Inspection on 02/12/09 for Cornerways

This is the latest available inspection report for this service, carried out on 2nd December 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cornerways 13/12/06

Cornerways 09/02/06

Cornerways 28/07/05

Cornerways 05/01/05

Cornerways 09/07/04

Cornerways 03/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Cornerways 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY     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: Sue Kinch     Date: 0 2 1 2 2 0 0 9 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) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. 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: Cornerways 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY 01425613297 01425614595 info@glyn-residential.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Glyn Residential Ltd Name of registered manager (if applicable) Ms Suzanne Katie Bull Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability - LD Physical disability - PD Date of last inspection Brief description of the care home Cornerways, 2 Dudley Avenue is a care home offering accommodation and personal care to three younger adults with learning or physical disabilities. The home is located in a village in the New Forest and there are local shops and a pub within easy reach of the service. All three bedrooms are single rooms. One bedroom is Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 3 3 2 7 1 1 2 0 0 8 Brief description of the care home provided with an en suite toilet and another with an en suite shower area. All bedrooms have external access by means of a French door or patio door and ramps are provided. Adaptations are provided within the home to meet individual needs with the exception of the kitchen. Communal space includes a small kitchen/diner and work has recently taken place to provide a lounge which was due to be availble for use shortly after our inspection. It is established practice that, unless personal arrangements out of the home have been planned, the people living in the home go, everyday, to another service run by Glyn Residential Ltd where they can interact with others and use facilities such as the computers. They also have access to a mini-bus and this is wheelchair accessible. Fees, at the time of our visit in December 2009, ranged from £400-800 per week. Variation depends on individual assessments of need. 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 inspection included a review of the information that we have received about the home since the last key inspection which we completed on 27th December 2008. For this inspection we received an Annual Quality Assurance Assessment (AQAA) from the manager telling is about progress in the home since the last inspection. We received three surveys completed by people living in the home, three from staff and four from health and social care professionals. During the evening visit to the home we met with a representative of the registered provider, the manager, a staff member and two of the people living in the home. The visit took place for four and a half hours during which time the home was viewed and a sample of various policies and records were also considered. 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 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 Care Homes for Adults (18-65 years) Page 7 of 29 order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 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 9 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. Arrangements are in place to ensure that people considering moving into the home have their needs assessed and information available has recently been updated but is not available in other formats. Evidence: There has not been an admission to the home for several years and at the time of our visit there was no vacancy. The manager told us that the process described at the last inspection remained. Admissions are usually started by an approach by social services and an assessment obtained. The process would include introductory visits and overnight stays and an assessment by the home including obtaining information from other people as appropriate. At the time of the inspection the home was involved in a process of re-admitting someone to the home after hospital treatment. We had verbal evidence that needs were being reviewed and care plans re-considered in consultation with health professionals first. Some staff training to aid this had also taken place. The four health and care professionals responding to our survey said that the home assesses and plans the right service for people. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: There is a service users guide and statement of purpose in the home. At the last inspection we said that some attention was needed to ensure that the service provided is fully and clearly reflected in it. We said it needed to include staffing arrangements for continuity of care and how staff are deployed through out the day and flexibility around this. In the AQAA the manager told us that the guide has been updated. At this inspection we noted that it was in progress and the manager agreed to consider formats other than written information. Care Homes for Adults (18-65 years) Page 11 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. People living in the home are encouraged to be involved in decisions about their lives and the routine of having to be at another care home during the day time is under review. Risks are assessed but people may still benefit from wider consultations with relevant health or care professionals in this process. Evidence: In the AQAA the manager said that depending on client wishes the home is exploring extra funding for people to have staff to support them to spend more time at Cornerways. In surveys provided by the people using the service and two supported by relatives they said that they are able to make decisions about what they do each day, evenings and at weekends. They said that staff treat them well. One person said I am really happy here. Some comments about care provided from care and health professionals are included Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: in the health and personal care section of this report. Of the home one said it Creates a homely environment and involves residents in all aspects of their care plans and how their home should function. Promotes independence and encourages residents to do what they can for themselves. At the last inspection we had assurances from the manager that she would take action to make sure there is a clear system for monitoring the control measures to minimise risks to people living in the home. The manager also agreed to ensure that care or health professionals or relevant others are to be fully involved in risk assessments where appropriate. We did not make requirements at the last inspection but said this action needed to be prompt to ensure the protection of people living in the home. At this visit we reviewed this and found there are risk assessments and the manager said that they had been sent to the care managers. But not all these risk assessments are in sufficient detail to describe how risks are minimised and how consultation has taken place. A risk assessment is needed for one person involved in self administration of drugs. For another person the issues in the risk assessment are not assessed in adequate detail to take all risks into account including dignity and privacy and moving and handling. The manager said that she was aware that the risk assessments could be in more detail from discussion with an external professional. A requirement has been made at the end of this report. We noted that the needs and wishes of the people living in the home are included in their care plans. The two care plans viewed had been reviewed and were last written in October 2009. There is evidence of regular reviews within the home and with external professionals. One person had recently had a review and another was being planned. People are involved in decisions about the home individually and in the house meetings. The approach of the management and the staff during our visit was to consult and involve people in day to day decisions. 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. People,living in the home are involved in the planning of their day and a range of activities but choice and decision-making is currently provided within the routine of spending most days at another care home owned by the company. Regular monitoring of food provided to people throughout the day would ensure that their needs are met. Evidence: The manager in the AQAA said that they are supporting two people to use day services more often since the last inspection. On our visit people spoke about the activities they are involved in and of a planned trip to a pop concert the following weekend. They and staff also told us about holidays that they had participated in this year. Activity plans are arranged for people living in the home. Several entries are that people are going to the other care home. However, staff and one of the people spoken with said that they do a variety of things there and go out using the organisations transport. We noted that activities are included in the care plans and Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: reviewing process. People are supported to have contact with friends and relatives and some have regular trips to stay with them. In the AQAA the manager said that the people living in the home continue to wish to do this although more choice may change this when the lounge is available and staff levels reviewed at the home. One person was spoken with about this and they confirmed that they were happy with arrangements. People have most meals at the other care home. At our last visit we noted that there was not a record of the food provided at Cornerways. At this visit we noted that this had been addressed for breakfast which people eat at the home but that records did not show that peoples overall food intake is monitored. The manager agreed to include this in reviews of care provided. In the AQAA the manager told us that nutritional screening had taken place for all of the people living in the home, that it is repeated for people who are considered at risk and that one staff member had received training in nutritional care and assistance with eating. We viewed a nutritional assessments on our visit a noted that one was due for review.The manager agreed to ensure that this would be done. 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. People are assisted with health and personal support based on their changing needs and wishes but this would be enhanced by some more detailed risk assessments. Evidence: We obtained information from some health and care professionals about how the needs of people living in the home are met. They also said the home properly monitors health care needs, reviews them and needs are met. All said that advice is sought by the home and followed up. One said that the home home acts promptly to change in health care needs and the home is keen to work in partnership with Adult Services and Health professionals. Another said excellent rapport with their clients respecting their individual personality and that people living in the home are positively encouraged to express their views and ideas. Another said Superb care and well co ordinated. In the AQAA the manager said that they support the health needs of people well and plan to continue to meet changing and ongoing health needs of the three service users,by training and working with other health professionals. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: During our visit we noted that the health needs of people living in the home are being taken into account in provision of equipment and adaptations, although as noted in the environment section this has not yet been applied to the kitchen. Health needs are recorded in files and are included in the care plans. We have already referred to some health needs being more fully risk assessed in the individual needs and choices section of this report. We also noted that the management had arranged for staff to be trained in meeting specific health needs showing that they are responding to changing needs. This had been in consultation with the health professionals and care plans were either in place or being drawn up for different individuals. We found evidence that staff are being trained in medication and that records are held for their administration. A conversation about risk assessments for self administration where relevant was held with the manager as referred to in the section on individual needs and wishes. 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. The home provides opportunities for the people living in the home to raise concerns and has the procedures in place to safeguard them. Evidence: In the AQAA the manager said that the home had not received any complaints since the previous inspection. The complaints record is held in the home and indicated that none had been made. In the AQAA it stated that the home had procedures in place for people to raise concerns. People living in the home are encouraged to express their views in reviews and house meetings. In surveys provided by the people using the service and two supported by relatives they said that they know who to speak to if they are not happy and know how to complain. They all said that staff listen and act on what they say. Feedback from a staff member showed that they had an awareness of adult protection issues, had received training, were aware of what to do if they had concerns and knew about whistle blowing. We sampled training records for the staff who cover most of the shifts in the home and these showed that they are provided with training in safeguarding. We discussed aspects of money management and in a file, viewed in respect of Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: financial management, noted how peoples finances are supported and recorded. These also indicated that independence is taken into account. We noted that money for one person living in the home was held at the time of our visit and we checked to find that the records reflected what was happening in the home. The manager said that she checks for accuracy in these procedures weekly. 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. Changes to the environment are ongoing offering people living in the home, improved facilities which are clean, hygienic and adapted to meet their needs. Evidence: The home was registered without a lounge and the people living in the home said they moved in knowing this and that they would be going to another registered care home within the group for daytime activities. Since then changes have been made to the home, a lounge provided and one service user has been provided with a new room with an en suite facility. The manager,in discussion, explained aspects of how the needs of the person who will be using the room had been taken into account. The lounge was was not quite ready for use when we visited. Staff a person living in the home spoke very positively about it and were making plans for its use at Christmas. The owner and manager said that they had consulted external agencies to ensure that alterations were compliant with building and fire regulations. The manager explained the other work taking place in the home and this included new fire doors following the consultation with an external agency about fire risk assessments. The bathroom although usable, was reported to be undergoing development. The bidet had been moved to make more room and flooring was about to be replaced. People living in the home were positive about the changes. One person Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: said that there had been quite a lot of dust but that the workmen had done most of the work when they were out and they had been considerate. In the AQAA the manager said that they were now considering improvements to the window, and the kitchen to provide more adaptations. Changes have been made to the kitchen and the manager said that work was needed to ensure that there is enough space for people to move around in it and consideration was needed to the height of work tops. The manager showed us the new system in place in the home for reporting maintenance issues and we noted that this was being used. Problems are reported and monitored by the management. Records are also held of when items are fixed. Infection control was referred to in the AQAA and the manager told us that two staff working in the home have received the training. We saw some evidence of this in the staff training records. 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. People living in the home are provided with consistent staffing trained in the skills to provide the service however, although the recruitment of staff includes sufficient checks those for other people regularly in the home in a non staff capacity, must be more detailed. Evidence: At the last inspection we noted that details of who worked and when are not recorded in the home. The manager said that they were held at another home in the organisation but agreed to arrange for them to be held at this home. At this inspection we found that this had been addressed. A regular rota is in place showing that there is consistency in staff provision and records are held of variations to this. It showed that when regular staff are not available cover is provided by people known to the people living in the home. The manager told us that some staff support levels were under review at the time of our visit with a view to increases in levels. This depended on the outcome of individual assessments. We saw evidence that the training and supervision of staff is taking place. We noted that supervisions are recorded and records are held of training. These included training with a local college which the manager said they have a good working relationship with. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: We received positive feedback about the staff and approaches of the home from the surveys that people living in the home completed. Two of these were with relatives. Positive views were also received from professionals. We observed relaxed and friendly interactions during our visit. We discussed and viewed records of staff recruitment. We found evidence that sufficient checks are being a carried out. However, this was not sufficient for another person regularly in the home in a non staff capacity and this was brought to the attention of the Responsible Individual and the manager. 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. The quality of the service is now under regular review showing that the service to people is monitored regularly by the newly registered manager who also pays due attention to health and safety. Evidence: Following the last inspection of the home we made a requirement that an application was made to register a manager for the home. Since then we have received an application and the process has finished. The manager is a level 1 nurse and has completed the Registered Managers award. She has plans for her own training and this includes about the Mental Capacity Act and Deprivation of Liberty safeguards. The manager is registered in respect of another small care home within the organisation. This is in the same road as this home. As the people living in the home also go to the other home during most days the manager has an opportunity to monitor care provided to them in both settings. Management time at the home was discussed with her and she is aware that this may change with the possibility of people spending all day at the home. She confirmed that management time at the Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: home will be kept under review to ensure that the quality of the service, records and environment are monitored. We received a Annual Quality Assurance Assessment (AQAA) from the home for this inspection. The AQAA was returned on time and included information about the improvements to the home and referred to most of the items that we raised in the last report saying how things had been addressed. In it the manager said that the quality assurance system was in place and that there are regular service user meetings and feedback is obtained from relatives. At the last inspection visit we were told by the manager that a new quality assurance system had been purchased and we were shown files that were to be used for this purpose. At this inspection we reviewed the files and checked some of the systems that relate to it and noted that the quality assurance system is now effectively used. We noted that in the AQAA the manager told us that policies and procedures for the home were updated in December 2008. However at the inspection we were told that the home has consulted externally and that there was evidence that policies and procedures were being been updated. In the AQAA the manager declared that routine maintenance checks of services and systems are carried out in the home with some due for completion in December 2009. We were also told that assessments have been completed for substances hazardous to health. At the inspection we checked a sample of the records held in relation to servicing and maintenance and found these are being routinely completed. We talked with staff, the manager and viewed records in relation to health and safety. A staff member was reported to be receiving fire training during the inspection visit. Staff training records showed that recent training has been received in aspects of health and safety. 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 9 13 The registered persons must 08/01/2010 ensure that risk assessments are in sufficient detail to record the action needed to minimise those risks and have a system in place to show that these are reviewed regularly. This is so that people living in the home are fully prevented from harm. 2 34 19 The registered person must 24/12/2009 ensure that sufficient checks are carried out for any one in regular contact with people in a non staff capacity in the home. This is to ensure that the risks to people living in the home are minimised. Care Homes for Adults (18-65 years) Page 27 of 29 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: 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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!