Inspection on 23/01/09 for Brooke Road

This is the latest available inspection report for this service, carried out on 23rd January 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Brooke Road 81 Brooke Road Stoke Newington London N16 7RD     The quality rating for this care home is:   two star good 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: Robert Cole     Date: 2 3 0 1 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Brooke Road 81 Brooke Road Stoke Newington London N16 7RD 02088158104 02088066664 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Cascade Care Ltd Name of registered manager (if applicable) Barry Auburn Stewart Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The Registered Person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Female whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding Learning Disability or Dementia - Code MD The maximum number of service users who can be accommodated is: 5 Date of last inspection Brief description of the care home Brooke Road was first registered with the CSCI in July 2008. It is registered to provide care and accommodation to five female service users with mental health issues. The home is located in the Stoke Newington area of the London Borough of Hackney. The home is privatley run by Cascade Care Limited. 5 Over 65 0 care home 5 Care Homes for Adults (18-65 years) Page 4 of 29 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: This inspection took place on the 23/01/09 and was unannounced. The inspector had the opportunity of speaking with service users, staff and the homes assistant manager was present throughout the course of the inspection. The inspection also included observations of staff as they interacted with service users. The inspection included an examination of records and other documents, along with a tour of the premises. Prior to this inspection, the CSCI issued surveys to service users to gain there feedback on the home, two of these were completed and returned. Prior to the inspection the home completed an Annual Quality Assurance Assessment (AQAA) at the request of the CSCI. All of this has contributed to the overall inspection process, and helped to form judgements made within this report. Care Homes for Adults (18-65 years) Page 5 of 29 Care Homes for Adults (18-65 years) Page 6 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 29 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 29 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. It is the inspectors judgement that prospective service users are provided with sufficient information about the home to enable them to make an informed choice as to move in or not. This information is provided through written documentation and the opportunity of visiting the home. Evidence: The home has a Statement of Purpose in place, this includes the homes mission statement which is It is the aim of Cascade Care Ltd to provide a high quality of care, in a homely and safe environment for female clients with a history of mental illness who may also have a forensic history. We are committed to residents thinking and acting independently, taking increasing responsibility for their own lives and maximising potential The Statement also includes a charter of rights for service users, these rights include The right to have your dignity respected and to be treated as an individual and The right to take personal responsibility for your own actions and expect staff to accept Care Homes for Adults (18-65 years) Page 9 of 29 Evidence: that a degree of risk is involved The home also has a Service Users Guide in place, and all service users are provided with their own copy of this document. The Guide includes details of the aims and objectives of the home and of the services and facilities provided. Both the Guide and the Statement of Purpose are written in plain English, and have been subject to review within the past twelve months. The home has an appropriate admissions procedure in place. This states that pre admission assessments will be carried out for any prospective service users, and that they will be given the opportunity of visiting the home before making a decision as to move in or not. Since the home first opened, two service users have moved in to the home, and both were provided with the opportunity of visiting the home. It was noted on the day of inspection and a third person had stayed the night at the home. This is with a view to this person moving in to the home in the near future. Records indicated that service users are able to visit the home on several occasions, including for overnight stays, before moving in. The assistant manager informed the inspector that pre admission assessments had been carried out on both the current service users, although only one of these assessments was available to view in the home on the day of inspection. This assessment was of a good standard, carried out by the homes manager and a senior manager within the organisation. The assessment seen clearly identified the areas that service users would need support with, for example around substance misuse, personal care and mental health issues. Service users are provided with individual contracts. These are signed by the service user and the homes manager, and include details of fees payable, and what these fees cover. Care Homes for Adults (18-65 years) Page 10 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the inspectors judgement that service users have a large measure of control over their daily lives, and that they are provided with the opportunity of been involved in the day to day running of the home. However, to help ensure that the home is meeting the needs of service users, and that they are safe, it is required that comprehensive care plans and risk assessments are in place for all service users. Evidence: Individual care plans are in place for the two current service users. However, at present these plans only cover two areas, Mental State and Behaviour and Psychological Health. The assistant manager informed the inspector that the home is still developing care plans. As far as they go, plans are of a satisfactory standard, setting out what issues service users need support with, and how the home is able to provide that support. Service users have been involved in drawing up care plans, and have signed them to indicate their involvement and agreement with the plans. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: However, care plans still require a lot of development. At the time of inspection both service users had been living at the home for over three months, and comprehensive care plans should now be in place, and this is required. Care plans have a cover sheet that lists the categories of need. Those categories identified include daily Living Skills, Self Care and Culture, Religion and Spiritual and Community Skills. Yet care plans have not been developed around these and many other areas. It was disappointing to note that no risk assessments have been developed since service users moved in to the home. For one service user there was evidence that risks were assessed as part of their pre admission assessment, for the other their was no evidence of any risk assessment been undertaken. Service users have been assessed as having had previous suicide attempts, issues with alcohol and drug misuse, and violent and aggressive behaviours, yet their were no risk assessments in place on how the home was to manage these issues. It was positively noted that staff were able to demonstrate a good understanding of these issues. Nevertheless, to help ensure that risks are managed in a consistent and appropriate manner, comprehensive risk assessments must be in place for all service users, covering all areas of potential risk to themselves and others, and these must be subject to regular review. The Regulation 26 report for January has highlighted that risk assessments are not in place. Through observation and discussion there was evidence that service users have a large measure of control over their daily lives. Surveys completed by service users indicated that they are able to do what they choose to do. It was observed that service users are able to get up at a time of their choosing, and to help themselves to drinks and snacks. Service users are able to come and go from the home as they choose, and have their own keys to the front door and to their bedrooms. On the day of inspection one service user was scheduled to go to a day service, this fell through, and they said they would like to go to the cinema instead, and this was seen to be arranged. There was evidence that service users are provided with the opportunity of been involved in the day to day running of the home. So far, the home has had only one residents meeting, but the assistant manager said that it was planned that these would become monthly events. The meeting that took place included discussions around activities and arrangements for Christmas. Service users have been allocated keyworkers, and are able to discuss issues of concern and interest to them during regular one to one meetings with their keyworker. The home is newly decorated and furnished, this was done before service users moved in, but service users have been able to personalise their bedrooms, and the assistant manager informed the inspector that service users would be able to be involved in choosing any future decorations or furniture. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Confidential records within the home are stored securely, staff and service users can access their records as appropriate. Care Homes for Adults (18-65 years) Page 13 of 29 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. It is the inspectors judgement that service users are supported to live valued and fulfilling lives. Service users have routine access to the community, and food was of a good standard. Evidence: No service users are currently involved in any employment. One service user attends Haggaston Hall Community Centre, where they are involved in an art class. Another service user attends a MIND befriending group. Service users have routine access to the community, as mentioned they are able to access the community independently, and access shops, markets, cafes and one service user has joined a local library. Service users are also able to arrange and choose their own social and leisure activities. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: In addition to this, the home also arranges some social and leisure activities, for example service users recently went to a stand up comedy night, and two service users went out for meal on the day of inspection. Other activities arranged by the home include shopping trips, bowling and the cinema. In house service users have access to various activities, including television, DVDs, music and puzzles. The home offers an annual weeks holiday away from the home as part of the basic contract price. At the time of inspection these had not yet been planned for this year, but the assistant manager informed the inspector that service users would be involved in choosing and planning these holidays. Service users are able to visit family and friends, and visitors are welcome at any reasonable time. Service users are able to see visitors in private if they so wish. One service user informed the inspectorMy family and friends are able to visit. Records are maintained of menus, these indicate that service users are offered a varied, balanced and nutritious diet. The home provides traditional Jamaican and British food, thus helping to meet needs around equality and diversity issues. Service users are involved in food preparation, and the AQAA states that the home is planning on providing service users with their own individual food budget to help promote their independence. The fridge temperature is checked daily, although the home needs to check freezer temperatures too. Fresh fruit was available within the home. The kitchen was clean and tidy, and food was stored appropriately Service users are involved in the daily routines of the home, such as gardening, laundry and keeping bedrooms tidy, thus helping to develop independence and daily living skills. Care Homes for Adults (18-65 years) Page 15 of 29 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. It is the inspectors judgement that the home is able to meet the health and personal care needs of service users. Staff undertake training in medication, and service users have access to health care professionals as appropriate. Evidence: The two service users living at the home are able to manage their own personal care, although the home will offer encouragement to service users and advice about dressing appropriately for the weather. Service users are registered with a GP. The home records any medical appointments, and reminds service users to attend these appointments. Service users generally attend medical appointments without the support of staff, so the home is often unable to record the reason for appointments. The home does however encourage service users to make and attend appointments around health promotion. Records of appointments indicate that service users have access to health care professionals as appropriate, including CPNs, psychiatrists, and one service user has a weekly meeting with a psycho therapist. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: The home has a medication policy in place, and staff undertake training before they are able to administer medications. Medications that are administered by staff are stored in a locked cabinet inside the office, while bedrooms all have a lockable cabinet to store medications for those service users who self medicate. The inspector was pleased to note that one service user is able to self medicate, thus helping to develop their independence. They are given a weeks supply of medication at a time, and are expected to complete a Medication Administration Record (MAR) chart. However, the home does not carry out a risk assessment around self medicating, and a requirement has been made in this report about comprehensive risk assessments been in place. Where staff administer medications MAR charts are maintained, those examined by the inspector were accurate and up to date. Records are maintained of medications entering the home, and of those that are returned to the pharmacist. Care Homes for Adults (18-65 years) Page 17 of 29 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. It is the inspectors judgement that the home has taken steps to ensure that service users are safeguarded from the risk of abuse, although to further ensure this, all staff must undertake training in adult protection issues. Evidence: The home has a complaints procedure. Service user surveys indicate that service users have a good understanding of whom they could complain to if they so wished. The AQAA supplied by the home states that the home has received two complaints since it first opened. The home has a complaints log book, and this indicated that both of the complaints received were recorded and investigated as appropriate. The home has a copy of the local authorities adult protection procedure, and also its own policy on adult protection. Staff on duty at the time of inspection had not received any training in adult protection issues, and the assistant manager informed the inspector that only the homes manager has had adult protection training. Staff spoken to by the inspector demonstrated only a limited understanding of their roles and responsibilities with regard to adult protection issues, and it is required that all staff who work in the home undertake appropriate training. Service users have their own bank accounts, and look after their own money. Care Homes for Adults (18-65 years) Page 18 of 29 Care Homes for Adults (18-65 years) Page 19 of 29 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. It is the inspectors judgement that the home is able to meet is sated purpose with regard to the physical environment. The home was well maintained, and service users are provided with adequate amounts of communal and private space. Evidence: The home is situated in the Stoke Newington area of the London Borough of Hackney. The home is in a quiet residential area, close to shops, transport networks and other local amenities. The home is in keeping with other homes in the area. The home is built over three floors, and was well maintained both externally and internally. The communal areas consist of a lounge (with a dividing sliding door), a kitchen/dining room and a spacious rear garden, with garden furniture. Fixtures and fittings within communal areas were well maintained and domestic in character, and the home was decorated to a good standard. The home is registered to provide support to five service users, and has five bedrooms, four of which are ensuite with a toilet and shower. Bedrooms are well maintained, and contain adequate furniture, including table, chair, chest of draws and a wardrobe. Service users have been able to personalise their rooms, and bring their Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: own possessions in to the home with them. Bedding, carpets and curtains are well maintained and domestic in character. Bedrooms contain adequate natural light and ventilation, and are centrally heated. Bedrooms meet National Minimum Standards on size requirements. In addition to the ensuite facilities in bedrooms, the home has one bathroom/toilet, and one toilet on its own. These were found to be clean, tidy and free from offensive odour. Bathroom had working locks fitted, that include an emergency override device. The home has taken steps to help prevent the spread of infection. Laundry facilities are appropriate in scale for the size of the home, and hand washing facilities are situated around the home. Protective clothing such as gloves and aprons are provided for staff. COSHH products are stored securely. Care Homes for Adults (18-65 years) Page 21 of 29 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. It is the view of the inspector that the home is staffed in sufficient numbers to meet the needs of service users. Staff demonstrated a good understanding of the needs of service users. Evidence: The home provides 24-hour support, including waking night staff and an emergency on-call system. The home had a staff rota on display, this accurately reflected the staffing situation on the day of inspection. The rota indicated that the home operates with a minimum of two staff on duty at any given time, and three staff were on duty during the course of the inspection. Through observation and discussion there was evidence that staff have built up good relations with service users, and that they have a good understanding of their roles and responsibilities. Staff were seen to interact with service users in a friendly and respectful manner, one service user informed the inspector I am fairly treated by staff, respect is most definitely paramount. All staff are provided with a copy of their job description, and a copy of the General Social Care Council codes of conduct. The AQAA supplied by the home indicates that they have relevant employment related Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: policies in place, including on equal opportunities and recruitment and selection. The inspector checked several staff employment files at random. These were found to contain proof of ID and CRB checks. However, for one member of staff there was no evidence that any references had been sought, and for another two staff embers, there was only evidence of one reference been sought. It is required that the home seeks two written references for all staff working in the home. Staff undertake a structured induction programme on commencing working at the home. This includes time spent working supernumerary, shadowing more experienced members of the staff team. Staff then have access to on-going training opportunities, including NVQs in care. Recent staff training has included first aid, medication, breakaway and manual handling. Care Homes for Adults (18-65 years) Page 23 of 29 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. It is the judgement of the inspector that this is a generally well run service. The home has a registered manager in place, and record keeping was of a good standard. Evidence: The homes manager is registered with the CSCI. The AQAA supplied by the home states that they are a registered Mental Health Nurse, and that they are currently working towards the Registered Managers Award. The home also has an assistant manager to support the manager with some of the management and administrative functions within the home. Record keeping in the home was of a generally good standard, and confidential records are stored securely. Staff and service users can access their own records. The AQAA supplied by the home indicates that the home has policies and procedures in place in line with National Minimum Standards. Those checked by the inspector, including medication and adult protection were of a satisfactory standard. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: The home has recently introduced quality assurance systems (the first service user moved in on October 2008). The first Regulation 26 visit took place in January 2009, and the home has issued surveys to service users to gain their feedback on the running of the home. Completed surveys seen by the inspector contained generally positive feedback, for example The accommodation and decor are all right. Fire extinguishers were situated around the home, and fire exits were free from obstruction on the day of inspection. The home has a fire alarm system installed, and this is checked on a weekly basis. The home holds fire drills. Other health and safety checks were carried out by the CSCI as part of the registration process for this home, and will be tested again at the next key inspection. The home has in date employers liability insurance cover in place. Care Homes for Adults (18-65 years) Page 25 of 29 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 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 The registered person must 28/02/2009 ensure that comprehensive care plans are in place for all service users, clearly setting out the needs of service users, and how the home is able to meet those needs. To help ensure that the home is meting the needs of service users in a comprehensive and consistent manner. 2 9 13 The registered person must ensure that comprehensive risk assessments are in place for all service users, covering all areas of risk to themselves and others, and setting out how these risks are to be managed and reduced. To promote the health, safety and welfare of service users and others. 28/02/2009 Care Homes for Adults (18-65 years) Page 27 of 29 3 23 13 The registered person must 31/03/2009 ensure that all staff who work at the home undertake appropriate training in adult protection issues. To help ensure that service users are safeguarded from the risk of abuse. 4 34 19 The registered person must ensure that the home obtains two written references for all staff working at the home. To help ensure that suitable and appropriate staff are recruited to work in the home. 28/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 29 of 29 - 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!