Inspection on 11/08/09 for Grove Court

This is the latest available inspection report for this service, carried out on 11th August 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.

Other inspections for this house

Grove Court 18/01/07

Grove Court 05/10/05

Grove Court 19/04/05

Grove Court 17/11/04

Grove Court 16/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Grove Court 100 Lancaster Road Newcastle Staffordshire ST5 1DS     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: Joy Hoelzel     Date: 1 1 0 8 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 28 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 28 Information about the care home Name of care home: Address: Grove Court 100 Lancaster Road Newcastle Staffordshire ST5 1DS 01782628983 01782714982 grovecrt@rethink.org www.rethink.org Rethink care home 14 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) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 14 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD) 14 Date of last inspection Brief description of the care home Grove Court is a large Victorian building located in a residential area close to Newcastle town and with good access to public transport. It was opened in 1991 and is run by the Rethink Organisation. The accommodation is on three floors, with a lift to access some bedrooms on the first floor. On the ground floor, there is a large lounge dinning room, a dining room, which is also used as the smoking room, kitchen two bedrooms and toilet facilities. The laundry is located in the basement. The first and second floors have bedrooms and toilet facilities, in total there are six single and four shared bedrooms some have enCare Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 14 Brief description of the care home suite facilities. One bedroom for one person who is more independent, is in the annex within the garden of the home; it has good facilities including an en-suite shower. The home accommodates up to 14 people with enduring mental health issues. This is provided in a supportive environment with support from specialist primary care and hospital health professionals. The aim is to maximise independence, promote an increased quality of life and provide individuals with an opportunity to develop living skills and have a positive community presence. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. The service user guide does not include information on the current level of fees for the service. The reader may wish to obtain more up to date information from the care service. Care Quality Commission reports for this service are available from the provider or can be obtained from www.cqc.org.uk Care Homes for Adults (18-65 years) Page 5 of 28 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: The last key inspection for this service was completed 4th September 2007, with an annual service review 1st August 2008. The home did not know that we would be visiting on this occasion to conduct a full inspection of the service. We were accompanied on this inspection by an expert by experience. An expert by experience is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. Their comments are included in this report. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of two of the people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records, some policies and procedures and Care Homes for Adults (18-65 years) Page 6 of 28 staffing records. Discussions were held with people living and working at the home. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The registered manager completed this document and returned it to us. Comments from the AQAA are included within this inspection report. Care Homes for Adults (18-65 years) Page 7 of 28 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 order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that the home is able to meet their care needs. Evidence: Information on the home is provided in two documents, the statement of purpose, which sets out what the service offers and the service user guide which offers more information when a person decides to move in. Both documents are updated at regular intervals and available directly from the home. Parts of the documents refer to the previous regulatory body and will need amending to ensure that the most current information is available. The manager explained that the weekly fees are not included in the documents as they are very much dependent of the care package that is agreed for the individual. There is space in the documents for the fees to be included when they have been agreed. The AQAA that was completed by the manager gives full details of the admission procedures and the actions the home takes when they know that a person wants to move into the home. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: We looked at the case file of the person who most recently decided to move in. We saw that there was information from various organisations that had been involved with this persons care. The person had also visited on several occasions to meet with other people and to get a feel of the home. This included some overnight stays. This person has not been at the home very long but told us that they quite like it and would like to stay. Care Homes for Adults (18-65 years) Page 11 of 28 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 who use this service can be assured that they will be fully involved in making choices and decisions about their lives. Evidence: The AQAA tells us that - The people that use our service each have an up to date individual plan of care. Each plan is based on assessment of risk, personal social and healthcare needs and is reviewed as needed or at least every three months. We looked at the care plans and records of two people currently living at the home and found that both people had been fully involved in the planning of their care. One of the people though told us that they were unsure of what a care plan is and didnt fully understand what it is all about. We saw that the plans were based on the care needs and preferences of the individual. For example one person sometimes feels very distressed which may place themselves and others at harm. The plan contained details of what may cause these feelings and what staff could do to help this person overcome the distress. Another of the plans contained details of a person remaining Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: safe whilst out of the home. A plan had been agreed with the person of the actions they and others could take for them to remain safe but equally to remain as independent as possible. We saw that the plans are reviewed at regular intervals and when there is a change in a persons needs. One plan had recently been amended to include the very latest information on a change of care needs. Through out the time of this inspection we saw that people were being offered choices and supported to make decisions of how they wish to spend their day. Be it the television programme to watch, whether to go out to the shops or to sit quietly in the garden. Care Homes for Adults (18-65 years) Page 13 of 28 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 using the service can be confident that they will be supported to follow their own personal interest and activities. Evidence: The AQAA tells us that - We encourage and support the people who use our service to maintain and develop social activities of their choice within the community, such as the local theatre, swimming, to the pub, the pictures etc. People told us - The staff organise day trips and holidays and I go to the shops. I like the relaxation classes, and going out a lot. People also told us that they were looking forward to the planned day trip to the seaside. The manager told us that no one currently is employed or attending the local colleges but anyone wishing to do so would be fully supported. Another member of staff Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: informed us of the possibility of someone coming to the home to support people with basic learning in English and maths. The Statement of purpose includes details of maintaining contact with family and friends and states that visitors are welcome at all reasonable times. At the time of the inspection one person was preparing for the regular visit to see their family and told us that this is something that they enjoy doing and look forward to these days out. We saw that staff fully respect peoples privacy and do not enter the private rooms without first obtaining the permission of the occupant. Not all people are able to have a key to their private bedrooms as some of the doors do not have a locking facility. The manager explained that they are currently obtaining estimates from local contractors to have locks fitted to all doors. None of the people living at the home are offered a key to the front door. The manager explained that people usually use the rear entrances of the home and that someone is always about, to open the door if it is locked. The main front door is kept locked for security purposes; staff answer the door and allow entry. We did not see any other doors locked with the exception of the storage cupboards and we saw that people were in all areas of the home, inside and in the garden. The care plans detail the amount of support a person needs when dealing with their household chores, cooking, cleaning and laundry. People told us that the staff help them with cleaning their bedrooms and helping with their washing and ironing. There is a dedicated smoking area within the home but there are plans for a conservatory to be installed for this purpose. It is anticipated that this will be completed by the end of August. People are encouraged not to smoke in their bedrooms; this is discussed and agreed with a record made in the care plans. The expert by experience spoke with many people during this inspection and discussed the activities, how they find life at the home and the choices that they have. One person told the expert by experience that they feel they are able to make their own decisions on what they do but feels that the staff could encourage them a little more to help around the home as at the minute they only tidy their room and make the bed. Another person said that they feel quite independent as the staff give me lots of encouragement and I clean my room with the help of the staff and I also help with the washing up. People using the service help themselves to breakfast and drinks throughout the day. Staff prepare and serve the other meals. We saw that people were offered alternatives Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: if they didnt like what was on offer on the day of our inspection. People generally told us that they were satisfied with the arrangements for meals and the food that is provided but the menu could benefit from a little more variety. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be confident that they will receive support and care in the way they prefer and need. Evidence: The AQAA tells us that - Personal care is incorporated into each individual care plan and is assessed and reviewed as needed or at least every three months. Any support given by staff would be after discussion with the individual person and would be based on the persons preferences which would then be recorded into their plan of care. We saw that the care plans recorded the agreed support someone requires with personal care, with some people requiring more support than others. People told us that they were very happy with the support they had from staff and said the staff were always very willing to help them. People have key workers to ensure the support they receive is consistent, one person told us of the very close relationship they have with their key worker. One person told the expert by experience they have two key workers one for day and one for at night. They went on to say the staff are happy to help them should they need to go to the doctors as they do not like to go on their own. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: Information is recorded in the care plans of the various health professionals involved in a persons care and include visits to and from the general practitioners, chiropodists, community mental health workers, dieticians etc. The AQAA tells us that - A record is kept of all the medication received, administered, returned and disposed of. In addition a staff member is designated to record this information onto a continuous record which is easier to check. Some people who use our service are part or totally self medicating and risk assessments are carried out as necessary or at least every three months. Staff discussed with us the procedures for administering medication and showed us the records for ensuring that medication is given correctly. The manager explained the recent review of the procedures to ensure that the risks of a person taking medication for which they are not prescribed are at an absolute minimum. We saw staff adhering to the revised instructions during the morning of this inspection. Staff told us that currently no one is taking medication that has to be extra securely stored. We advised that a special cabinet is installed so that it is available for future use. Some people living at the home are able to keep and administer their own medications. A storage box has been supplied so that the medications can be stored securely in the persons bedroom and staff explained the checks they make to ensure that the person is taking the medications in line with the instructions. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are provided with information on how to make their concerns known. Evidence: The complaints procedure is included in the homes information documents and a copy is displayed on the notice board at the entrance to the home. Staff told us that each person living at the home has their own copy of the complaints procedure and that it is produced in an easy read format when required. People told the expert by experience that they would be comfortable talking to the manager or senior staff about any concerns or worries that they may have. One person spoke of some problems they had had in the past and that the staff sorted them out very quickly. A log and record is kept of all complaints or concerns that are raised at the home, an explanation of how the concern was looked into and the action that was taken. The manager informed us of one complaint that has been raised since the last inspection. People from other organisations are involved with looking into these concerns and it is still to be resolved. The manager is hopeful that it will soon be satisfactorily concluded. Some people using the service need help and support with looking after their finances. Staff explained the procedures in place to make sure that the money is safe and an assessment is completed and agreed with the person. Each person has been supplied with a lockable box for the safekeeping of their money and valuables. Care Homes for Adults (18-65 years) Page 19 of 28 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. People stay in a safe and well-maintained home that is homely, clean and pleasant. Evidence: Grove Court is a large detached property situated in a residential area of the town. It is a short walk from the town centre, there are some shops very close by. We looked around the home and saw that it is comfortably furnished. Currently the dining room is allocated as the smoking area. The manager explained that a conservatory is being installed and will be used as a smoking area for the people using the service. The dining room will then have a complete overhaul and return to its original use. People told us that they were satisfied with the accommodation. One person told the expert by experience that they are very pleased that they can have their room as they want and has lots of a football teams memorabilia that they like to display. The AQAA tells us that there are plans to- Provide single rooms for all of the people who use our service. People told us that they didnt mind sharing a room as it was something they had done for ages. The expert by experience observed All residents seemed happy and comfortable in their surroundings. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: There are one or two areas that if improved maybe of benefit of people and increase their privacy and dignity. For example none of the shared rooms are provided with privacy curtains and not all bedroom doors are provided with a locking facility. This was discussed with the manager who acknowledges this and has plans already in hand to make the improvements. The laundry area is situated in the basement and is accessed by a steep set of stairs. The laundry is well equipped and people are supported and helped with their weekly laundry. Hand wash facilities have been provided in communal areas. To further promote effective infection control and for general hygiene purposes the wash hand basin and surround in the staff and visitor toilet needs attention as it needs replacing. The manager offered an assurance that this would be attended to. Care Homes for Adults (18-65 years) Page 21 of 28 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 using this service can be confident that the staff have the skills and knowledge to meet their needs. Evidence: When we arrived at the home for our surprise visit we were greeted by one member of staff who went on to introduce us to the other people so that they were aware of why we were at the home. The manager was on the premises and was supported by three health workers (care staff). There are no dedicated domestic or catering staff; these tasks are carried out by the health workers and the people using the service. The AQAA tells us that most of the care staff have a National Vocational Qualification in care with other staff working towards the qualification. The home adheres to organisation policies and procedures on recruitment. All staff employed at the home including bank workers have in their personal file kept at the home their current contract, CRB (criminal record bureau) and POVA (protection of vulnerable adults) checks, job description, annual leave, toil, sickness, supervision, and appraisal records. We sampled personnel files and saw that checks were made as to the suitability of the person before offering a position within the home. The files contain a record of the Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: training that has been completed and the training that is required. The manager explained that specialist training in British Sign Language is needed for all staff due to the needs of a person using the service. Some staff have already had this training and are now using this to effectively communicate with the person. Staff told us that in their opinion they thought that the training they received was sufficient for the job they have to do. Care Homes for Adults (18-65 years) Page 23 of 28 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. People who use this service can be assured that the home is led and managed well. Evidence: Ms Karen Howells is the registered manager of the service and has been in this position for the past three years. Ms Howells is currently working towards the Registered Managers Award which is nearing completion. Ms Howells has also attended training in Mental Capacity Act and Deprivation of Liberty safeguards. Ms Howells completed the AQAA in July 2009 and returned it to us when we asked for it. The AQAA contains excellent information that is fully supported by appropriate evidence. It includes a high level of understanding about the importance of equality and diversity and a wide range of evidence showing how they have listened to people using the service. It shows that home has a high level of self-awareness and recognises the areas that it still needs to improve, and has clearly detailed the ways in which they are planning to do this. Observations during this inspection confirm and support the information provided. It became very obvious during this inspection that good professional relationships Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: have been developed and maintained between the manager, staff and people using the service. People spoke positively about the style of management and leadership. The expert by experience wrote in their report I would like to commend the manager and her team for what seemed like a well organised and caring service. Quality assurance and the monitoring of the home continue on a regular basis. People are asked their opinion on how they feel the home is operating and any suggestions for improvements are actioned. The manager told us of the numerous opportunities for people to discuss home life either in the formal setting, the regular group meetings, or informally with their key workers or other staff. The service makes sure that people are safe by ensuring that staff are well trained, that the systems, property and equipment are maintained and in good working order and that risk assessments are developed and reviewed. We saw records, documents and certificates relating to this, all were up to date. Care Homes for Adults (18-65 years) Page 25 of 28 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 28 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 27 of 28 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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