Inspection on 29/01/10 for Greenbanks

This is the latest available inspection report for this service, carried out on 29th January 2010.

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

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

Other inspections for this house

Greenbanks 18/02/06

Greenbanks 24/08/05

Greenbanks 10/12/04

Greenbanks 21/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Key inspection report Care homes for adults (18-65 years) Name: Address: Greenbanks Green Hills Barham Canterbury Kent CT4 6LE The quality rating for this care home is: three star excellent 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: Julie Sumner Date: 2 9 0 1 2 0 1 0 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 35 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 © (2010) 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 35 Information about the care home Name of care home: Address: Greenbanks Green Hills Barham Canterbury Kent CT4 6LE 01227831731 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Family Investment (One) Ltd care home 19 Number of places (if applicable): Under 65 Over 65 0 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 19 The registered person may provide the following category/ies 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 categories: Learning disability (LD). Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 35 A bit about the care home Greenbanks is a large house surrounded by lots of gardens. 19 people with learning disabilities live there. Everybody has a bedroom of their own. There are 2 bathrooms downstairs and one and a shower room upstairs. There is workshop next door that people can do arts and crafts in. Care Homes for Adults (18-65 years) Page 5 of 35 The house is in the village of Barham. There is a village hall, 2 churches and a post office in the village. There are 3 cars that can be used for residents to go out and there are 2 car parks. The home is owned and managed by Family Investment Limited, and the families of residents may buy shares in the company. Care Homes for Adults (18-65 years) Page 6 of 35 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 35 How we did our inspection: This is what the inspector did when they were at the care home The manager sent us an annual quality assurance assessment (AQAA) which tells us about the service provided, what improvements have been made and how they plan to develop it further. The AQAA was clearly written and gave us all the information we needed to plan the inspection visit. We visited the home without telling anyone we were coming so that we could see what they do on a usual day. We were in the home from 10.30 in the morning to around 4 oclock. We talked to all the people living in the home and also had lunch with them. Care Homes for Adults (18-65 years) Page 8 of 35 We talked to the manager and the all the staff who were working that day. We had a look around in the house and outside. We looked at plans and records for supporting the people living in the home. We also looked at staff records like what checks have been made before they started work and training they have been given. Care Homes for Adults (18-65 years) Page 9 of 35 We looked at some of the policies and procedures. What the care home does well People said they are listened to. Meetings to talk one-to-one are arranged for each person so that they can say what they want and if there is a problem. The people living in the home are assessed regularly to make sure the service is meeting their needs. People are supported to have an active lifestyle. They are encouraged and supported to do as much as possible for themselves. The home meets the physical and healthcare needs of the people who live there. There is Care Homes for Adults (18-65 years) Page 10 of 35 input from specialists and local GPs. There is a good range of training including understanding the mental capacity act and person centred planning. People are protected well by the homes policies and staff training in safeguarding. The home is really well managed. What has got better from the last inspection Care Homes for Adults (18-65 years) Page 11 of 35 Residents have designed their own contracts and have been looking at the homes policies and making them easier to understand and better. They employed a specialist to look at and advise them on menus and health eating and exercise. Two people have had the opportunity for supported employment as they said they would like to try it at their review. They have built 4 new bedrooms each with a toilet and shower room. They have improved 2 other bedrooms and added toilet and shower rooms to them too. Care Homes for Adults (18-65 years) Page 12 of 35 They have employed a gardening manager to help everyone make best use of the garden and grow flowers, fruit and vegetables. Staff have attended person centred planning training and the manager is going to organise them to develop a person centred plan for each resident. Residents have made their own complaints policy which has made it clearer. What the care home could do better Care Homes for Adults (18-65 years) Page 13 of 35 Continue to develop the service including developing person centred planning. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Julie Sumner CQC South East, Citygate, Gallowgate, Newcastle upon Tyne, NE1 4PA Telephone: 03000 616161 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 14 of 35 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 15 of 35 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 16 of 35 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. Prospective residents and their families are treated as individuals and with dignity and respect for the life-changing decisions they need to make. Admissions are not made to the home until a full needs assessment has been made and the person has had the opportunity to visit the home and decide if they like it. Evidence: The manager has updated the homes statement of purpose and we read it and discussed the contents. It gives clear information about the service the home offers. The residents have designed their own residents guide. Different formats can be used to suit each person. One person has moved in since the last inspection visit and we spoke to her about life at Greenbanks. Each person has an assessment and there is support from community nurses and care managers with this process. Each person also has the opportunity to visit the home and have a short stay to help them decide if this is the right place for them. The residents have been involved in the design of the contracts and terms and conditions of residency. Care Homes for Adults (18-65 years) Page 17 of 35 Evidence: The manager explained that they are planning to expand the opportunity for people to see what it is like to live in the home if they are considering their future lifestyle, by offering respite. Care Homes for Adults (18-65 years) Page 18 of 35 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service recognises the right of individuals to make their own decisions and supports people in a positive way. People are helped to stay safe carrying out their day to day activities. Evidence: Each person has an individual support plan. We looked at two of these and talked to the manager about them. There is clear information about the person and how they would like to be supported. The plans are sectioned for ease of reference and have pictures to highlight some of the information. Some of the records are kept in different folders for ease of access to the team. The manager said the system works well and the staff said there is good communication between the team. The plans are reviewed every six months and more often if there is a change in need. The review is organised and everyone who is important to the person and is involved in their care is invited. The manager is going to work with each resident designing their own person centred plan in a way they can understand and to keep the current plans to work along side so that they have all the information they need. Care Homes for Adults (18-65 years) Page 19 of 35 Evidence: Risk assessments are included in the individual support plans. There are clear guidelines for staff to minimise risk and they include assessments for activities inside the home like having a bath and cooking and for activities outside like swimming and going into town. This is so that if people want to do something they are not stopped because it is thought to be unsafe. Instead staff work out what support is needed to make it as safe as possible. We saw the residents being supported to make choices throughout the day as part of the way they live. There are house meetings every month for the residents to say what they think and to help decide what should go in the homes policies. Each person has a named member of staff who supports them with making decisions and making sure they have what they need. Each person also has an individual meeting where they can say what they feel and go through their support plan. All the staff team get to know everyone so that each resident can go to whoever they choose to be supported with whatever they need at the time. They said they talk to the staff about what they want and when they need to make important decisions. People are supported to be as independent as possible with managing their money. There is a financial skills sheet that has been completed for each person and assessed their understanding of money and how much they can do for themselves and what they need to learn and understand. Residents learn about money by using it as part of their lifestyle and also at the day centre. Care Homes for Adults (18-65 years) Page 20 of 35 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are able to enjoy a full a stimulating lifestyle with a variety of options to choose from. Evidence: Family Investment offers a range of day opportunities for the residents. In the grounds of the home there is a workshop where residents take part in arts, crafts and woodwork. Nearby, residents work in the pottery, vineyard and teashop where they have the opportunity to learn the different crafts, develop their social skills and manage the money. They also attend college for a variety of courses. People talked about what they like to do and these varied from person to person and included traveling, art and crafts, knitting and computers. We saw photos and notices on a notice board in the conservatory that included photos of the recent anniversary party held in the home. Residents talked about going to the ice show the previous week and about the parties they have. They are also starting to think about where they would like to go on holiday this year and said they like to go abroad, which they have done previous Care Homes for Adults (18-65 years) Page 21 of 35 Evidence: years. Residents are supported to keep in touch with the people who are important to them. Some residents go for visits to their families and the families keep in regular contact some of whom are the company directors. Everyone has free access around the home. Peoples privacy is respected. Bedrooms can be locked if residents want to. People come and go as they wish with discrete supervision by the staff. The home has a good size kitchen that the residents can cook in too. Menus are planned but are flexible. We talked to the member of staff who prepares the meals in the kitchen. We had lunch with everyone and saw that meals are appetising, relaxed and unhurried. Everyone eats together and there is a rota for clearing and cleaning up afterwards. Care Homes for Adults (18-65 years) Page 22 of 35 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and health care support is responsive to the varied and individual needs and preferences of the people who live in the home. Evidence: Each person has guidelines written in their support plan that explain what is important to them and how they would like to be supported. This includes support with their personal care and their general day to day routine. Most of the residents have lived in the home for some years and the staff team is fairly stable so everyone knows everyone else very well. But if something changes or a new person moves in the staff find out what they want by talking to them individually and making notes about it. We saw residents and staff talking to each other throughout our visit. We looked at the individual plans that contain identified needs and support guidelines for peoples health. These are written clearly and there are also records of involvement from community health specialists. The manager said there is very good support from the community health care services and the local health centre carries out annual health checks routinely and thoroughly. Staff are given training to support individual health care when it is needed. We talked to the manager about how she helps residents understand about their health Care Homes for Adults (18-65 years) Page 23 of 35 Evidence: care. The manager explained that she has arranged for a dietician to come into the home and discuss healthy eating. She said she plans to continue to develop this to include other aspects of health care including exercise as it worked well. We also discussed that when residents have received this information and shown that they understand it, that it is then their responsibility to make a choice about what they are going to eat and what exercise they might want to do. The manager is going to design specific health action plans as part of the development of person centred plans. One of the residents went into hospital for some minor surgery and returned while we were in the home. He spoke positively about his experience in hospital saying that the nurses told him what they were doing and were friendly. We saw that the staff were attentive to him on his return and regularly offered him drinks and checked to see if would like to rest. We looked at the medication storage and records with one of the staff. Where possible residents are supported to take their own medication. The staff showed us one of the records for someone who self medicates and explained how they keep a check on this to make sure he is safe and still competent. We could see that the storage was clean and medication was clearly labelled and that the records were accurate. Care Homes for Adults (18-65 years) Page 24 of 35 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are supported to voice their concerns and the procedures in the home protect people from abuse. Evidence: Residents have developed their own policy relating to complaints and concerns which they say has made it clearer. The manager said that the staff team listen to, and act on residents and relatives views and make sure that issues are discussed and resolved to everyones satisfaction. Most are easily resolved through prompt discussion with the individuals involved and at times they compromise. They hold monthly residents meetings to give everyone the opportunity to say what they think and reflect on the recent months activities. We looked at the minutes in the record book to get an idea of what is discussed. One to one meetings are also held with their named support member of staff so that they can say what they want and air any concerns. All aspects of residents finances are clearly recorded, a comprehensive and accurate audit trail minimises the risk of financial abuse. We looked at the records books and the manager discussed the process. We compared some of the records to check their correspondence. The manager said that it was time consuming completing all the records but worth it and it did give us a good picture of how the money is spent and accounted Care Homes for Adults (18-65 years) Page 25 of 35 Evidence: for. The manager said they have developed a Financial Skills sheet to measure strengths and weaknesses of each individual resident related to money, this form reinforces how much assistance is needed. We also referred to this in the two care plans we looked at. All staff are trained in how to protect vulnerable adults from abuse, they clearly understand the types of abuse and ways of recognising signs and symptoms. This is also reinforced within the various home policies. Staff are aware of the importance of reporting any suspected incident whether observed by themselves, reported to them by a resident, team member or another. We looked at the training records and talked to the staff and manager. Care Homes for Adults (18-65 years) Page 26 of 35 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and comfortable and suitable for the needs of the people living there. Evidence: Greenbanks is a large, detached house surrounded by gardens. The grounds are used to grow fruit trees and vegetables. A local farmer grazes his sheep in one section. There is a workshop based in part of the grounds, and the remainder is maintained for relaxing, games and functions. The home is within walking distance of the Barham village church, pub, village hall. The local store closed August 08, but this summer the local community opened a community store and post office at the village hall selling newspapers, sweets and other goods. One of the residents went up there during the afternoon. There are three house vehicles. Residents also use public transport both independently and with supporting staff. Last year they completed planned refurbishment of 2 bedrooms with en-suites on the first floor, and extended the ground floor building to accommodate 4 bedrooms with en-suites facilities for those who need more support. The manager said the final improvement phase will take place over the next year. All work has been approved by the local City Council. The manager said that this building work has made positive improvements to the residents personal space and lifestyle. We had a look around the home including the new parts with the manager and some of the residents showed us their bedrooms. Care Homes for Adults (18-65 years) Page 27 of 35 Evidence: The manager said they have employed a horticulture manager who has already made a positive impact on the gardening project both on site and as a business plan for outworking. They plan to continue to support the Horticulture Project, which utilises the grounds to its potential maximizing and extending skills and interest from those who wish to participate. Care Homes for Adults (18-65 years) Page 28 of 35 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 residents have confidence that the staff will support them well to meet their needs and enjoy a good quality of life. Evidence: The home has a very stable staff team who have worked together for some years. The company has a thorough recruitment process to make sure the people applying for the job are who they say they are and will work in the right manner. The company asks for identification like a passport and 2 references from people who know the person including their previous employer. They request a Criminal records bureau (CRB) check and safeguarding of vulnerable adults list (ISA, previously POVA) check to make sure they have not done anything in the past that will indicate that they are unsuitable or cannot be trusted. Prospective staff are interviewed jointly by both senior staff and residents. Staff work for a trial period of time in the company while everyone gets to know each other and the member of staff decides whether this is the right job for them and everyone is in agreement. We talked to the manager about the staffing level and looked at the duty rota. We could see that there were enough staff to support the individually assessed needs of the people Care Homes for Adults (18-65 years) Page 29 of 35 Evidence: living in the home. We looked at the staff training plan and talked about training with the manager and the staff. They told us that they regularly attend training that they need to do to comply with the law like health and safety training. They also told us that they have training for their specific job roles and to support the individual needs of the residents. Training is undertaken both in house and at local colleges. All the staff have attended training in understanding the Mental Capacity Act and some of the staff have recently attended training in person centred planning. The manager holds one-to-one meetings with the staff and each person has an annual appraisal. These meetings and the appraisal give the staff the opportunity to discuss any issues and to consider their knowledge and skill development. Care Homes for Adults (18-65 years) Page 30 of 35 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The effective management of the home makes sure that it is well run and in the best interest of the people who live there. The health, safety and welfare of the people living in the home is promoted. Evidence: The registered manager has many years of experience and has been managing Greenbanks for around 10 years. She has completed her NVQ level 4, and Registered Managers Award, and has attended a wide range of courses which enables her to undertake her role effectively. The home has a quality monitoring system. Residents and staff actively participate in the daily running and decision-making. They have monthly meetings where things are discussed and residents take it in turns to chair the meetings. Parents who are also shareholders have an annual general meeting. The most recent one was the homes 20th anniversary. The manager said that the Directors inspect the environment once a month and have given positive comments to them. The manager also said that regardless of the Care Homes for Adults (18-65 years) Page 31 of 35 Evidence: issue, any suggestions offered by residents, parents or staff are considered and discussed and where possible implemented. Feedback is also gained from visiting professionals and the manager takes all these aspects into consideration to plan the priorities for the following year. The staff team take it in turns to be responsible for different parts of the running of the home like routine health and safety checks and medication ordering and checking. Staff have monthly meetings where various topics are discussed including the homes policies, staff training and annual leave arrangements. The manager makes sure the building is well maintained and safe by having maintenance programmes and relevant checks and they benefit from established qualified maintenance and service engineers. There are thermostatic controls on the baths and wash basins and the staff also check the temperature of bath water before people have a bath as well. We looked at the water temperature records. There is a fire risk assessment and we looked at this and the fire log. The staff complete the fire log with all necessary checks and fire drills are carried out monthly. Recently the staff had requested some fire safety training for the residents to encourage them to be more responsive and have a better understanding of the need for the drills. This training was arranged but has been rescheduled due to the recent snow. Care Homes for Adults (18-65 years) Page 32 of 35 Are there any outstanding requirements from the last inspection? Yes  No  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 33 of 35 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 Description 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 Description 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 34 of 35 Helpline: Telephone: 03000 616161 or 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 © (2010) 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 35 of 35 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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