Inspection on 03/02/09 for Lang Lane South (77)

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

CSCI 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

Lang Lane South (77) 09/03/06

Lang Lane South (77) 14/12/05

Lang Lane South (77) 28/02/05

Lang Lane South (77) 29/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Lang Lane South (77) 77 Lang Lane South West Kirby Wirral CH48 7EG The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Helen Carton Date: 0 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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 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 Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Lang Lane South (77) 77 Lang Lane South West Kirby Wirral CH48 7EG 01516256721 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Alternative Futures Limited Name of registered manager (if applicable) Mr Peter Grace Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home is within the following category: Learning disability Code LD. The maximum number of service users who can be accommodated is: 3. Date of last inspection 0 8 12 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 77 Lang Lane South is a three bed roomed detached bungalow that provides accommodation and personal care for three adults with learning disabilities. It is owned by Alternative Housing and managed by Alternative Futures. The home is located on the Wirral in a residential area that is situated on the top of a hill and subsequently benefits from panoramic views of the Mersey estuary. Communal space within the home comprises of a large lounge/dining room, a small quiet area, a study and a kitchen. Adapted and accessible bathing, toilet and shower facilities are also shared. Service users have access to a patio area and gardens, which are well maintained. The accommodation fees per week are one thousand and four pounds. The most up to date report from the Commission for Social Care Inspection (CSCI) is available with the homes statement of purpose and service user guide on request from the manager. Care Homes for Adults (18-65 years) Page 5 of 30 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 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home As part of the inspection process we sent the manager of 77 Lang Lane South and Annual Quality Assurance Assessment (AQAA) document, which was completed and returned to us prior to our visit to the home. This document was to provide information about the service at 77 Lang Lane South and to tell us where they felt they had made improvements to the way they support service users and the staff team. As part of the inspection process surveys were sent to three service users and five members of the staff team, a total of five were returned. The last inspection on this service took place on 8/12/2006 We visited the home to enable us to look at the records and to discuss how the home support service users in all aspects of their lives. As part of this process we spoke with a manager, members of the staff team and spent time with service users to find out their views on living at 77 Lang Lane South. We spent approximately 5 hours at the home. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well The manager and the staff team worked very hard to make sure service users are involved in all the decisions about their daily lives. Important information about the home and the type of care and support that can be provided has been produced in a format suitable for service users needs. Service users care plans provide good information about their care needs and how they like to live their lives. Service users are encouraged and supported to develop these plans and to look at them as their property. The information held in these plans support the staff team to provide safe and helpful care to service users. Service users are involved in looking at the care plans every few months to make sure the care and support being offered is what they need. Service users are encouraged to take part in activities and to be part of the local community. The manager and the staff team work hard to make sure they are supported to take part in hobbies and pastimes they enjoy such as visiting museums, creating artwork and shopping. Care Homes for Adults (18-65 years) Page 8 of 30 Service users health and personal care needs are supported and monitored and when necessary health care professionals help and advice are contacted. Alternative futures who run the home support the staff team to go on training courses to help them to gain the skills and knowledge they need to offer service users the best possible care and support. There are good management systems in place to support the manager to make sure service users and the staff teams health and safety is looked after. The manager and the staff team respect and value service users and during our visit to the home we observed members of the staff team supporting them in a respectful, sensitive and affectionate way. Staff spoken with provided the following comments: This is their home and I am a guest and I should behave as one. I love my job I enjoy coming to work when they (service users) achieve something that makes them happy it makes me feel great. We observed service users with members of the staff team and they appeared comfortable and relaxed. Page 9 of 30 Care Homes for Adults (18-65 years) We spoke with service users who told us they liked living at the home and Peter and the staff team were good and kind to them. What has got better from the last inspection What the care home could do better The manager and the staff team should continue to work toward developing ways to involve service users in the recruitment of staff members to the home. Care Homes for Adults (18-65 years) Page 10 of 30 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 Helen Carton Commission for Social Care Inspection Unit 1 Tustin Court Port Way Preston PR2 2BR Telephone Number: 01772 739 0100 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. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 30 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 12 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home proactively works to make sure information is accessible and meaningful to service users. With care needs being fully assessed prior to an offer of a placement being made. Evidence: The home has a detailed statement of purpose which the manager with the help of a service user has produced in a format which is meaningful and interesting to them. The same work has been carried out on the contract of residency to make sure service users are supported as much as possible to understand their responsibilities and those of Alternative Futures who run 77 Lang Lane South. No one has moved into the home since we last visited however Alternative Futures has a detailed assessment process. This is to make sure the staff team can support prospective service users needs and expectations also that they are compatible with the needs and lifestyle choices of people already living at the home. Care Homes for Adults (18-65 years) Page 13 of 30 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 . Service users benefit from a manager and staff team who actively promotes and supports them to be in control of their lives and direct the functions of the home. Evidence: We looked at the care plans and risk assessment information for all three service users who live at 77 Lang Lane South. We found all three plans to be very individualised and to reflect service users care needs and lifestyle choices. They offered the staff team very clear information about how service users wish to be supported in their daily lives and the routines which are important to them. Service users are supported and encouraged to be part of the care planning and risk assessment processes resulting in photographs and different font sizes and colours used to encourage them and the staff team to see these documents as service users property. The level of detail in the care plans show the manager and the staff team are fully committed in supporting service users to lead purposeful and fulfilling lives as Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: independently as possible. Care plans and risk assessments are reviewed regularly to make sure the care and support being offered is meeting service users changing needs. Service users and the staff team are encouraged to comment on support being offered to make sure changes made are effective and focus on positive experiences rather than negative. This type of approach reflects the managers and staff teams commitment to providing service users with an enabling supportive environment in which to live. Each service users has a daily record which is maintained by both them and members of the staff team. The format of these records reflect the individual needs and lifestyle choices of service users. Information recorded centres on the care and social needs of service users and demonstrates the choices service users are given on a daily basis and the decisions they have made. As part of the person centred approach to the support being offered to service users activity and social plans have been produced which clearly show with photographic prompters the leisure and social activities service users enjoy doing. This information supports the staff team to actively engage with service users about their options and promotes their involvement in decision making. Care Homes for Adults (18-65 years) Page 15 of 30 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 . Service users individual rights to live an ordinary and meaningful life in both the home and the community, and to enjoy all the rights and responsibilities of citizenship is promoted and protected by the manager and the staff team. Evidence: Records show service users are encouraged and supported to access community and leisure facilities regularly with in house activities arranged on a daily basis. Each service user has an indoor and outdoor activity planner which includes photographs of service users taking part in the activities they currently enjoy. The photographs support service users to be part of the the care panning process and enable the staff team to have a greater understanding as to how service user with limited verbal communication present when enjoying an activity. The manager and the staff team work pro-actively to ensure activities and individual holidays are celebrated and remembered through photo albums and photo memory books. Arts and craft work Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: completed by service users is displayed in their bedrooms and in the main lounge/dining area as are photographs of them together and individually. Resulting in service users having control over their daily lives and being supported by a staff team who respect and value them as individuals to enjoy a full and stimulating lifestyle. As part of the daily activity plans each service user has a calender in their room which both they and the staff team complete detailing how they have spent their day. This allows the manager to check service users are involved in regular and varied activities. The manager and the staff team work hard to support service users to maintain positive relationships in their lives with detailed information being held in their care files. We spoke with service users who told us Peter and the staff team were good and kind to them. Service users are encouraged to be independent and involved in all areas of daily living in the home such as taking responsibility for shopping and planning meals. Support workers carryout the catering duties and support service users to be involved as much as possible in meal preparation. Meal times are flexible with service users being supported to make decisions as to the times they wish to eat and whether they wish to eat alone or with other service users. The manager told us meal times are arranged around service users activities and their own personal choices. Service users are supported to go on holiday at least once every year. Care Homes for Adults (18-65 years) Page 17 of 30 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 . Service users health and personal care needs are effectively met by a staff team who respect and value them as individuals living within a communal environment. Evidence: Each service user has a detailed plan about how they like to be supported with their personal care needs and the routines which are important to them. Including the shampoo they prefer, the times they like to go to bed and how they like to relax in the communal areas and in their bedrooms. Staff members spoken with during the visit showed a good understanding of service users personal care needs and were enthusiastic about ensuring they receive care and support which meets their needs and wishes. Personal care plans are regularly reviewed with service users to ensure appropriate care and support is provided. There is a good balance within the staff team of males and females and an age range that is reflective of the service user group. Resulting in service users being confident their requests or needs regarding who supports them with their personal care needs can be met. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The manager and the staff team support service users to access health care services when required and will seek advice and support from health and social care professionals to ensure the support and care being provided is meeting their needs. Each service user has a health action plan which uses photographs and pictures to support them and the staff team to know where and by whom they are supported with their health care needs. Regular reviews of service users health care needs take place allowing changing needs to be identified and acted upon quickly and effectively. Resulting in service users being confident they are being supported by a staff team who are alert to their general wellbeing and fully understand how they should respond and take action. Following risk assessments the manager and the staff team currently fully administer medication for one service user and support another to take an active role in the administration of their medication. The manager and the staff team have developed efficient medication policies, procedures and have access to medication information and guidance. A sample of medications and the accompanying Medication Administration Record (MAR) sheets were looked at and were properly maintained. The manager and the staff team have undertaken medication training and the manager is confident of their competencies and carries out an audit of medication every month. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home proactively seeks the views and opinions of service users promoting an open culture where there can be confidence they are safeguarded from abuse and neglectful practice. Evidence: 77 Lang Lane South is run by Alternative Futures who have a detailed corporate complaints and concerns policy with clear procedures for the manager and the staff team to follow. We discussed with the manager the need to develop a more user friendly format for service users to be able to use and understand. He told us that as part of the companys quality assurance systems questionnaires are sent to service users which seeks information about service users understanding of how to make a complaint or raise a concern. As part of this process the manager with consent recorded service users responses to questions which indicate service users are aware who to go to if they have a complaint or concern including independent advocates. Service users benefit from living in a service that has an open culture that supports them to express their views and concerns in a safe and understanding environment. There are clear safeguarding procedures in place with the staff receiving regular training about their roles and responsibilities regarding safeguarding the vulnerable people they support. Members of the staff team spoken with provided the following information: If I had any concerns about service users safety or happiness I would tell Peter Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: (manager). If I felt a service user was being treated badly by anyone in the home I would go to see Peter if he was not in I would speak to A (Peters line manager). I am a guest in their home and I should behave as such. Service users benefit from the open culture operating at 77 Lang Lane South and are supported by a manager and staff team who place their protection and safety as a priority. Care Homes for Adults (18-65 years) Page 21 of 30 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 . Service users live in comfortable and safe environment which meets their care and social needs. Evidence: There is a large lounge/dining area available for service users to use. Each service user has their own bedroom. There is a shower room and an adapted bathroom which has grab rails and raised toilet seats to support service users to maintain their independence. The service has been fully redecorated and refurbished since we last visited. The communal area is homely and comfortable reflecting service users needs, interests and tastes. We noted that photographs of service users and pieces of their arts and crafts work is on display in the lounge and dining room area. This promotes service users ownership of the building ensuring they view 77 Lang Lane South as their home. The kitchen area is well equipped,clean and tidy with the laundry facilities being housed in a separate area near the kitchen. We were invited to view two bedrooms which were pleasantly decorated and furnished and reflected service users needs and interests. There are large gardens to the front and rear of the house with raised flower beds in Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: the back garden to support those service users who wish to participate in gardening activities. All areas viewed were clean and tidy. Care Homes for Adults (18-65 years) Page 23 of 30 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 . Service users are supported by a well trained and skilled staff team resulting in positive outcomes with regard to individualised care and support. Evidence: The staff team at 77 Lang Lane South has been stable for a number of years with few changes taking place. This provides continuity for service users and supports them to build positive long term relationships with the people supporting them with their personal care needs. Monthly staffing meeting are held which include a person centred plan which acts as a support and reminder to staff of the aims and values of the company and how support to service users is to be provided. It allows the staff team to reflect on good practice issues and to celebrate successes. Discussions with members of the staff team and examination of records confirmed this information. The majority of the staff have gained the National Vocational Qualification (NVQ) level 2 in care with two members of the team working toward level 3. The manager and Alternative Futures support the staff team to attend relevant training course as they recognise the benefits to service users being supported by a skilled and trained staff team. Members of the staff team spoken with provided the following comments: Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Regular training is provided and I go on the training me and Peter (manager) feel will benefit the service users and me. I enjoy going on training courses as it makes me feel more confident when I am working with service users. Since the last visit the manager has reviewed and risk assessed the need for waking night staff. Which has resulted in this support being stopped and a member of staff sleeping at the home who is available for service users during the night when needed. The manager told us this has benefited service users by increasing the daily care hours which has resulted in them being able to access more community based activities. The company has a robust and efficient recruitment process which ensures all required safety checks such employment references and criminal record bureau (CRB) checks are carried out prior to people starting work. This ensures service users are supported by people with the necessary skills, training and experience and are committed to promoting positive life experiences and outcomes. Each newly appointed member of staff undertakes a detailed induction training programme which includes information about the company including policies and procedures. Initially core training is provided covering areas such as health and safety, safeguarding adults and basic food hygiene. Further more specialised training and service specific training is provided following supervision with the manager. We would advise the company to look at ways to involve service users in the recruitment of staff for 77 Lanag Lane South rather than all aspects of recruitment taking place centrally. The manager provides the staff team with regular supervision which covers areas such as training needs, work performance and mentoring and support. Members of the staff team spoken with confirmed supervision takes place and that they feel very supported by the manager. Members of the staff team and the manager were observed supporting and engaging with service users in a sensitive and affectionate manner. They waited for responses from service users before continuing with a task and continually asked service users what they wanted to do and where they wanted to go. Resulting in service users being confident and comfortable requesting support and help when they need it. Care Homes for Adults (18-65 years) Page 25 of 30 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 . Management systems within the home promote the health, safety and the welfare of service users. Evidence: The registered manager has gained the NVQ level 4 managers award and is currently studying at degree level a course relevant to his role as manager of a care service supporting people with learning disabilities. He has been manager of the service for over five years. The manager facilitates house meetings every month with members of the staff team available to support service users. During these meeting the manager will explain any changes to the normal routines of the house and give service users the opportunity to raise any issues they may have. This information was confirmed by service users, members of the staff team and examination of records including the AQAA. Holding these meetings shows commitment by the manager to involve service users in all aspects of the service and to listen to and act on their views. Independent advocates are involved in supporting service users to make decisions in Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: their lives demonstrating the manager and staff team proactively work toward an open and person centred approach to the support they offer service users. Developing these systems and contacts also helps to support the quality assurance procedures of the company ensuring the continuing development and quality of the service being provided. T he manager receives formal supervision monthly and feels well supported by his line manager and feels confident contacting her when issues arise. Accident and incident are fully recorded and acted upon when necessary. Health and safety information is well maintained with information being easily accessible to the staff team. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 1 22 The manager should continue to engage with service users to translate the complaints procedure into a format that is meaningful to each person living at the home. Where possible service users should be involved in the recruitment of staff who will be supporting them in all aspects of their care. 2 34 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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