aspirations are fully assessed prior to coming to this home and there are good arrangements to make sure that the home can continue to meet their needs. Evidence: The home provides information for people who are considering moving in, their relatives and professional representatives. This includes a Statement of Purpose and service user guide. The service user guide is in written and pictorial formats to make it more accessible to people with varying communication needs. The home has a process for assessing the needs and aspirations of people who may live there. This includes an initial assessment which is carried out in the persons own home. This covers areas such as peoples physical, psychological, health and personal support needs. It includes an assessment of the equipment which may be needed to support the person. Other areas which are considered include activities, education and training needs, culture and faith. This information is used to form the basis of the care plan, which is developed with the involvement of the person concerned and other Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: relevant parties such as family members, health and social care professionals. Following the assessment the manager arranges visits to the home. These include day and evening visits and overnight, weekend and week long stays. During this process the person and their representatives are consulted. People are involved in personalising their rooms prior to admission so that they have familiar surroundings once they move in. There are policies and procedures in relation to admissions which provide guidance for staff in this area. Sampled files show that the needs of the people who live in the home have been assessed and plans have been drawn up to make sure that these are met by staff. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: We saw that each person who lives in this home has a care and support file which includes their plan of care and risk assessments. We sampled two of the plans and found that they contained details about the persons needs in various areas such as communication, health, personal care, mobility and leisure activities. There are personal profiles which describe the persons likes and dislikes, what works for them and what does not work. For example, one contained the detail, I love water with bubbles. There are also 24 hour plans of care for each person. These contain good detail and would be useful for any member of staff who was not used to working with that person. They provide instructions about how the person wants to be supported. For example, one plan contained, I may jump a little when you put on my shoes and socks as I do not like my feet to be touched. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: The manager told us that these documents area working tools and are reviewed on a monthly basis, during which the views of each person are taken into account. Changes are also made in between reviews when circumstances change or when people indicate that they would like a change. Due to the limited verbal communication of people in this home, staff need to interpret peoples behaviour and reaction to events. The manager told us that the people who live in the home are fully involved in decisions about how they live their lives and the support they receive. We saw that staff are skilled in interpreting peoples gestures and moods. People are also supported to use the services of independent advocates. We saw completed risk assessments on peoples files. These show the potential risks of tasks and activities and the measures needed to control them. We saw that these are reviewed on a regular basis. 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. People are supported to take part in appropriate activities and to maintain links in the local community. They have appropriate relationships and their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. Evidence: We saw records which show that people have been supported to take part in a variety of activities and to go on outings to places of interest, such as the safari park. Staff told us about the holidays which people have been on and they were preparing for a holiday in Minehead the week after the inspection. We saw books which the staff had compiled to show people enjoying themselves on holiday and taking part in celebrations. These are used to remind people about these trips. People are also supported to make use of local facilities and the staff took two people out locally on the day of our visit. Other people were at the day centre. The records Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: show that people participate in local activities such as bowling, walks to the park and local shopping trips. The records show that people maintain contact with relatives and friends. For example, one file contained the comment, I do try and visit my mother once a month at her house. Use is also made of the telephone for contact and there are no restrictions on visiting the home. The manager told us that the staff try to make sure that people receive a healthy diet and now prepare menus on a weekly basis after consulting the people about what they would like. This means that the menus can be more responsive to the weather, the activities the people are participating in and peoples moods. There are special meals at times of celebration such as birthdays, Christmas and Pancake Day. We saw records of peoples needs in terms of how they need to be supported when eating their meals. The staff maintain records of the food which people have eaten, so that they can be sure that people are receiving appropriate nutrition. Where there have been issues, the services of appropriate professionals have been used. 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 so that their physical and emotional needs are met. They are protected by the homes practices in dealing with medication. Evidence: We saw that the care plans contain good detail about how each person needs and prefers to be supported. The 24 hour plans provide staff with instructions about how to provide support, whilst maintaining the persons dignity and respecting their privacy. There are health action plans for each person and these contain details of peoples health needs and the relevant contact arrangements for a range of health professionals. The records show that people are supported to attend appointments and to maintain a healthy lifestyle. All appointments require assistance from staff and people are provided with a choice of who accompanies them. The appointments are monitored on a monthly basis as part of key worker meetings. People are also provided with a choice of home visits from relevant professionals. There are good records of the outcome of appointments and any changes to the persons routine Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: which are recommended are incorporated into their care plan. There are suitable arrangements for the storage of medication. The medication folder contains a section for each person with a picture. There are protocols for the administration of specific items and care plans for people with epilepsy. The folder also contains details of how each person prefers to take their medication. The records which we saw were appropriately completed and up to date. The medication is audited on a regular basis as part of the homes monitoring arrangements. Staff are trained in the administration of medication and their competency is assessed before they practice in this area. The assessment includes observations by managers. 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. This home has systems to ensure that the views of the people who live there are listened to and acted upon and for making sure that people are well protected. Evidence: The home has a procedure for people to follow when making complaints and this is made available in the literature supplied when people are admitted to the home. We also saw that there are pictorial versions and these were in peoples rooms. The manager told us that staff now actively offer the complaints and compliments file to family and friends to give them opportunity to make complaints. The people living in this home have complex needs and would need assistance to communicate a formal complaint. Staff explained how they would recognise if someone was not happy and how they would offer alternative choices. The manager explained that complaints are seen as a means of learning and improving services. The home has a procedure for safeguarding vulnerable adults and all staff are trained in this area. There is a flowchart which provides staff with relevant information about the action which they should take when abuse is suspected. We saw that staff keep a record of any small marks that they find on people whilst delivering personal care and record how this may have occurred. As the people in the home have such complex needs this is good practice. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: We saw that there are inventories of peoples possessions on their files. There are detailed financial records. Two staff signatures are needed for all money which is accessed on behalf of people in the home. The money is checked each day at the time of staff handover and regular financial audits are completed to ensure residents finances are protected by robust systems. These arrangements show that there are good systems to make sure that people are kept safe. 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 people at this home live in a homely, clean, safe and comfortable environment which is well maintained and where there are good arrangements for infection control. Evidence: This home looks like other properties in the road from the outside, with parking space at the front. There is no indication that it is a care home. We found that all areas were clean and free from unpleasant odours. People living in the home have access to the ground floor of the building. The first floor contains the laundry, sleep in room and office accommodation. There is a large lounge and dining area on the ground floor. This area has recently been refurnished and has new carpet. There are settees and a television and there is new dining suite. There is a homely feel to this room, which is light and airy, with ornaments and plants. We looked into peoples bedrooms and saw that they are furnished in individual styles which take account of the preferences, interests and cultural origins of the people concerned. There is new bedroom furniture which has been chosen by the people who use the rooms. The rooms are equipped with beds and hoists to meet the needs of Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: each person. The bathrooms are next to the bedrooms and these have ceiling hoists and accessible baths and showers. There is a garden to the rear of the property that has a patio area where people can sit if the weather permits. There are low hanging baskets so that people may undertake gardening tasks from their chairs. The kitchen is adjacent to the dining area and it was found to be clean and orderly with appropriate equipment. The temperatures of fridges and freezers are recorded to ensure food is stored at correct temperatures. There is a separate laundry on the first floor, which is equipped with two sluice washing machines and two tumble dryers. There are suitable procedures for undertaking the laundry, including the use of personalised laundry bags for each resident and alginate bags for soiled items, so reducing the risk of infection. There are procedures for controlling the spread of infection and staff receive training in this area. They confirmed that there are good supplies of gloves and aprons for this purpose. 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 adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. Evidence: The rotas show that there are sufficient numbers of staff to meet the needs of the people who live in the home. The deputy manager post was vacant at the time of the inspection and one member of the team was off sick. The vacancies were being covered by agency staff but the rota shows that there is repeated use of the same people, so that there is greater consistency for the people who live in the home. The home has a standard procedure for the recruitment and selection of staff, which ensures that relevant checks are made, including taking up references and making checks throught the Criminal Records Bureau. We sampled three staff files and found evidence that this process had been followed. The organisation involves people who use the service in the recruitment and selection process. Staff undertake initial induction training and this is followed by additional training in a range of areas relevant to their role. There is an allocated budget for training for each member of the staff team and staff are involved in planning their own personal Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: development. The records show that all members of the staff team have NVQ level 2 except for two, who are completing this. One member of the team has level 3 and another is enrolled on level 4. The records show that staff receive supervision on a montly basis. We saw minutes of staff meetings which show that staff discuss the ongoing care of people in the home and plan activities and outings. The staff who we met on the day of the inspection presented as cheerful and optimistic. They confirmed that they are well supported in their roles. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home benefit from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. Evidence: The home manager has now worked at the home for over two years. This provides consistency for the people who live in the home. She is an experienced manager who has the Registered Managers Award and is an assessor for NVQ qualifications. The manager demonstrated, at this inspection, that she has a good knowledge of the needs of each of the people in the home and the strengths of the staff team. Her responses to the questions in our AQAA form were detailed and show that she has a good knowledge of the areas in which the home performs well and the areas where further development would benefit the people in the home. There are good systems for making sure that the high standards are maintained. These include weekly audits of the home which are entered into a weekly performance Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: toolkit. This covers areas such as checks on health and safety and other records, making sure that all maintenance and repairs have been reported and completed, ensuring the home is clean and safe, the peoples needs are met and the risk assessments are in place, reviewed and up to date. There are regular visits from a representative of the organisation, who provides a report on the findings. We saw action plans which show the work which will be undertaken to remedy any areas of shortfall found at these visits. There are good arrangements for taking account of the views of the people who live in the home, including meetings and individual consultation. The manager provided us with dates for the servicing and maintenance of services and equipment in the home, including safety equipment such as fire alarms. We looked at a sample of these records at the visit and found that there are good arrangements for making sure that people who use the building are kept safe. The arrangements for securing the maintenance of the property have improved since the last inspection. 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. 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. 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