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Inspection on 03/11/09 for Dorton College Of Further Education

Also see our care home review for Dorton College Of Further Education for more information

This is the latest available inspection report for this service, carried out on 3rd November 2009.

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.

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

What the care home does well

Dorton College residential units continue to provide a caring, supportive and empowering environment for the students. There is good management striving to ensure leadership within the residential units is consistent with the aims, objectives and development of the college. There is an expanding range of activities available based on individual and collective need. The staff at the college are friendly and helpful to ensure the students are given opportunities to learn new skills, new leisure activities and involve people who are important to the students, such as family and friends. Staff members are well supported and there is a good staff development programme in place. Students enjoy good quality meals and choice is offered.

What has improved since the last inspection?

There has been a restructuring of the management of the residential services so that there are three managers, each responsible for a set of units and the students who are resident there. This replaces a revolving three week system which meant that the person responsible changed regularly. The new system gives improved continuity and accountability. There is a more efficient deployment of staff giving improved support to students when required, for example at weekends. The college has improved the integration of the educational and residential provision and the communication within the teams and with families to better support the students. The pre admission assessments have been made more detailed and now include an assessment of the students` transition to college life. They are also more robust to help ensure the information provided by placing authorities is accurate. Improved care planning systems are being implemented. One of the living areas has had a bedroom adapted to have ensuite facilities and the specialist equipment necessary for people with profound mobility needs. A communal shower room has also been adapted. The college has improved the provision of communal space for students with significant mobility needs, allowing them to more fully participate within community life. There is a wider range of shorter activities negotiated with the students in the evenings and at weekends. Meal times have been moved away from the central dining area back into the units to allow greater individual attention to and involvement of students. Records are being kept in a manner that preserves confidentiality. Incident and significant incident forms have been updated and are subject to closer monitoring and analysis to help safeguard people.

What the care home could do better:

No requirements are made as a result of this inspection. The college recognises further improvements to care plans and daily records are necessary to better show how students are supported. Work is being done in regard to this. Likewise, risk assessments are being further developed to help safeguard people.

Key inspection report Care homes for adults (18-65 years) Name: Address: Dorton College Of Further Education Seal Drive Seal Sevenoaks Kent TN15 0AH     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: Gary Bartlett     Date: 0 3 1 1 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 27 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 27 Information about the care home Name of care home: Address: Dorton College Of Further Education Seal Drive Seal Sevenoaks Kent TN15 0AH 01732592600 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Royal London Society for the Blind care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 sensory impairment Additional conditions: The maximum number of service users who can be accommodated is 21 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 service are within the following category: Sensory impairment (SI) Date of last inspection Brief description of the care home Dorton College of Further Education is registered to accommodate up to 21 young adults who have a sensory impairment with additional care needs alongside students who do not fall within the remit of this report. Other educational services for younger children are also provided in separate buildings on the campus. The establishment is managed by the Royal London Society for the Blind. The College is situated in extensive grounds, close to the town centre of Sevenoaks. For the purpose of this report service users are referred to as students. The fees charged are dependent on the individual needs of the students. Details can be obtained from the college. 0 4 1 1 2 0 0 8 21 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 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 key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Dorton College from 9.30 a.m. until 4.00 pm. Judgments about quality of life and choices were taken from direct observation and by discussion with some students and staff. Some records and parts of the premises and grounds were inspected. The college had completed an Annual Quality Assurance Assessment, from which information was used to inform the inspection process. The Responsible Individual and Manager, other staff and the students gave valuable assistance. The Inspector would like to thank everyone involved for their contribution to the inspection. Care Homes for Adults (18-65 years) Page 5 of 27 What the care home does well: What has improved since the last inspection? There has been a restructuring of the management of the residential services so that there are three managers, each responsible for a set of units and the students who are resident there. This replaces a revolving three week system which meant that the person responsible changed regularly. The new system gives improved continuity and accountability. There is a more efficient deployment of staff giving improved support to students when required, for example at weekends. The college has improved the integration of the educational and residential provision and the communication within the teams and with families to better support the students. The pre admission assessments have been made more detailed and now include an assessment of the students transition to college life. They are also more robust to help ensure the information provided by placing authorities is accurate. Improved care planning systems are being implemented. One of the living areas has had a bedroom adapted to have ensuite facilities and the specialist equipment necessary for people with profound mobility needs. A communal shower room has also been adapted. The college has improved the provision of communal space for students with significant mobility needs, allowing them to more fully participate within community life. There is a wider range of shorter activities negotiated with the students in the evenings and at weekends. Meal times have been moved away from the central dining area back into the units to Care Homes for Adults (18-65 years) Page 6 of 27 allow greater individual attention to and involvement of students. Records are being kept in a manner that preserves confidentiality. Incident and significant incident forms have been updated and are subject to closer monitoring and analysis to help safeguard people. 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 7 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 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. There are detailed assessments of prospective students, prior to them being offered a placement, to help ensure the college can support their needs and aspirations. Evidence: The college has a comprehensive assessment and admission policy and procedure to follow so each admission is undertaken in a planned way. Prospective students are only admitted to the college after there has been an assessment of their needs by specialist teams of staff. Since the last inspection, the assessments have been made more detailed and now include an assessment of the students transition to college life. They are also more robust to help ensure the information provided by placing authorities is accurate. The assessments we saw contained details of the students needs in relation to their personal well being and what they aspire to. For example, the college staff and the student draw up a list of the things they want to achieve, such as developing communication skills, using cooking facilities and preparing meals and attending Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: courses to gain qualifications. The assessments also cover medical conditions and administering medication. The college staff and the students work with families and other professionals to ensure the students needs are met in a way they choose. This means the college is student focused and works with the students to develop their strengths. All identified needs are transferred into care plans and are regularly reviewed to help ensure the students goals are being met. Discussion with students confirmed that staff are sensitive to helping them settle in and are good at learning their individual care needs and preferences. Care Homes for Adults (18-65 years) Page 10 of 27 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. Students care and health needs are well supported in an appropriate manner. An improvement to daily care records would better evidence how this is being done. Evidence: Since the last inspection, the care planning systems have been improved and there is closer integration between the teaching and care elements of the college. Each student now has an Individual Learning Plan, (ILP), which includes short, medium and long term goals and has targets in curriculum, Braille, life skills, mobility and therapy. The ILPs are being supplemented with Care and Support Plans. Together, they provide a cohesive plan of care and give the staff details of individuals needs and personal preferences. Any restrictions on choice or freedom are clearly identified and show that there is an emphasis on helping students to be as independent as possible. The Manager said the aim is for the care plans to be easily used by people who are not familiar with the individual to deliver a personalised and consistent person centred service. She acknowledges further work is required and staff are being given guidance and support in writing the new care plans. The Manager described how students are Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: being reassessed to ensure accurate and up to date information is included in their care plans. Students tell us they are fully involved in the process. The Manager is aware that the daily records are variable in their quality and some offer little information about students responses or state of being. She said this is being addressed through training and monitoring. This was confirmed by staff members spoken with. These staff members have a good understanding of students individual needs and preferences. A lot of information is exchanged verbally. There have also been improvements in the risk assessments. They are more comprehensive in scope and content and include activities undertaken by students. Staff members spoken with generally have a good understanding of getting a balance between perceived risks and promoting independence. All students spoken with are happy with the support they receive at the college and are positive about the role they play in planning their own future. They tell us they value the particular support given by their key workers. Care Homes for Adults (18-65 years) Page 12 of 27 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. The college actively promotes the rights of individuals to make informed choices. This includes developing and maintaining family and personal relationships. Evidence: Each student has an individual care plan that focuses on daily living activities, personal goals, and targets they want to achieve. Students are treated as individuals and are consulted about their different interests and aspirations. There are regular meetings to discuss activities students would like to do as a group and individually. There is now a wider range of shorter activities available in the evenings and at weekends. Special events such as birthdays are celebrated in the students preferred way. The students we spoke with are very enthusiastic about the activities they are able to partake in. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Staff recognise the importance of enabling people to follow their own interests and to benefit from building good relationships with family and friends. Students are being offered opportunities to gain skills that will help them be more independent. Any religious or cultural beliefs are supported and transport is arranged for students to attend places of worship when necessary. Students say that the staff respect their privacy. Meal times have been moved away from the central dining area back into the units to allow greater individual attention to and involvement of students. Students spoken with say they like the food and there is plenty to eat. There is a variety of food to choose from. Students plan menus for meals taken in the residential units and are involved in shopping for food. Special diets are catered for. Care Homes for Adults (18-65 years) Page 14 of 27 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. Students benefit from personal support which meets their individual needs and preferences. Evidence: Through discussion with some students and staff and assessing three care plans, it is evident that students have ready access to health and social care professionals. They are supported with any specialist appointments and interventions. The staff are made aware as to the type and nature of the support required for students personal and intimate care needs. The staff members spoken with have a good understanding of the preferred routines and varying requirements of each individual. They provide flexible support to students based on individual choice and personal care is provided in private to promote their dignity. A tour of the premises shows that students have the specialist aids and equipment they need for moving and transferring and maintaining independence as far as is possible. Records show that staff members receive Moving and Handling training as Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: part of their induction training and it is updated as necessary to ensure they know how to assist students safely. A procedure is in place for the administration of medication, which aims to protect students. The Manager confirmed that all staff administering medications have been trained and signed off as being competent to do so. The college is about to introduce the use of blister packs as an additional safeguard. The administration of medicines was not observed on this occasion. Care Homes for Adults (18-65 years) Page 16 of 27 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. Students know their complaints are listened to and acted on. There are systems to protect people from abuse. Evidence: The Director of Education explained that the ethos of the college is that it welcomes complaints and suggestions about the service and uses these positively and learns from them. The college regularly issues surveys to students which are available in different formats. The students comments enable the college to plan improvements to the service. A review of the number and nature of complaints made is used as part of the quality assurance process. The complaints procedure is readily available to students and their relatives. They say they feel confident they are listened to and any necessary action is taken. The college keeps a record is of all complaints received by them, the result of the investigation and how the complaint has been resolved. The AQAA indicates the college has not received any complaints in the last twelve months and the Commission has not directly received any information regarding formal complaints about Dorton College since the last inspection. The college has policies in place for safeguarding vulnerable adults and whistle blowing. These enable the management and staff to know what to do in the event of an allegation or suspicion of abuse. Training records showed us that staff members Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: have received training in the protection of vulnerable people. Training on the Mental Capacity Act is also being made available to give them an understanding on how this legislation affects their practice. There has been one safeguarding alert in the last year and this has been closed. Care Homes for Adults (18-65 years) Page 18 of 27 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 college offers the students comfortable and attractive surroundings, which are clean, safe and generally well maintained. Evidence: Students have access to all the amenities in the college campus which includes extensive well-maintained grounds, a sensory room, sports facilities and a swimming pool. The living accommodation is divided into three areas. Managed care for people with high personal, physical and emotional needs, planned care for people with less high needs and who may be able to move on to self care which is for people who are mainly independent. The residential areas are appropriate and provide a safe environment for the students. There is an ongoing programme of redecoration and refurbishment. For example, the bedrooms in Peshurst have been equipped with new furniture and the Manager explained it is intended to replace the stained sofas in one of the lounge rooms that we saw. One of the living areas has had a bedroom adapted to have ensuite facilities and the specialist equipment necessary for people with profound mobility needs. A communal shower room has also been adapted. Each student has a single room, which they are Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: able to lock. Students say they find their bedrooms comfortable and like having the opportunity to personalise them. The kitchens are suited to the needs of students with visual impairment and physical disabilities and promote hygiene standards. The college has improved the provision of communal space for students with significant mobility needs, allowing them to more fully integrate within community life. Those parts of the accommodation seen were clean, warm and free from offensive odours. Care Homes for Adults (18-65 years) Page 20 of 27 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. The service is ensuring that all staff members receive relevant training that is focused on improving outcomes for the students. The recruitment procedure is robust to help ensure students are cared for safely. Evidence: The last year has been unsettled for the college with a change in management and the restructuring of staffing arrangements. There has been a major change in the staffing group as a result of this and there is an ongoing recruitment drive so the college has the calibre of staff it wants to implement the revised work practices. The practice of allowing permanent staff to work additional shifts to provide cover has stopped. This is good, as working long, consecutive shift patterns could compromise staff competency through fatigue and thereby put people at risk. Consequently, the college is currently dependant on using agency staff to maintain appropriate staffing levels, but is looking to appoint more permanent staff in the near future. People applying to work at the college have to complete an application form, provide two references and have a POVA and Criminal Records Bureau (CRB) check and attend an interview. The files of the most recently recruited staff show that appropriate checks are made prior to them commencing duties. The college promotes an equal Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: opportunities policy and aims to recruit the most suitable people providing a mix of cultures and backgrounds to support the range of students who attend the college. There is an induction programme in place for new staff and one for agency staff. The college has a very well maintained monitoring system that identifies individuals training needs. The records indicate staff are required to attend mandatory training and training that gives them the skills to meet students more specialised needs. Students like the staff and find them approachable, polite and kind. They agreed there are enough staff to provide support to them. Throughout the site visit there was evidence of good interaction between staff and students. Care Homes for Adults (18-65 years) Page 22 of 27 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 college is being well managed and recognises where improvements are to be made in the best interests of students. Evidence: Since our last inspection, the Director of Education has taken post at the college and has been registered by us as the Responsible Individual. The Care and Protection Manager commenced duties in August 2009 and will be submitting an application to be registered by us as the Manager of the college. She has the Registered Managers Award, an NVQ level 4 and has worked in residential care for twenty years with children, younger adults and older people. It is clear they both have a commitment to providing a high quality service that is tailored to the individual needs and preferences of the students. A quality assurance process is in place to obtain the views of students and other stakeholders. The Director of Education said there is an annual improvement plan which includes meetings and reviews and produces an annual quality report. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: Health and safety policies and procedures are in place and staff members receive appropriate training relevant to their jobs in safe working practices. Systems are in place for reporting and monitoring incidents and accidents. Incident and significant incident forms have been updated and are subject to closer monitoring and analysis. The staff files seen are comprehensive and very well organised. The Manager described how the Estates department undertakes regular environmental risk assessments and that records of maintenance and safety checks are in order. These were not inspected on this occasion. There are records of fire systems checks and fire drills and training. Students spoken with have a good understanding of emergency procedures. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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