Inspection on 28/07/09 for Marula House

This is the latest available inspection report for this service, carried out on 28th July 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Marula House 15/11/07

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

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Marula House 54 Durham Road Manor Park London E12 5AX     The quality rating for this care home is:   two star good 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: Robert Cole     Date: 2 8 0 7 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. 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. 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. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Marula House 54 Durham Road Manor Park London E12 5AX 02085143739 02085143739 marulahouse@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Marula House Ltd care home 3 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: 3. The Registered Person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Male whose primary care needs on admission to the home are within the following categories: Mental Disorder excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Marula House at 54 Durham Road was registered as a care home in 2007. The registered person had previously provided a care service for younger adults with mental health problems at a previous location. The service was relocated to 54 Durham Road and registered with the Commission and as a new service. The property is a terraced family type home situation in a residential road, with easy Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 3 Brief description of the care home parking. The property provided three single bedrooms one with ensuite shower room. Adequate shared toilets and bathing facilities are provided. A lounge was located on the ground floor and a domestic type kitchen, which included laundry facilities. The property has front and rear gardens. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and health care support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out on the 28/07/09 and was unannounced. The inspector had the opportunity of speaking with both of the current service users, and the homes manager was present throughout the course of the inspection. The inspector was able to observe staff interacting with service users, and also conducted a tour of the premises. Records and documents were examined during the course of the inspection. Prior to the site visit, the home completed an Annual Quality Assurance Assessment (AQAA) at the request of the Care Quality Commission. All of this has contributed to the overall inspection process, and to judgements made within this report. Care Homes for Adults (18-65 years) Page 6 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and health care support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the judgement of the inspector that prospective service users are provided with sufficient information about the home to enable them to make an informed choice as to move in or not. This information is provided through written documentation and the opportunity of visiting the home. Evidence: The home has a Statement of Purpose and Service Users Guide in place, both documents are written in plain English, and have been subject to review within the past twelve months. The Statement says We aim to provide a stable, safe living environment within a shared house; a comfortable, pleasant and culturally sensitive environment, and choice in all areas of residents lives. The Statement also includes details of the management and the organisation, along with details of the services and facilities provided by the home. All residents are provided with their own copy of the Service Users Guide. This Care Homes for Adults (18-65 years) Page 9 of 29 Evidence: includes the homes complaints procedure and contact details of relevant organisations such as community and advocacy groups, and is in line with National Minimum Standards (NMS). The home has an admissions procedure in place, which covers both planned and emergency admissions. The procedure makes clear that prospective service users would be able to visit the home before making a decision as to move in or not. Since the previous inspection there has been no new admission to the home. Standards tested around pre admission assessments and trial visits were tested and found to have been met at the previous inspection. All residents are provided with a tenancy agreement, which is signed by both the resident and the homes proprietor. These give details of fees payable and the rights and obligations of both parties. Care Homes for Adults (18-65 years) Page 10 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the judgement of the inspector that service users have a large degree of control over their daily lives, and that they are given the opportunity of been involved in the running of the home. Evidence: Care plans are in place for all residents. These have been drawn up with the involvement of the resident, their keyworker and the homes manager. Plans are clear and comprehensive. They clearly set out the needs of service users, and how the home is able to support them meet those needs. They cover needs around mental and physical health, along with equality and diversity issues, for instance around culture and religion. Care plans are subject to regular review. To help with the review process, service users have a weekly one to one meeting with their keyworker, to discuss any issues of relevance to them, including goals set out in their care plans. Daily records are also maintained. Each service user has an annual review meeting in conjunction with their placing authority, which feeds in to the care planning process. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The home has drawn up a series of risk assessments around risks faced by service users. The inspector was pleased to note that since the previous inspection these are now person centred, and based around the risks faced by individual service users. There are assessments in place around being healthy, covering diet, exercise, regular health checks etc, self harm and self neglect, using the kitchen and accessing the community. These are of a satisfactory standard, clearly identifying any risk and including strategies to manage and reduce those risks. They also include guidelines on managing any challenging behaviours that service users may present. There was evidence through the risk assessments and the AQAA supplied by the home that service users are able to take reasonable risks, for example accessing the community without the support of staff, which helps to promote and develop independence and dignity. Through observation and discussion there was evidence that service users have a large degree of control over their daily lives. It was observed that service users got up at varying times during the course of the inspection, all of which were at a time of their choosing. Service users informed the inspector that they are able to make decisions about their daily lives, such as when to get up and go to bed, when to go out, what to eat etc. One service user informed the inspector I can go out when I like. Service users were seen to be able to plan their own day, for example one service user was able to visit the shops, while the other relaxed at home, but informed the inspector this was what they wanted to do. Service users have been offered keys to their bedrooms and to the front door. There was evidence that service users have the opportunity of been involved in the day to day running of the home. Service users are involved in daily routines, as detailed in their care plans, for example with cooking, laundry and keeping their bedrooms tidy. Regular service user meetings are held, these discussed issues such as menus and activities. It was seen at a recent meeting service users said they would like a BBQ, and this was subsequently arranged. Service users are involved in choosing and planning their own holidays. Since the previous inspection all communal areas, along with bedrooms have been redecorated. The manager informed the inspector that the decor was chosen by the provider, service users spoken to confirmed that they had not been involved in choosing new decor, even in their own bedrooms. It is required that service users are given the opportunity of choosing decor for their home. The home has a confidentiality policy in place, this makes clear under what circumstances a confidence may need to be broken in the health, safety and welfare interests of service users and others. Staff spoken to demonstrated a good Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: understanding of the issues around confidentiality. Confidential records are stored securely, staff and service users can access their records as appropriate. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the judgement of the inspector that service users are supported to live generally fulfilling and active lives. Food was of a good standard, and service users are able to access the community as they wish. Evidence: Although no service users are currently involved in any employment, one service user has expressed a desire to work with older people, the other service user would like a job in catering, and the home is looking in to this. No service users are currently involved in any formal educational opportunities. Activities charts are in place for all residents as part of their care plans. Service users are able to access the community themselves, and to a large degree plan their own activities, although the home does provide occasional activities such as meals out. In house service users have access to a variety of leisure activities, such as television, Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: videos, music, board games and BBQs. Service users are offered a weeks holiday away from the home annually. Residents have access to community facilities, such as cafes, pubs, shops, markets, banks, post offices and libraries. Service users are able to access public transport, such as buses and trains. Care plans indicate that service users are encouraged to participate in religious festivals as appropriate, and their was evidence that service users have been able to personalise their bedrooms with religious iconography, thus helping to meet their needs around equality and diversity issues. Residents are able to maintain contact with family and friends, including visiting families for overnight and weekend stays. Service users can see visitors in private if they so wish, both in their bedrooms, or the homes quiet room. Service users are given their own mail to open, and have access to the use of a telephone in private. Indeed, one service users has their own mobile phones. Service users have a large measure of control over food. They are able to choose and buy their own food, and cook it themselves, with staff support provided where needed. It was evident that service users are able to eat at a time of their choosing, and that meals were personalised to individual service users. Records are maintained of menus, and of fridge and freezer temperatures. The kitchen was clean and tidy, and food was stored appropriately. The home buys various basic food items such as bread, milk, tea, coffee and sugar for communal use by service users. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and health care 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. It is the judgement of the inspector that the home is generally meeting the health and personal care needs of service users, although the home must ensure that service users are able to see health care professionals as appropriate. Evidence: Service users are able to manage their own personal care, although the home will offer support and encouragement for them to do so. Service users choose their own clothes to wear, and were appropriately dressed on the day of inspection. Health action plans are in place for all service users, which contribute to the overall care plans. All service users are registered with a GP. Records are maintained of medical appointments, including details of any follow up action necessary. However, these records indicated that follow up action was not always attended to. For example, records stated that a service user visited the dentist on the 18/04/07, and that the were due to go back again on the 6/08/07. However, there was no evidence that this appointment took place, or indeed that they have been back to the dentist at all in that period of over two years. Similarly, a service user had an appointment with a psychiatrist on the 28/07/08, and the records indicated that they were due to have a Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: follow up appointment on the 4/11/08. Again, there was no evidence that this appointment took place, or that they have been back to the psychiatrist since. It is required that service users have access to health care professionals as appropriate to help ensure that their health care needs are being met. At the previous inspection a requirement was made that all staff undertake training, which included an assessment of their competence, before they are able to administer medications. The inspector was pleased to note that this requirement has now being met. The home has a comprehensive medication policy in place. Medications are stored in a locked cabinet inside the office. No service users currently self medicate, or are on any controlled drugs. Records are maintained of medications entering the home, and of those that are returned to the pharmacist. The home maintains Medication Administration Record (MAR) charts. Those that were examined by the inspector were found to be generally accurate and up to date. It was however noted that mistakes had been made on the week of the inspection on MAR charts, but that the manager had picked up on these mistakes and taken action to rectify the situation. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the inspectors judgement that the home has taken reasonable steps to protect service users. Service users have a good understanding of whom they can complain to, and all staff have undertaken adult protection training. Evidence: The home has a complaints log, this indicated that complaints have been investigated and recorded appropriately. The complaints procedure includes contact details of the CQC. A copy is included within the Service User Guide, which all service users are provided with. There was also a copy of the procedure on display within the home. Service users spoken to demonstrated a good understanding of whom they could complain to if they so wished. The home has a copy of the Local Authorities adult protection procedure, and also its own policy and procedure on adult protection. The inspector was pleased to note that this policy has been revised since the previous inspection, and is now in line with current legislation. Staff spoken to demonstrated a good understanding of their roles and responsibilities with regard to adult protection. Records indicated that all staff working at the home have undertaken training in adult protection issues. All service users have their own bank accounts, and all go to the bank to withdraw Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: their money. Service users take responsibility themselves for managing their finances. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the view of the inspector that the home is suitable to meet its stated purpose with regard to its physical environment. The home was generally well maintained, and service users are provided with adequate private and communal space. Evidence: The home is located in the Manor Park area of the London Borough of Newham, close to shops, transport links and other local amenities. The home is in a quiet residential street, and is in keeping with other homes in the area. The communal areas of the home consist of a lounge, a dining room/kitchen, a second lounge used as a quiet room and a garden. The garden was well maintained, and included appropriate garden furniture. The home was generally well maintained, both internally and externally. Furniture and fittings were well maintained and domestic in character. The home is registered for three service users, all of whom are provided with their own bedroom, one of which is ensuite. Bedrooms have been personalised to individual service users tastes, for example with family photographs and posters of football teams. Service users have been able to bring their own personal possessions in to the home with them, such as televisions and music systems. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: Bedrooms meet NMS on size requirements. Curtains, carpets and bedding in bedrooms was well maintained, and domestic in character. Rooms had adequate natural light and ventilation, and all bedrooms are centrally heated. Bedrooms contained appropriate furniture, including chest of draws, wardrobe, table and chairs. In addition to the ensuite bedroom, the home has one toilet/shower room and one toilet/bathroom. Bathrooms were clean, tidy and free from offensive odour. All bathrooms are now fitted with a working lock, which includes an emergency override device. There was evidence that the home has taken steps to help control the spread of infection. Staff have undertaken training in infection control, and protective clothing such as gloves were available to staff. Hand washing facilities were situated around the home. The home has laundry facilities which are appropriate in scale to the size of the home, and COSHH products were stored securely on the day of inspection. The current group of service users do not require any specialist adaptations or equipment to aid them with their mobility around the home. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the judgement of the inspector that the home is staffed in sufficient numbers to meet the needs of service users, and that the home has sufficiently robust recruitment procedures in place. Evidence: The home provides 24-hour support, including a waking night staff and an emergency on-call procedure. The home had a staffing rota on display, this accurately reflected the staffing situation on the day of inspection. For most of the time the home operates with one staff member on duty. As the home currently has only two service users, the inspector considers that staffing levels are satisfactory. The manager informed the inspector that staffing levels would be reviewed if there is a further admission to the home. Through observation and discussion there was evidence that staff have built up good relations with service users. Staff were seen to be chatting in a relaxed and friendly manner with service users throughout the course of the inspection. Service users expressed satisfaction with the staff, one commented They are alright. Staff are provided with a copy of their job description, and the home holds regular staff meetings. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: All staff undertake a structured induction programme on commencing working at the home. Three of the four care staff employed at the home have achieved an NVQ Level 2 in Care or equivalent qualification. The inspector checked staff training records. These indicated that staff have undertaken health and safety training as appropriate, for instance on food hygiene and infection control. However, there were gaps in training provided around service user issues. So despite the fact that the home provides care to service users with mental health issues, none of the care staff have received training in this area, and this must be addressed. The AQAA indicates that the home has relevant employment related policies in place, including on equal opportunities and recruitment and selection. The inspector checked staff employment files, these were found to contain all required documentation, including references, proof of ID and CRB checks. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a registered manager in place. Appropriate health and safety and quality assurance systems are in place. Evidence: The home has a full time manager in place, who is registered with the CQC. They have ten years experience of working in the care field, including eight years in a senior capacity. They have achieved an NVQ Level 3 in Care. The manager informed the inspector that they are currently working towards the Registered Managers Award. Service users informed the inspector that they found the manager to be approachable and accessible, and were seen to interact with the manager in a relaxed manner on the day of inspection. Record keeping in the home was generally of a good standard, and confidential records are stored securely. Staff and service users can access their records as appropriate. According to the AQAA supplied by the home, the home has all necessary policies and procedures in place. Those checked by the inspector, including complaints, admissions and medication were of a satisfactory standard. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: Care plan reviews, service user meetings and staff meetings all contribute to the quality assurance process within the home. The home issues questionnaires to service users, their relatives and health and social care professionals to gain their feedback on the running of the home. Feedback seen by the inspector on completed surveys contained generally positive comments. There was evidence that monthly Regulation 26 visits are taking place. The home does not have a fire alarm system, but smoke detectors are fitted around the home. The inspector was pleased to note that since the previous inspection all bedrooms now contain a smoke detector. These are tested every week. Fire extinguishers are situated around the home, these were last serviced in April 2009. COSHH products were found to be stored securely, and the home has in date employers liability insurance cover in place. The home has in date safety certificates for PAT testing, electrical installation and gas safety. Hot water and fridge/freezer temperatures are tested. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 12 The registered person m,must ensure that service users are given the opportunity of being involved with choosing the decor of the home. To help enable service users to have control and choice over their home. 31/10/2009 2 19 13 The registered person must ensure that service users have access to relevant health care professionals as appropriate. To help ensure that the health care needs of service users are being met. 31/08/2009 3 35 18 The registered person must 30/11/2009 ensure that care and management staff working at the home undertake training around working with adults with mental health issues as appropriate. Care Homes for Adults (18-65 years) Page 27 of 29 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 To help ensure that the home is able to meet the needs of service users. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: 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 © (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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