Inspection on 13/11/08 for 103 Steyne Road

This inspection was carried out on 13th November 2008.

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

103 Steyne Road 19/12/06

103 Steyne Road 06/12/05

103 Steyne Road 20/07/05

103 Steyne Road 05/01/05

103 Steyne Road 21/07/04

103 Steyne Road 19/08/02

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Extracts from inspection reports are licensed from CQC, this page was updated on 30/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 103 Steyne Road 103 Steyne Road Seaford East Sussex BN25 1AL     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: Nigel Thompson     Date: 1 3 1 1 2 0 0 8 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. the things that people have said are important to them: They reflect 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 © (2008) 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 29 Information about the care home Name of care home: Address: 103 Steyne Road 103 Steyne Road Seaford East Sussex BN25 1AL 01323490508 Telephone number: Fax number: Email address: Provider web address: steyneroad@onetel.com Name of registered provider(s): Name of registered manager (if applicable) Mr Devlin Storm Nye Type of registration: Number of places registered: Southdown Housing Association Ltd care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 4. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 103 Steyne Road is a Southdown Housing Association service providing residential care to four adults who have learning disabilities. The home is located close to the seafront and to Seaford town centre. There are public transport links within walking distance. The home is a detached property, with four single bedrooms, two lounges, a dining room, kitchen and conservatory. There is a secure garden and patio area at the back of the property. Service users are able to decorate their bedrooms to suit their individual preferences. There is a downstairs bathroom, with a bath seat available. Service users Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 4 Brief description of the care home are supported to access a range of day, educational and leisure facilities from the home and in the local community. Fees are £1,200.00 to £1,500.00 per week. 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: 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 peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection took place over three and a half hours in November 2008. All of the key National Minimum Standards that were assessed were found to have been met and the outcomes for residents and overall quality of care provided was excellent. Residents spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to monitor care practices at the home and the focus was on the quality of life and outcomes for people who live at the home. Care Homes for Adults (18-65 years) Page 6 of 29 On the day of the inspection there were four residents living at the home. In line with CSCIs commitment to raising standards of social care and as part of the improved methodology for inspections, I was acompanied on my visit to the home by an Expert by Experience. The man, who himself has a learning disabliity, was supported throughout by his Personal Assistant. Inevitably, with his unique insight, he had a very different perspective on how the service meets the assessed care and support needs of individual residents. His invaluable contribution enriched the inspection process, was appreciated by residents and staff alike and provided a positive experience for all concerned. The inspection itself involved a tour of the premises, observation of working practices, examination of the homes records and discussion with two residents, three members of staff and, at a later date, the Area Manager. Information received in the Annual Quality Assurance Assessment (AQAA) and responses from a CSCI service users survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. 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.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 8 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 healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The thorough admission policy and procedures ensure that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents are provided with sufficient relevant information to know that the home is able to meet their individual care and support needs. Evidence: Information is available to prospective and existing residents in various formats. The Statement of Purpose and Service User Guide have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. There has been one person admitted to the home since the previous inspection. He moved in in July 2007 and has evidently settled in well and is happy and comfortable in his new home and in the company of the other residents: Yes Im very happy here. I like it. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: There was evidence of a clear and thorough admission policy and procedure being in place. As part of this procedure, a detailed pre admission assessment and comprehensive Health Check are undertaken and include information relating to the individuals personal, medical, social and psychological care and support needs. Prospective residents and their relatives are encouraged to visit the home and have the opportunity to look around and meet with members of staff and existing residents. New residents evidently undergo a three month trial period at the home, during which time their suitability and compatibility are assessed and it is established whether their identified care and support needs are able to be met. A full review is held at the end of this period, involving the resident, their relative or representative, the Service Manager, Care Manager and Area Manager. Care Homes for Adults (18-65 years) Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive, person centred support plans enable staff to meet the assessed care and support needs of residents in a structured and consistent manner. Systems for consultation and participation are effective and residents are treated with respect and encouraged and enabled to make decisions about their day to day living. Evidence: High quality, person centred care plans have been developed for each resident, clearly linked to the individuals assessed needs. The plan is formulated by the key worker, manager and evidently with the direct involvement of the resident or family member, as appropriate. A resident told the Expert that they are involved with their person centred planning. Each resident has their personal file, which shows up to date records and information on residents. Files were made available to the Expert. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: The Expert observed that: There is a webcam available to one resident whose relatives live in Australia. This webcam allows the relatives to be involved in review meetings and his person centred planning. Also the webcam is used whenever the resident wants to have a chat with his family. Staff spoken to during the inspection confirmed that, despite the variable and limited verbal communication of some residents, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation of staff supporting residents in a professional, sensitive and respectful manner. Individual support plans are formally reviewed every six months to ensure that the individuals care and support needs continue to be met in a structured and consistent manner. However in addition to this, all residents are discussed in detail at monthly staff meetings and any significant changes are evidently addressed immediately. In support plans that were examined, there was clear evidence of the direct involvement of the resident or a relative in the reviewing process. It was noted that a Consent form had been signed to acknowledge agreement with the content or to any changes to the plan Staff spoken with during the inspection emphasised the importance of developing close working relationships with individual residents and being aware of often subtle changes in their mood or condition. Resident are clearly consulted regarding many aspects of their day to day living, including menu planning and choosing both individual and collective social, recreational and leisure activities. It was noted that Communication guidelines have been developed in respect of residents with limited communication. The guidelines are written in the first person and ensure that staff are aware of the individuals current physical and psychological condition and of their ongoing care and support needs. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends as they wish and links with the community enrich their social and educational opportunities. Residents benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: A member of staff confirmed that, where appropriate, residents family links continue to be supported, however not everyone has regular family contact. Community participation remains a focus in the home and residents are evidently encouraged and supported to visit the cinema, theatre, local shops and other amenities. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: The recreational and leisure interests of residents are identified and recorded in their individual support plan and they continue to be enabled to access activities and facilities, reflecting their individual needs, preferences and abilities. Individual care plans examined and comments from staff and residents confirmed that activities include craftwork, music sessions, attending a local college and other day services, various trips out and a variety of other leisure activities. The menus are varied and balanced and are based on residents identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. A member of staff confirmed that, where appropriate, residents are regularly involved in meal preparation. This was confirmed by one resident, spoken with during the inspection: I like helping in the kitchen. The Expert was informed and also saw from residents personal diaries that residents are involved in activities such as going to the garden centre, supermarkets, post box, having friends around, drinks in pub, swimming, television, buying magazines, train trips with train tickets attached to diaries as evidence and going to the bank to update savings books. The Expert asked one resident about their food and was told that they are offered a choice of what to eat. The Expert confirmed that the Home offers choices and gives rights to residents in terms of answering the door, smoking cigarette and taking fresh air outside and allowing residents to offer drinks to visitors. Personal items of residents are labelled with their names and pictures of friends and family are placed on the bedroom wall. Care Homes for Adults (18-65 years) Page 15 of 29 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. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual support needs. Residents are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: In accordance with their support plan, residents are enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, staff were observed interacting with residents in a professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents are continuing to be met within the home. All residents are registered with local GPs and have access to other health care professionals, including district nurses, physiotherapists and dentists, as required. It was noted, in support plans that were examined, that all appointments with, or visits Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: by, health care professionals are recorded. The home continues to operate an effective key worker system and staff were observed working closely and sensitively with residents to meet their identified personal care and support needs. As previously documented, following consultation with residents, specific guidelines have been developed for all staff, ensuring that support is provided in a structured and consistent manner and in a way that the individual prefers. Staff spoken to during the inspection confirmed that residents are supported to access a range of health care professionals in the community. The home continues to work closely and effectively with the Community Learning Disabilities Team, which provides support and guidance in addressing psychological healthcare needs. Up to date, detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. Following risk assessments, it is evident that no resident self administers their own medication. The home uses a monitored dosage system (MDS) for the administration of prescribed medicines and a local pharmacist continues to carry out quarterly monitoring visit. In house staff training is provided in the control and safe handling of medicines. 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. The open and inclusive atmosphere within the home enables residents, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Residents are safeguarded from abuse through relevant staff training and robust policies and procedures. Evidence: An up to date complaints procedure is in place for the benefit of residents, their relatives and other visitors to the home. All complaints are recorded and include actions taken and outcomes achieved. However, it was noted that there have been no formal complaints received by the home since the last inspection. Residents meetings are evidently held on a regular basis and provide an opportunity for any concerns to be raised, discussed and hopefully addressed before they become complaints. Residents and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: The organisation has produced detailed policies and procedures relating to adult protection and abuse, including a whistle blowing policy. Staff have undertaken specific training, in accordance with the multi agency guidelines for the safeguarding of vulnerable adults. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. 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. The service is accessible, safe and clean and remains suitable for its stated purpose. Reidents benefit from accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. Evidence: The physical environment of the home remains largely unchanged and the well maintained decor and good quality furniture and furnishings provide a comfortable, pleasant and homely environment for residents. A member of staff confirmed that individuality and independence continue to be promoted within the home, as far as is practicable. This was evident from the personalising of residentsrooms, which clearly reflects individual tastes, preferences and interests. Positive comments from residents, spoken with during the inspection, reflected a high level of satisfaction with the home and the services provided: Im very happy here and I like my room. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: As with many of the environmental standards, the situation regarding shared space remains largely unchanged. Adequate communal areas, including a lounge dining room and spacious conservatory are provided to meet the individual and collective needs of the residents. All communal areas are decorated and furnished to a high standard. Furniture and lighting throughout the home is domestic in character All necessary specialist equipment is made available to meet residents assessed mobility needs, including assisted baths and hoists. The home also provides grab rails in bathrooms and toilets. Infection control procedures are in place and closely adhered to and levels of cleanliness and hygiene remain high throughout. A programme of routine maintenance, renewal and redecoration is in place. The Expert noted that: This Home is bright and welcoming. It has a tidy frontage and a back garden with a cigarette extinguisher where residents who smoke can put out their cigarette safely. Built to the back of the house is a conservatory where residents sit to relax and have a view of the garden. This Home keeps a guest book for visitors to sign in. It is clear from the guest book that a lot of maintenance has been going in the Home such as repairs of heating and hot water, servicing of the bath hoist, laundry room, and windows. It is also evisdent that residents have a speech therapist visit. The walls of this Home have rails fitted firmly for the safety of the residents. The expert was shown the laundry room where the washing machine and tumble dryer were in use. All the doors are fireproof doors, which have magnetic discs to secure them to the wall when necessary. There is a wet floor caution sign written in colourful and bold print placed in a noticeable area to residents attention for safety. The toilets and bathrooms are clean and the bathtubs are adapted with a hoist to meet residents physical needs. A resident offered to show the Expert around the Home and he noticed that residents have their names and pictures on their bedroom door. These rooms are furnished and Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: decorated to each residents taste. Care Homes for Adults (18-65 years) Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is always sufficient trained and competent staff on duty to meet the assessed care and support needs of the residents. Residents are protected by satisfactory staff recruitment policies, procedures and documentation. Evidence: The Expert commented that: There were three staff members available to the four residents of this Home. These staff members were completely willing, helpful, accommodating, informative, welcoming, and relaxed with us during this inspection. The stable and dedicated staff team remains clearly able to meet the assessed, individual and collective needs of residents within the home. All new employees are provided with a comprehensive job description and staff spoken demonstrated a sound understanding of their individual role and responsibilities. All new staff receive comprehensive induction and foundation training, the Common Induction Standard, which is compatible with Skills for Care and is flexible and compatible with an individuals level of relevant experience. Mandatory training is ongoing and is recorded in individual staff files. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: This was confirmed through discussions with staff and supported by training records examined: There is so much opportunity for training here. The organisation is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of residents. Individual files contain all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Staff confirmed that residents continue to be actively involved in the recruitment and selection process and meet with all prospective members of staff. In accordance with organisational policy, formal supervision is provided for all care staff on a regular basis. This was evidenced by supervision records examined and through discussions with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager: Supervision is very useful and the manager is always very supportive. It is evident, from discussions with members of staff that the manager also operates an open door policy, with staff feeling confident and able to discuss any issues at anytime. Care Homes for Adults (18-65 years) Page 24 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. Residents benefit from a competent and experienced manager and are protected by satisfactory health and safety procedures. Their best interests are safeguarded by adequate and effective quality monitoring systems. Evidence: Although the registered manager was on annual leave and therefore not available on the day of the inspection it was clear that he is held in very high regard: Hes excellent, very supportive, and has made such a difference to this place. Through discussions with residents and members of staff, it is evident that the manager continues to demonstrate a clear sense of leadership and direction. He is evidently motivated, positive and approachable and continues to create an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: satisfaction questionnaires for both residents and their relatives. The health, safety and welfare of residents and staff evidently remain of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 26 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 27 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 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: 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 © (2008) 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. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!