Inspection on 07/06/10 for Chelwood Avenue (7)

This is the latest available inspection report for this service, carried out on 7th June 2010.

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

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

Other inspections for this house

Chelwood Avenue (7) 24/07/08

Chelwood Avenue (7) 28/06/07

Chelwood Avenue (7) 16/11/06

Chelwood Avenue (7) 20/02/06

Chelwood Avenue (7) 09/06/05

Chelwood Avenue (7) 29/10/04

Chelwood Avenue (7) 22/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 03/09/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Chelwood Avenue (7) 7 Chelwood Avenue Childwall Liverpool Merseyside L16 3NN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Janet Marshall     Date: 0 7 0 6 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 29 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 29 Information about the care home Name of care home: Address: Chelwood Avenue (7) 7 Chelwood Avenue Childwall Liverpool Merseyside L16 3NN 01517222854 01517226502 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.c-i-c.co.uk Community Integrated Care Name of registered manager (if applicable) Mr Keith Gordon Astley Type of registration: Number of places registered: care home 2 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. The maximum number of service users who can be accommodated is: 2. Date of last inspection Brief description of the care home 7 Chelwood Avenue is registered to care and offer support to two adults with a learning disability and is run by Community Integrated Care (CIC), a major local not-for profit organisation. 7 Chelwood Avenue is a semi-detached house in a quiet suburb of Liverpool, close to a small parade of shops, the M62 and bus routes to Liverpool city centre. Downstairs there is a large lounge, dining room and a kitchen. Upstairs there are two spacious single bedrooms, a bathroom and a small room that is currently used as a staff sleepCare Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 2 2 2 0 7 2 0 0 9 Brief description of the care home in room. The former garage has been converted to an office and utility room There is a large garden to the rear and side of the house. There is no up to date information available at the home regarding the weekly fees charged to live there. A copy of the most recent CQC inspection report is availble on request from the manager. 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: 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 was a key inspection. We the Commission consider 22 standards for Care Homes for Adults 18 to 65, as Key Standards, which have to be inspected during a Key Inspection. We wrote the report based on information, which we gathered in a number of different ways. We looked at the information we keep on file about the home, which we have received since the last inspection. We used information that we were given in the Annual Quality Assurance Assessment (AQAA), this is a self assessment, which we sent out to the home before the site visit took place and it has to be filled in by somebody in charge of the home. It tells us important things about the home, the residents and staff that work there. We also visited the home unannounced, this means no body knew we were coming, this is called the site vist. During the site visit we talked to residents and staff and Care Homes for Adults (18-65 years) Page 6 of 29 looked at a sample of records to find out what it is like for people to live at the home. Before we carried out the site visit we sent out Have Your Say Surveys to residents and staff. One residents and three staff surveys were filled in and returned to us and we used the results of them to help us write the report. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? Contracts are now available in residents care files and show that they or a representative of theirs have agreed to the terms and conditions of their residency. Information, which is no longer relevant to residents current care need requirements has been removed from their care files and they have been better organised making it easier for staff to access the information they need to support residents in the right way. Risk assessments have been carried out for all tasks and activities, which pose a risk to residents safety. Doctors have provided staff with clear written instructions regarding the administration of residents medication to ensure that it is given to them safely and in their best interests. The manager of the home has been approved by us as the registered manager of the home ensuring that the home is managed by the right person. Health and safety checks are carried out at the right times on the environment and equipment used at the home, which ensures the health and safety of the residents. Care Homes for Adults (18-65 years) Page 8 of 29 Quality assurance processes have been put in place to make sure the home is run in the best interests of the residents. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 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. Peoples needs are assessed before they move into the home so that they can be sure it is the right place for them to live and they have a written contract of the terms and conditions of their residency, which ensure that their rights are respected and protected. Evidence: No new residents have been admitted to the home since the last inspection, therefore it was not possible to fully assess this outcome group. The AQAA told us that there are policies and procedures available at the home for staff to follow when assessing the care need requirements of a new resident and admitting them to the home. The processes, which the manager told us about ensure that before a person moves into the home they are given information about it and can be sure their needs will be met there. A requirement was given as part of the last inspection report to ensure that residents living at the home are provided with a contract of terms and conditions of their residency and to include details of the fees they pay. This was because written contracts were not available at the home for residents living there at the time of the last inspection, which undermined their rights. During this inspection we looked at Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: residents care records and found that they had a written contract of terms and conditions of their residency, which has been signed and dated by the appropriate people to show that they agree with it. The contract, which was looked at included all the required information such as details about fees and how they are paid. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have up to date information about how to support people to live independent and safe lives. Evidence: The AQAA told us that residents who live at the home have a care plan, which was put together following an assessment of the persons needs. A requirement was given as part of the last inspection report to ensure that information held in care plans is reviewed. This was because care plans, which were looked at during the last inspection were disorganised and included a lot of information, which was out out date and not relevant to the persons current care need requirements, making it difficult for some staff to understand. The manager told us that since the last inspection care plans have been reviewed. Those we looked at during this inspection were well organised and included up to date information about the needs of the residents. The plans were person centered and provided staff with good information about residents preferred routines and lifestyle choices. We looked at records, which showed that all parts of the persons care plan has been reviewed on a regular basis with the Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: involvement of the resident and other important people in their lives, such as their family, staff at the home and social workers. During the inspection visit a member of staff told us that they understand the purpose of care plans. They told us they refer to them on a regular basis so that they have all the information they need about how to support and care for residents. Staff that work at the home told us in surveys that they are given up to date information about the needs of the residents that they support and care for. A requirement was given as part of the last inspection report to ensure that where a risk has been identified a risk assessment must be carried out. Risk assessments were part of the persons care plan, which we looked at and we found that one had been carried out for each task and activity, which is likely to pose a risk to their safety. We also saw records to show that risk assessments have been regularly reviewed and are up to date. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported and encouraged to live active and healthly lifestyles. Evidence: Discussion with the manager and information we were given in the AQAA showed that residents are offered opportunities to take part in educational and training courses. A resident is supported to attend a day centre during the week. The AQAA told us that residents get out and about around the local community. Records we looked at showed that residents go to places such as the shops, cinemas, restaurants and pubs. Residents are also given the choice of a holiday each year. We were told that residents have relationships, which are very important to them. Information about those relationships and how they need to be supported by staff were recorded in their care plans. Staff we talked to showed that they respect the important relationships that residents have with their family and friends and they told us that residents have regular contact with their families through visits and by telephone. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Staff told us that residents are encouraged and supported to do as much as they can for themselves including helping with basic tasks around the home. Their care plans included information about the things they are able to do independently and the help they need from staff so they are able to do other things. The AQAA told us that residents eat healthy and balanced diets and that meal times are flexible and relaxed. Menus, which were looked at showed a variety of nutritious and healthy meals. 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. Residents health and personal care needs are well supported and recorded making sure they stay well. Evidence: Care plans, which we looked at have been reorganised since the last inspection and now include relevant and up to date information about residents care need requirements. Within the care plan there was a section about residents health and personal needs and those, which we looked at included good information about the persons preferred routines and the kind of personal and health care support they they need. Records we looked at showed that residents are properly supported to help them stay well. We saw staff talking to residents in a polite and respectful way. Staff told us about some of the things they do to ensure residents privacy and dignity such as shutting doors and curtains when helping residents with personal care, knocking on doors before entering bedrooms and bathrooms and making sure the rooms used by residents are clean and warm. The AQAA told us that residents are supported to attend regular health care checks with their doctor, chiropodist, dentist and opticians as well as attending hospital appointments when they need to, medical records, which we looked at also showed this. Staff told us they know when a resident is in pain or Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: discomfort and were confident about what they would do if a resident suddenly became ill. A requirement was given as part of the last inspection report to ensure that clear instructions regarding the administration of medication are provided by a healthcare professional. This was because it was noted at the last inspection visit that staff had hand written information onto the MAR sheet following only verbal advice given to them by a healthcare professional. This meant that there was no guarantee that residents were receiving the correct dosages of their medication putting them at risk. At this inspection visit we saw records, which showed that all instructions for residents medication has been provided in writing by their Doctor. It was also noted at the last inspection visit that sometimes medication is mixed with food to help residents swallow it. A requirement was given to ensure that this practice is discussed and agreed with relevant healthcare professionals and risk assessed to ensure it is safe and in the best interests of the resident. Since the last inspection the residents Doctor has provided written information agreeing to this and a risk assessment has been carried out. The AQAA told us that up to date policies and procedures for the safe handling and administration of medication are in place at the home. We looked at training records for some staff and found that they have received medication training. We looked at medication and medication administration records (MARs). We found that all medication was being properly stored and records were well kept. We also saw records, which showed that regular checks are carried out to make sure medication procedures are being properly followed by staff at the home. 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 have all the information they need about complaining and keeping safe. Evidence: The AQAA told us that no complaints have been made directly to the home since the last inspection and our records showed that we have not received any complaints about the home during this time. The AQAA detailed a number of policies and procedures, which are in place at the home and aim to protect both residents and staff. They included procedures about complaining, whistle blowing and protection of vulnerable adults (POVA). Copies of these procedures were available in both written and picture format and were on display at the home so that people can read them whenever they need to. We saw a visitors book, which has to be signed by all visitors when they enter and leave the home. For the protection of residents no visitor is allowed to gain entry unless they produce some form of identification. The manager was able to clearly describe how he would deal with a complaint made to him. Staff spoken with knew about the homes complaints procedure and said they were confident about complaining if they needed to. One staff member said, I would definitely complain if I needed to. Staff told us in surveys that they know what to do if a resident has concerns about the home. Detailed in the AQAA and available at the home were a number of policies and procedures relating to protection of vulnerable adults. Staff training records, which we Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: looked at and discussion with staff showed they have received POVA training. Staff told us what they would do if they witnessed or suspected abuse of a resident. They said they would make sure the residents were safe and report the incident straight away. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The inside of the home is safer, more homely and comfortable for residents, although the gardens are untidy undermining residents comfort and dignity. Evidence: The home is a three bedroom semi detached house located in a popular residential area of Childwall, Liverpool. Parking is available on the road to the side and the front of the house. There are gardens at the front side and back of the house. At the time of the inspection visit the gardens were overgrown making them look untidy. The lawn in the back garden was so overgrown it could not be used by residents. The manager told us he is waiting for a gardener to attend to them. Gardens should be properly maintained on a regular basis so that they are safe and comfortable for residents use. A requirement was given as part of the last inspection report for improvements to be made to the home. This was because it was noted at the last inspection visit that parts of the home were damaged and unhygenic putting residents comfort, health and safty at risk. During this visit we looked around all parts of the home and found that all the rrequired improvements have been made to it. We found that all parts of the home were clean and there were no hazards found. The AQAA told us there are plans to continue to make improvements to the home making sure that it is always clean and safe. The AQAA also told us that available at the home are all the required policies and procedures, relating to the environment, they included disposal of clinical waste, Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: infection control, health and safety and food hygiene. Since the last inspection a cleaning rota has been put in place to make sure the house is always clean, tidy and hygienic. 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. Residents are supported by staff who are well experienced and qualified. Evidence: The AQAA told us that there are the right amount of staff employed at the home to support the needs of the residents that live there. We looked at the staffing rotas and found that there is at least one staff on duty during the day and each night. A member of staff said, Yes I think there is always enough staff on duty to meet the needs of the residents and if we need more staff they are brought in. There was one member of staff and the manager on duty at the time of the inspection visit with one resident at home. They both showed good knowledge and understanding of the needs of the resident and clearly explained what their role and responsibilities were. The AQAA told us that there are recruitment, selection and equal opportunities policies and procedures in place at the home. Staff surveys, which returned to us showed that those staff completed induction training when they started work at the home. Surveys filled in by staff showed the induction covered everything that they needed to know to do the job before they started work at the home and that they are being given training, which is relevant to the work they do. Information we were given in the AQAA, discussion with staff and records looked at during the inspection visit showed that staff have completed mandatory training, which is training they have to complete by law so that they have the right knowledge and skills to do their jobs. Mandatory Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: training completed by staff in the last year includes, POVA, health and safety and medication. Staff have also completed other specialist training to help them understand and manage certain conditions that residents have. A member of staff said, We get all the training we need on a regular basis. The AQAA told us that all of the staff team have got a National Vocational Qualification (NVQ) in Care level 2 or above. A staff survey returned to us included the following comments, Staff work well as a team. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. the home is well managed to the benefit of the residents and staff. Evidence: A number of requirements relating to the conduct and management of the home were given as part of the last inspection report. The manager wrote to us at the right time to tell us how he had met or was planning to meet the requirements within the timescales for action. Since the last inspection the manager Keith Astley has been approved by us the Care Quality Commission (CQC) as the registered manager of the home. Keith has many years experience of working in the field of care and is working towards an NVQ Level 4 and the Registered manager Award. The manager told us he continues to attend regular training, which is relevant to his role as manager. Staff were complimentary of the manager and the way he runs the home, they made the following comments to support this, The manager is very good at his job, he is supportive and approachable, Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The AQAA told us that there are processes in place to check the quality of the service. A service manager visits the home each month to check on things such as health and safety records, residents care records and the environment. During the visits they also talk to residents and staff to get their opinion about the home and the way it is run. After the visit the service manager has to write a report detailing their findings. Copies of the reports were at the home. Records seen showed that other quality checks are now being carried out by the manager and staff including, monthly care plan reviews and weekly checks on the environment, residents finances and medication. Also as part of the homes quality monitoring processes a questionnaire is sent out to residents relatives and healthcare professionals, who are involved in residents care. These give those people the opportunity to comment on the things, which the home does well and about things they could do better. The AQAA told us that the home has available all the health and safety policies and procedures, which they have to have by law to ensure the health safety and welfare of the residents and staff. It also told us that the required checks have been carried out on the gas and electricity systems and equipment used at the home to make sure they are safe. We looked at some health and safety records and certificates and found that they were well kept and up to date. We were told in the AQAA and by staff during the inspection visit that they have had training in subjects of health and safety such as fire awareness, lifting and handling and first aid. 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 24 Gardens should be properly maintained on a regular basis so that they are safe and comfortable for residents use. Care Homes for Adults (18-65 years) Page 28 of 29 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 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. 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