Inspection on 19/02/09 for Burghley Road 77

This is the latest available inspection report for this service, carried out on 19th February 2009.

CSCI 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.

Similar services:

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Chatsworth Care - Tudor Lodge

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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: Burghley Road 77 Turnpike Lane London N8 0QG     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Heal     Date: 1 9 0 2 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: Burghley Road 77 Turnpike Lane London N8 0QG 02088094442 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : HAIL (Haringey Association for Independent Living Limited) care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 4 The maximum number of service users who can be accomodated is: 4 The registered person my provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Burghley Road is a registered care home supporting four younger adults with learning and physical disabilities in the community. Burghley Road is part of a large organisation called (Hail) Haringey association For Independent Living. London Quadrant Housing trust own the premises. Burghley Road is situated in Wood Green in the Borough of Haringey with easy access of Wood Green shopping centre,the tube and various forms of LondonTransport. The surrounding area comprises of smaller shops, pubs, and many places to eat. Burghley Road is close to Alexandra Park, Finsbury Park and not too far away from Epping forest country park. Burghley Road offers on the ground floor a dining room, kitchen, large comfortable lounge, laundry room and one bedroom with en suite which can Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home accomodate wheelchair users. There is a lovely well maintained garden, accessed by people in the home. One the first floor there is a bathroom and toilet, three bedrooms staff /office room and one toilet. The home is brightly decorated and is warm and inviting. Peoples bedrooms have all been personalised to meet their individual needs and tastes. The home provides 24 hour care and its stated aim is to provide people with a secure, relaxed and homely environment in which their care, well being and comfort is of primary importance. Inspection reports produced by the Commission For Social Care Inspection (CSCI) are available upon request from the Registered Manager and also available for viewing on the homes notice board. The current scale of charges are from:- approximately £1270.71 per week. There are no other additional costs. Care Homes for Adults (18-65 years) Page 5 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: 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: This was an unannounced inspection, which took place as part of the inspection process. Compliance was checked against key standards. The organisation (Holm) has recently amalgamated with (HAIL) Haringey Association For Independent Living. This has meant that the home has recently re registered. The inspection took approximately eight hours. The registered manager assisted me throughout the inspection. The inspection included independent discussions with people who live in the home. I spoke with staff members and the manager. I undertook a tour of the home. I inspected documentation kept in the home this included care plans risk assessments, Care Homes for Adults (18-65 years) Page 6 of 29 staff files and health and safety documentation. I also observed the interaction between the staff and the people living in the home, which was very positive there was a strong bond between the people living in the home and the staff working in the home. I would like to thank all of those present for their openess and participation. What the care home does well: What has improved since the last inspection? People living in the home now have a clear contract/statement of terms and conditions between the home and the people who live there.This ensures their rights are respected. Food stored in the fridge is now correctly labelled with regard to when it was opened This ensures that peoples health is not put at risk. The guidelines in relation to PRN medication has now been updated. This ensures there is clear guidance provided to staff in relation to the administration of medication. Care Homes for Adults (18-65 years) Page 8 of 29 The matress in the staff sleep-in room has been changed. This ensures the staff can sleep in comfort at night. The external garden wall in front of the house has been painted. This ensures the home is well maintained. 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 9 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 10 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. People who use the service receive a good outcome in this area. This judgement has been made using available evidence including a visit to the service. People who may wish to move into the home have the information they need to make an informed choice about where they want to live. Assessments are undertaken prior to people moving into the home. This assists staff to meet peoples needs. People now have a written costed contract, which does not promote their rights. Evidence: Since the previous inspection there have been no new admissions to the home. Burghley Road is a four bedroom home supporting four people with learning disabilities and physical disabilities. All of the four people have lived at Burghley Road since it opened. The home has a discharge policy which includes referral admission and trial visit documentation. Burghley Road has a service user guide which the manager developed. This covers areas such as person centred planning, finance, policies and procedures, complaints, confidentiality and staff roles to name just a few. This ensures that people who may wish to move into the home are provided with the information Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: they need to make an informed choice about where they want to live. People living in the home now have a written contract of terms and conditions between the home and people living in the home. This means their rights are protected. Care Homes for Adults (18-65 years) Page 12 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 excellent 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 experience an excellent outcome in this area. This judgement has been made using available evidence including a visit to this service. Peoples assessed and changing needs and personal goals are reflected in the individual care plans. This ensures that peoples individual needs can be met. People do make decisions about their daily lives, which promotes their independence and empowers them. People are supported to take risks as part of their independent lifestyle. Evidence: Two peoples care plans were inspected which were clear to read. The care plans identify peoples life history important people in their life, things the person likes to do, what people like and admire about me, basic information date of birth, chosen religion next of kin, ethnicity and medical condition. There is a photograph of the person on their individual file. The care plan shows each identified assessed need or aspiration and the desired outcome. The areas identified include general health, current Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: medication, personal care,mobility, daycare, social life, hobbies and interest, current and ongoing goals, current and ongoing risks. The care plans are person centred and written in the first person. The care plans inspected were linked to and reflected the assessed needs of the individual people. The identify goals that need to be achieved to ensure their individual needs are met. people have a number of goals identified. One of these is to encourage the person to do more for themselves in relation to personal care. To encourage the person to undertake more domestic tasks to increase their independence. The interaction between people living and working in the home was observed. The inspector witnessed particular situations were people were making decisions for themselves such as the wish to colour in the lounge or watch a particular DVD on the television.This empowers them. A number of people were undertaking activities in the community on the day of the inspection. The inspector spoke with people living in the home on their return from their activities.One person stated they were very happy in the home. The risk assessments to show potential risks for people are being reviewed. This minimises the potential risk to people living and working in the home. The risk assessments which were seen on the individual peoples files related to water temperature, talking to strangers, road crossing, stairs, hoovering, the kitchen, hearing and transport. The risk assessments identify the current risks and confirmed the advantages of minimising the risks for the individual people. Care Homes for Adults (18-65 years) Page 14 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 excellent 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 receive an excellent outcome in this area.The judgement has been made using available evidence including a visit to this service. People are encouraged to take part in appropriate activities both inside and outside the home, which assists their development. People maintain contact with their family, which promotes their emotional wellbeing. People are offered a healthy diet which benefits their health and wellbeing. Evidence: People living at the home go to the external day centre on average five days per week. People have their own activity plan for the week which has been discussed and agreed with them. One person attends day services for two days per week and for the remaining days activities are organised by the home. Burghley Road is very close to Wood Green High Road and shopping centre, local pubs, cinemas, resturants and one Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: person is supported by a named advocate to attend the local football ground to support his favourite football team. A range of activities are undertaken and include meals out, going for a drive, attending shows at Millfield theatre. This promotes social inclusion and makes people feel valued. The activity plans evidence a range of opportunities to promote and develop peoples independence. These include helping with cleaning their own room and shopping with supervision. People living in the home are fully involved in the local community. Staff assist people who need support in the local community if that is what the person needs to ensure they have the opportunity to develop as an individual and achieve their identified goals. A number of activities are identified within the home. People can watch television, listen to music . They have their own DVD, books, board games and the opportunity to undertake art and craft facilities. This ensures that people are provided with the opportunity for them to be stimulated at home. This prevents people from becoming bored and allows them to socialise togeather. People living in the home have contact with their family and friends. This promotes peoples emotional wellbeing as it makes them feel secure. Staff were seen to interact with the people living in the home in a warm and sensative manner. The home has a menu which was made available to the inspector. The kitchen was clean and tidy. The fridge and freezer were inspected, which were hygenic. There were colour coded chopping boards to prevent cross contamination during the preparation of food. This protects the health and well being of the people living in the home and the staff who work there. Care Homes for Adults (18-65 years) Page 16 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. People who use the service receive a good outcome in this area. This judgement has been made using available evidence including a visit to this service.Peoples physical and emotional health care needs are being met. People are protected by the homes policies and procedures in relation to the homes administration and recording of medication. However Health action plans need to be further updated. Evidence: The record of peoples health care appointments for each person were inspected.They indicated that people are receiving regular iinput from health care professionals in relation to the General Practioner, Dentist, Chiropodist, District nurse. Information regarding specialist healthcare are addressed by the home in a professional manner in relation to peoples specific health care needs.This ensures that peoples health is being monitored. The health information was effectively recorded and organised. The documents provide clear information with regard to the outcome of appointments. A consistent process with regard to the recording of information is being used which improves the quality of care provided to people living in the home. The manager confirmed that peoples health action plans will be further updated. Given the fact that Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: the manager has responded to all previous recommendations and requirements a requirement has not been made. The people living in the home need varying degrees of support with their personal care. Medication was appropriately stored and the medication administration records for people living in the home were inspected. The records were found to be in order. This promotes the good health of the people living in the home.PRN guidelines have now been updated. This ensures that professional practice is followed. Care Homes for Adults (18-65 years) Page 18 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. People who use the service receive a good outcome in this area.This judgement has been made using available evidence including a visit to this service. People who are living in the home can be confident that their views are listened to and acted upon since the recording and action taken in relation to complaints was found to be in order. People are protected by clear adult protection policies and procedures. This protects people living in the home from abuse neglect and self-harm. Evidence: The home has a clear complaints procedure.The complaints procedure is available in pictorial form to the people living in the home. This promotes the rights of the people living in the home and ensures that complaints are taken seriously. The complaints book was inspected and no complaints had been made since the time of the previous inspection. The people living in the home are provided with a copy of the complaints procedure. The complaints procedure is also highlighted in the updated service user Guide. This ensures that peoples rights are protected as they have been informed about the complaints procedure and how to make a complaint if they wish to make one.The home has a copy of the current adult protection guidance issued by the London Borough of Haringey, the local authority the home is situated in. The service has its own Adult Protection Policy and Procedure. Staff had undertaken adult protection Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: training. This ensures that staff have been provided with the necessary knowledge and skills to protect people from potential abuse. No allegations or disclosures of abuse had been reported since the last key inspection. Peoples financial records were inspected on the day of the inspection and were found to be in order. The home has a safe to ensure the safe keeping of peoples money within the home. This assists to protect them from potential abuse. Care Homes for Adults (18-65 years) Page 20 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 excellent 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 receive an excellent outcome in this area. This judgement has been made using available evidence including a visit to this service. The home is decorated to a high standard. People benefit from a home that meets their personal needs, style and taste. Evidence: Burghley Road is situated in Wood Green in the Borough of Haringey. On the ground floor of Burghley Road there is a well-equipped kitchen and all equipment is working effectively and assists the people living in the home to develop their individual skills. There is a dining room that is furnished to a high standard. There is a comfortable lounge which has been recently decorated. The manager and staff team have obtained a new television, DVD player, new leather sofa and curtains. The laundry room is also on this floor and has also been decorated. The laundry room is equipped with a washing machine and tumble dryer. This further maintains the home to a high standard. There is also a bedroom with en-suite facilities, which has a shower and specialist chair to ensure the persons individual needs are met. On the first floor there is a bathroom and toilet along with three peoples bedrooms. The peoples bedrooms have been Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: personalised. One person has a brightly decorated bedroom that reflects their personality. The bedroom has sensory lights, windchimes, television and music centre. They also have an adjustable beds to ensure their individual needs are met. Another person has pictures of their favourite football team on the bedroom wall. This person has obtained a new music centre and DVD player at christmas and had a large collection of DVDs and CDs for their own personal enjoyment. This provides them with an opportunity to be involved in an activity of their choice whilst at home. There is also the staff sleep-in room and one toilet on this floor. The staff now have personal lockers in the staff sleep-in room. This ensures that they have adequate private space to store personal items which makes them feel valued. The matress on the bed in the staff sleep-in room has been replaced. This ensure that staff can sleep comfortably at night. Staff are also provided with individual personalised bedding. This ensures that the staffs wishes have been respected. There is a well maintained garden, which has a ramp to ensure it is fully accessible to all of the people living in the home. There are raised flower beds that empowers people with mobility difficulties as they can take part in the gardening if they wish to do so. The manager informed me that there are plans to purchase a new garden swing.This will enable people to relax in the garden in the summer and further improves their quality of life. The external garden wall at the front of the home has been painted. This further assists to ensure that the home is maintained to a high standard. The home was found to be very clean a task undertaken by the staff team and the people living in the home. This makes Burghley Road a pleasant place to both live and visit. Care Homes for Adults (18-65 years) Page 22 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. People who use the service receive a good outcome in this area. This judgement has been made using available evidence including a visit to this service. An effective competent staff team is able to meet the needs of the people living in the home. Staff are appropriately trained to meet the needs of the people living in the home. Staff are well supervised, which benefits the people living in the home as a consistent approach by staff can be maintained to assist to meet peoples individual needs. Evidence: The home has a stable established staff team. The home has no vacancies at the time of the inspection.This ensures that good quality care is provided to the people living in the home. There were adequate numbers of staff on shift to meet the needs of people living in the home on the day of the inspection. A number of staff had completed their National Vocational Qualification (NVQ) level 2 and 3 and information is clearly documented on peoples files to evidence this. This assists to ensure that professional practice is followed. Having had a discussion with the management team and looking at the training file it was also evident that staff had undertaken training in safeguarding, food and hygiene, Dementia trainig, risk assessments,infection control, health and safety, fire safety, medication (advanced) and epilepsy training.This ensures that staff have the necessary training and skills to meet the needs of the Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: people living in the home. The supervision records of staff indicated that staff are receiving regular supervision. This means that staff are being supported to work with people living in the home in a consisttent way. This improves the quality of care for the people living in the home. Staff are also receiving annual appraisal. This assists them with regard to their own professional development. It would be beneficial if a consistent supervision format was developed to ensure a recognised format was used by the organisation. Care Homes for Adults (18-65 years) Page 24 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 excellent 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 experience an excellent outcome in this area. This judgement has been made using available evidence including a visit to this service. People living in the home and staff working there benefit from a well run home. An effective quality Assurance system that takes into account the views of people living in the home is in place. This assists with the continued self-monitoring and development of the home. Peoples health safety and welfare is promoted and protected. Evidence: An experienced registered manager manages the home.The manager has passed their Registered Managers Award. This means the manager has the skills and knowledge to manage the home effectively and it is a well run home.The manager was very knowledgeable with regard to the people living in the home and their specific needs, which assists to ensure peoples individual needs are met. The Registered Mnager showed the inspector an established Quality Assurance system. The manager of the home is in the process of sending out questionnaires to the people living at the home, family members and proffessionals. This will be used for the self- monitoring review Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: and development of the service. This will assist to further improve the quality of care provided. The manager of the home ensures that weekly service user meetings take place to further obtain the views of the people living in the home. This further empowers them and promotes their self-esteem. A range of health and safety documentation was seen that included a gas certificate, electrical installation certificate, portable appliance testing certificate, fire evacuation procedures and servicing and testing of the homes fire fighting equipment. The home has a fire risk assessment and the fire policy is available in pictorial form. This ensures it is accessible to all of the people living in the home.The home also has a current public liability insurance certificate. All of the records were found to be in order. This inicates that the home takes health and safety seriously.This promotes the health and safety of people living in he home and the staff that work there to support them. Care Homes for Adults (18-65 years) Page 26 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 27 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 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 36 It is strongly recommended that a recognised supervision format is developed. 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). 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