Inspection on 07/05/09 for Wellpark

This is the latest available inspection report for this service, carried out on 7th May 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wellpark 08/06/06

Wellpark 29/11/05

Wellpark 13/04/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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: Wellpark Wellpark Alphington Road St Thomas Exeter Devon EX2 8AU 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: Sue Dewis Date: 0 7 0 5 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 38 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 38 Information about the care home Name of care home: Address: Wellpark Wellpark Alphington Road St Thomas Exeter Devon EX2 8AU 01392217387 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) : Networking Care Partnerships (SW) Ltd care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disabilty (Code LD) The maximum number of service users who can be accommodated is 8. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 38 A bit about the care home Wellpark provides support and personal care for up to eight people with a learning disability and complex needs. The home is a large detached house situated on a busy road in Exeter near Exeter Quay. The house is on three levels, with a large lounge, quiet room, dining room, laundry room, kitchen and en suite bedroom on the ground floor. The upper levels house the remaining bedrooms, offices and bathrooms. Care Homes for Adults (18-65 years) Page 5 of 38 There is a large secure garden to the rear of the property. The fees for the home range from 977 pounds to 2500 pounds per week. No additional charges are made to people other than toiletries and personal items. Reports from the Commission are displayed in the entrance hall and office. Care Homes for Adults (18-65 years) Page 6 of 38 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 Care Homes for Adults (18-65 years) Page 7 of 38 How we did our inspection: This is what the inspector did when they were at the care home There is reference in this report to both CSCI (Commission for Social Care Inspection) and CQC (Care Quality Commission). CQC replaced CSCI in April and in future all reports will only refer to CQC. This unannounced visit took place over 8 hours, one day at the beginning of May 2009. The home had been notified that a review of the home was due and had been asked to complete and return an AQAA (Annual Quality Assurance Page 8 of 38 Care Homes for Adults (18-65 years) Assessment). This shows us how the home has managed the quality of the service provided over the previous year. It also confirms the dates of maintenance of equipment and what policies and procedures are in place. Information from this document was used to write this report. Although only one inspector undertook this inspection, throughout the report there will be reference to what we found and what we were told. This is because the report is written on behalf of the Care Quality Commission (CQC). Care Homes for Adults (18-65 years) Page 9 of 38 During the inspection 3 people were case tracked. This involves looking at peoples individual plans of care, and speaking with the person and staff who care for them. This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process CQC likes to ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to people living at the home and staff. At the time of writing the report, responses had been received from 7 people living at the home, who had been helped to complete the forms by their key workers at the Care Homes for Adults (18-65 years) Page 10 of 38 home. Their comments and views have been included in this report and helped us to make a judgement about the service provided. During the inspection people were spoken with in a group setting and one person was spoken with individually. We also spoke with 3 staff and the manager. A full tour of the communal areas of the building was made and a sample of records was looked at, including medications, care plans and staff files. Care Homes for Adults (18-65 years) Page 11 of 38 Some people living at the home have limited verbal communication skills, and as we are not skilled in their other methods of communication it was difficult for us to have any meaningful communication with these people. However, the interaction between the people living at the home and those who care for them was closely observed. What the care home does well Care Homes for Adults (18-65 years) Page 12 of 38 Everyone has a care plan and staff are aware of peoples needs and how best to meet them. There are plenty of staff available and they are well trained. There are lots of things to do and lots of choices are available. Care Homes for Adults (18-65 years) Page 13 of 38 The home is clean and fresh and environmental risks are minimised. What has got better from the last inspection Procedures relating to medicines being taken out of the home have improved. Care Homes for Adults (18-65 years) Page 14 of 38 The home is now smelling fresh, is nicely decorated and furnished and there is more communal space available. People are now able to go into the kitchen more often and the complaints procedure is available in picture format. What the care home could do better Care Homes for Adults (18-65 years) Page 15 of 38 Care plans and daily recordings could be better organised to evidence that peoples identified needs are being met. Information about the home could be made available in user friendly formats. 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 Care Homes for Adults (18-65 years) Page 16 of 38 Sue Dewis 33 Greycoat Street London SW1P 2QF 02079792000 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 17 of 38 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 18 of 38 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There is a good assessment and admission process in place, which means that people thinking of moving into the home can be sure that their needs will be met. Evidence: There is a Statement of Purpose and Service User Guide for the home. However, neither are in formats suitable for people thinking of moving into the home to easily understand. Each person living at the home, has a file containing information about the home, including their terms and conditions for living at the home and the complaints procedure. Some of this information is in an easy-read format, but the content is still rather complicated. The manager explained the admission process for people who are wishing to move into the home. Following an initial enquiry the home decides if it can meet the identified needs of the individual and if they think the person will get on with the other people at the home. People are asked to come to the home to have a look around and for the manager to complete a full assessment. Ideally people will spend a few days at the Care Homes for Adults (18-65 years) Page 19 of 38 Evidence: home over several weeks before deciding to move in. Staff will also obtain as much information as possible from the place where the person is living at that time. The manager told us about the process for the last person to be admitted. This included staff going to work at the home where the person was living, so that they would get to know the staff. Initial care plans were drawn up and a key worker allocated. This persons family were also very much involved in the process. The home currently does not write to people, prior to their admission, to confirm that their identified needs can be met. Care Homes for Adults (18-65 years) Page 20 of 38 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 . Care plans are detailed, but provide staff with limited clear information on the needs of the individual and how these are to be met. People can be assured that risks to their personal safety will be properly identified and managed. Evidence: The plans of care for three individuals were looked at in some detail. They were quite well organised and contained a detailed assessment of the individuals abilities, as well as a good pen-picture of the person and full risk assessments. They now also contain information on the persons aims and goals and how staff can help them to meet them. The assessments take a narrative form and it was not easy to see what needs had been identified or how they were to be met. Daily recordings were also in a narrative style and did not evidence where needs had been met. One staff member told us that one of the things they thought could be improved was showing a clearer indication of how peoples goals and aims are being met. The manager told us that at meetings with other managers the need for better daily record sheets had been identified and this was being worked on. Care Homes for Adults (18-65 years) Page 21 of 38 Evidence: There was evidence to show that care plans were reviewed every month, but there was no evidence to show that people were involved in these reviews. There is no record in the care plan of the persons individual methods of communication, which means that one staff member may understand what someone is trying to communicate while another may not. It is particularly important with people who have limited verbal communication that individual methods of other forms of communication are recorded. However, staff spoken with had a good knowledge of peoples needs and associated risks and were able to describe in detail the care needed by individuals. Staff told us that they found the care plans useful and that they helped in ensuring that the care they provided was consistent. We discussed the capacity of individuals to make choices and the manager told us the ways in which the home ensures people are offered choices. This can be particularly difficult when people have limited verbal communication, and the home has introduced a system that is aimed at helping individuals communicate more effectively. The system has a variety of pictures that the person can point to inorder to indicate their preferences. The pictures can be used to build the individual a book that is specific to them and their interests. One staff member told us that they all enabled people to choose as much as possible, that they were aware of peoples likes and dislikes and promoted the things people liked. Due to the complex needs, risks and behaviours of some of the people living at the home, the front door and kitchen door have been kept locked. However, the manager told us that following a long term plan the kitchen door was now being kept open and peoples behaviour was being monitored more closely. Any hazards within the home or with individuals are assessed and any action needed to reduce risks to people is recorded. This ensures staff have the information they require to keep people safe and staff were able to demonstrate a good awareness of individual risks. Care Homes for Adults (18-65 years) Page 22 of 38 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 who live at Wellpark are able to take part in activities that suit their needs and wishes and they are supported to access the local community and maintain contacts with family and friends. Evidence: Everyone has a weekly activity plan that is displayed in the hallway. People told us that they rarely missed any activities and staff told us how important keeping to routines was for most of the individuals living at the home. There is a range of activities and outings available to people including going to discos, the pub, swimming and the Rainbow Centre. People also go shopping, swimming and horse riding. One person goes to work on a farm each week and another told us of their regular train trips. During the visit staff were seen playing football with people and encouraging others to enjoy sensory equipment. Staffing levels are being reviewed so that the level of activities available during the evening can be increased. One of the Care Homes for Adults (18-65 years) Page 23 of 38 Evidence: things that staff felt could be improved was to increase opportunities for people to go out. We saw evidence in peoples care plans that they were supported to maintain contact with family and friends. The manager told us that some people had regular visitors and that the home tried to encourage this by making the environment as welcoming as possible. We were told that the home has a set menu that is rotated and is based on healthy eating, but that individuals choices are also respected. Staff and individuals do the shopping together each week. As previously stated the home has opened up the kitchen. This means that people can be more involved in the preparation of meals. Care Homes for Adults (18-65 years) Page 24 of 38 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 live at Wellpark are supported in their personal and health care needs in a way that suits them. Systems for the administration of medicines are well managed. Evidence: The three care plans looked at showed that health care issues were clearly identified and any specific issues were followed up. Information about visits from and to health care professionals had been recorded in individual care plans, showing clear evidence that people are supported to maintain access to specialist medical services. These included dentists, GPs, psychiatrists and physiotherapists. Daily recordings show that staff are aware of and comment on individuals emotional well being, and 1:1 time with key workers allows individuals to talk about any issues that might be causing them concern. There were good recordings relating to incidents around behaviour that may challenge the service. Everyone at the home has a complex and diverse need, which staff try to understand and deal with. Staff demonstrated a good knowledge of peoples needs and preferences and gave examples of how they chose to receive their care and support, including choosing the sex of the carer delivering their personal care. Care Homes for Adults (18-65 years) Page 25 of 38 Evidence: All of the people seen during this visit were treated with respect by the staff and their right to privacy was upheld. Personal care, when needed, was offered in a discreet manner and we heard staff speaking to people in a friendly, enabling manner. A key worker is in operation that matches staff with an individual so that the person can receive more person centred care. The home uses a monitored dosage system for the administration of medication and all staff who administer medicines receive appropriate training. We saw that the home stores medication in a secure manner and has in place a good system to record the receipt of medicines into the home. We also saw that there is now a system in place to record when medicines are taken out of the home and if they are returned to the home unused. We saw that the home has clear individual protocols for how medicines prescribed to be administered when required are to be used. There is also a homely remedy policy for each individual that was signed by their GP. Care Homes for Adults (18-65 years) Page 26 of 38 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 . Peoples views are listened to and acted upon, and adequate procedures are in place to ensure that people are protected from abuse. Evidence: There is a simple complaints procedure available to people in picture format. We were told by staff and the manager that people would be supported to raise any concerns they may have and what to do if they were unhappy about anything. The manager told us that generally individuals were unable to voice any concerns they may have. However, we were told that key workers are able to recognise any changes in behaviour that may indicate the person is unhappy and would look to see if they could identify the causes. People who returned survey forms indicated that they knew who to contact if they were unhappy, this was usually their key worker or the manager. These forms were generally completed with help. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that the manager is trying to find advocates for people living at the home, so that they would have an independent person who could act on their behalf, although is is proving difficult. Peoples finances are well managed. Each persons money is kept separately and good Care Homes for Adults (18-65 years) Page 27 of 38 Evidence: records of all transactions are maintained. Records show, and staff told us that they had received training in Protection Of Vulnerable Adults (POVA) issues. All three staff that we spoke with were able to discuss different forms of abuse and said that they would report any suspicions they had to the manager. They were also able to tell us who they would report any concerns to, outside of the home, if necessary. Care Homes for Adults (18-65 years) Page 28 of 38 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a pleasant, comfortable and safe environment for those living in, working at and visiting the home. Evidence: A full tour of all the communal areas of the home and some of the individual bedrooms were looked at. All of the home was clean and fresh smelling. Extra communal space has now been provided in the form of a ground floor quiet room. People told me that they had helped choose the colour scheme for this room and for the main lounge. The opening up of the kitchen and the quiet room has given more space in which people can avoid each other and help prevent incidents occurring. A sensory area is also being planned. The home is generally well maintained and now has a full time maintenance person. Many areas have recently been redecorated and there was a bright and airy feel to the home. There is a safe and pleasant garden that people can use if they wish and during the visit one person was playing football with a member of staff. All radiators have been covered to minimise the risk of burns and all windows above ground floor level have been restricted to minimise the risk of people falling from them. Staff confirmed that disposable gloves and aprons were available to them in Care Homes for Adults (18-65 years) Page 29 of 38 Evidence: order to minimise the risk of cross infection. They also confirmed and records show that they have received training in this area. Care Homes for Adults (18-65 years) Page 30 of 38 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 . A wide range of training is provided and the numbers and skill mix of staff on duty are sufficient to meet the needs of people currently living at the home. People are protected by recruitment procedures that ensure people who may be unsuitable to work with vulnerable people are not employed at the home. Evidence: On the day of the visit there were 7 people living at the home and there were 6 care staff, the manager and the maintenance person on duty. There are 2 staff awake each night. Staff told us and evidence confirmed that they have received a variety of training, including First Aid, Infection Control and the Protection of Vulnerable Adults. They have also received a variety of service specific training including Makaton, Gentle Teaching, Autism and Understanding Challenging Behaviour. One staff member told us that since the home had adopted a Gentle Teaching ethos there had been a reduction in untoward incidents. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that 3 staff have achieved NVQ level 2 or above and that a further 7 are working to achieve this. Care Homes for Adults (18-65 years) Page 31 of 38 Evidence: Staff spoken with demonstrated a good awareness and understanding of peoples needs. People who we spoke with said that staff were very good to them and helped them whenever they needed it. The files of three staff were looked at, all contained the required information including satisfactory CRB (Criminal Records Bureau) checks, full employment history, 2 written references and proof of identity. Care Homes for Adults (18-65 years) Page 32 of 38 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 is well managed resulting in practices that promote and safeguard the health, safety and welfare of people who live in, work at and visit the home. Evidence: The registered manager, Suzanne Evans has been working at the home for some time. She has many years of experience of working in care home settings. She is nearing the completion of a degree in sociology and has obtained the Registered Managers Award and NVQ level 4 in care. The home is managed efficiently and the manager and staff team work together well. Staff told us that they felt supported to do a good job and were able to put forward suggestions for alternate ways of working. One staff member told us Sue is an amazing manager. The manager told us that there was no-one living at the home that is subject to a deprivation of liberty authorisation. We saw no evidence to show that anyone living at the home is having their liberty deprived without an authorisation. The manager completes a quality audit for the organisation each month. This assesses areas of health and safety, environment, people living in the home, administrative Care Homes for Adults (18-65 years) Page 33 of 38 Evidence: work, staffing, training, recruitment, complaints and many more. Survey forms have been sent to representatives and social and health care providers to obtain their views on the quality of care provided at the home. Meetings for people living at the home and 1:1 key worker sessions are now being held as a way of obtaining their views on the service. These quality assurance systems ensure the home is being run in the best interests of the people living there. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit, provided evidence that Wellpark complies with health and safety legislation in relation to maintenance of equipment, storage of hazardous substances, health and safety checks and risk assessments. Policies and procedures are not always inspected during the visit but the information provided on the AQAA helps us form a judgement as to whether the home has the correct policies to keep people living and working at the home safe. Information provided by the home, evidenced that policies and procedures are in place and along with risk assessments are reviewed regularly and updated where necessary, to ensure they remain appropriate and reduce risks to people living and working at the home. So that the risk of burning from hot surfaces is minimised, radiators within the home have been covered. All windows above ground floor level are fitted with restrictors, in order to minimise the risk of anyone falling from these windows and all taps are fitted with thermostats to minimise the risk of people being scalded. Care Homes for Adults (18-65 years) Page 34 of 38 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 35 of 38 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 1 3 14 You are required to write to 07/08/2009 people, prior to their admission, to confirm the service can meet their needs. This is so that people can be assured their needs will be met, after they have moved into the home. 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 2 3 4 1 6 6 6 You should consider making the information about the home available in a more user friendly format. You should consider ways to involve people in the care planning process. You should consider adding peoples method of communication to their care plans. You should consider modifying care plans so that they clearly show peoples identified needs, how they are to be Page 36 of 38 Care Homes for Adults (18-65 years) met, and when they have been met. Care Homes for Adults (18-65 years) Page 37 of 38 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. 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