Inspection on 04/02/09 for 3-4 Cuthberts Close

This inspection was carried out on 4th February 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

3-4 Cuthberts Close 22/03/07

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 3-4 Cuthberts Close 3-4 Cuthberts Close Queensbury Bradford BD13 2DF     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: Caroline Long     Date: 0 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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.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: 3-4 Cuthberts Close 3-4 Cuthberts Close Queensbury Bradford BD13 2DF 01274818126 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Saint John of God Hospitaller Services Name of registered manager (if applicable) Mark Dennis Bradfield Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Three and four Cuthbert Close opened in March 2005. The home provides nursing care for people with severe learning difficulties and challenging behaviour. The home is divided into two sections. Accommodation is provided in eight single rooms all with en suite facilities. There are lounge and dining areas on each side with a large area in the middle where the office is situated. There are ramps to the front of the building and a decked area to the side nearest the allotments. It is situated in Queensbury, on the outskirts of Halifax and Bradford and is within walking distance of the local shops, chemist, pubs, fish shop and post office. One side of the home overlooks allotments that are used by the local community. Parking for the home is roadside only and very limited, and there is no garden space available. There is however some decking to the side of the home where residents can sit in good Care Homes for Adults (18-65 years) Page 4 of 29 8 Over 65 0 care home 8 Brief description of the care home weather. The home is built next to another home belonging to the same organisation and is close to others in the area. 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 healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We were unable to contact registered manager to confirm what the fees for the home are. However peoples fees are based upon their needs and this information can be obtained by contacting the home. This is what we used to write this report. Due to an error with our systems the home were not sent an annual assessment questionnaire. We looked at information we have received about the home since the last key inspection. Care Homes for Adults (18-65 years) Page 6 of 29 We sent surveys to people living in the home, the staff and to health professional, we received five surveys from people living at Cuthbert Close who had all completed them with staffs help. One inspector visited the home unannounced. This visit lasted over six hours and included talking to the staff and the registered manager about their work and the training they have completed, and checking some of the records, policies and procedures the home has to keep. Some people living at Cuthberts Close have very complex needs, which can mean they have difficulty in communicating their views verbally and are only able to make limited choices about their daily lives. Sometimes their behaviour can be very challenging and directed towards the staff, or people they live with. We did go to meet people with the staff but this made people uncomfortable. Due to this and the layout of the building we were unable to spend time observing people making choices in the home. so we telephoned two relatives to ask them about their experience of the home. We looked at three peoples care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. 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 Care Homes for Adults (18-65 years) Page 9 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 10 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People will be assessed before admission to the home to make sure Cuthberts Close is the right place for them. Evidence: Cuthberts Close opened in 2005 and is a purpose built two-storey building, with two four bedded home for adults with learning disabilities aged over eighteen years. Everyone at the home has lived there since it opened therefore we could not look at the records of anyone who had recently moved into the home. However the service user guide tells us that all new referrals to the service would undergo an individual assessment to ensure needs could be met. Followed by an introduction to the home to meet other people who use the services. Also an individual agreed care plan would be drawn up with the involvement of other people they choose. The registered manager also told us visits will be taken at the persons pace and could Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: be for a day or overnight and last up to three months. This is to provide people with the opportunity to meet everyone and to get a feel for the home. Although no one new has moved into the home he explained how since opening they have moved people from one house to another so people are more compatible. Also where they have become aware the environment may no longer be suitable they have instigated an assessment of the persons needs by the care manager to make sure they are the most suitable home to meet their needs. The registered manager also explained the home will carry out a review of everyones care twice a year. Staff told us they have had the necessary training to enable them to look after people properly. All of the staff who start at the home are provided with five days of specialist training on how to support people with very complex needs and keep them safe before they start work at Cuthberts Close. At the previous inspection we asked the registered provider to ensure contracts of residency are completed with what people are responsible for paying and that the contacts are signed in agreement. We found there was a contract in place but these had been signed by the registered manager and area manager only. We discussed this with the registered manager who explained they had been signed by the area manager as they were the appointee for some people and it was difficult for the staff to provide people with a contract that they would understand. We explained to protect both the person and the organisation where possible peoples representatives should be informed about and involved in the persons contract. Care Homes for Adults (18-65 years) Page 12 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make some choices about their daily routine either independently or with staffs help. Evidence: People living at Cuthberts Close have very complex needs, which can mean they have difficulty in communicating their views verbally and are only able to make limited choices about their daily lives. However they are able tell the staff when they are unhappy or do not like something through their body language or their behaviour. Sometimes the behaviour can be very challenging and directed towards the staff, or people they live with. Also often a new face can cause people distress. Due to this and the layout of the building we were unable to spend time observing people making choices in the home. However we were able to look at three peoples case records in order to check that a plan had been formulated which would help staff provide support to people according Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: to their needs and wishes. We were also able to talk to three staff and the registered manager about their work and how they cared for people living at Cuthberts Close. We also contacted two relatives to ask about their relatives experience. In the peoples records we found overall there is a lot of information in the support plans which is quite person centred, and contain some of peoples personal preferences and choices. They told us about how people express their needs through their body language and how if this caused a risk to the person or the staff, how the staff should react to minimise the risk. They had been reviewed regularly and were up to date. However they were not always consistent in content and where the information could be found. Also where peoples incompatibility caused a possible risk, an assessment of this risk was not in place. Also another assessment would have benefited from clearer information to enable staff to easily identify the all the risks involved. People have both a named nurse and a key worker (carer) allocated to them. There were nursing records and carer records which had been completed fully each day. At the end of a month both the named nurse and the key worker (carer) look through the daily records and write a short report about the persons progress each month. This is then reviewed by the registered manager or the deputy. As people are unable to tell the staff easily what the want and how they prefer it the review of daily notes by the staff and then the registered manager monthly is crucial as it will help them identify and analyse why any changes maybe occur. When we talked with the staff they were able to tell us in detail about peoples needs and how they were able to help them make limited choices. They were able to provide us with two examples of good practice about how they had gradually introduced new experiences to people so that they could make more choices about their daily lives. The registered manager and the staff also told us about how some people have lived in large institutions and they liked to follow strict routines and how the staff were trying to change this but they had to do this at the persons pace. This showed us staff are promoting peoples respect, dignity and choice. Care Homes for Adults (18-65 years) Page 14 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. People are provided with the opportunity to take part in varied opportunities both in and outside the home. Evidence: People who live at Cuthberts Close can only go out if they are supported by one or two staff. Staff explained how they are slowly introducing new social experiences for people to enjoy but how these have to be taken at a pace people are comfortable with and how they are still discovering what people like or dislike. They also told us generally there were enough staff to enable them to do this. Staff explained they had taken two people to Alton Towers for a day out one had enjoyed it but the other had not. They were also able to tell us about the various activities people like to do in the home Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: and how they supported them to do these. Such as table top games, the piano, singing and make up. One person goes to a day centre each day and attends a drama workshop. We were told some people had been to France for a holiday and how they were planning a holiday in England in 2009. The registered manager told us for one person he was looking at a outward bound course. Whilst we were visiting people were taken out to the shops by the staff. The records showed us that people do go out for regular bus rides, when we talked to staff they confirmed some people enjoyed getting off the bus and walking, but others preferred to remain on the bus. Two relatives also confirmed people are taken out into the community regularly and how they enjoyed the bus rides. There was a computer in the staff area which the registered manager told us was going to be specifically for people to use with staff support. Two relatives told us they were made welcome when they visited and could visit at any time. The registered manager explained since they had recruited a new member of staff from the same culture as a person living in the home they had become more aware of their cultural needs. However these were not reflected in their records. To keep people safe they are unable to use the kitchen without staff support. So the home has a cook who prepares the meals, and there is a choice on the menu. Staff explained people would tell them either verbally or by their behaviour if they did not like the food and they were able to tell us about the specific diets people needed. We were also able to see from the records that the staff had an understanding of what foods people liked or could have. Staff told us about how they had encouraged an individual to try something new and unfamiliar. The registered manager explained how they are taking photographs of all menus so they can improve on peoples choices. Care Homes for Adults (18-65 years) Page 16 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. People can be confident that the health and personal care they receive is based on their individual needs. The principles of respect, dignity and privacy are followed. Evidence: Two relatives told us how people were treated with respect, dignity and kindness by the staff. The staff were able to tell us about how they followed the organisations core values which incorporated respect and dignity. One relative described them as brilliant, very caring. One described how they are generally kind and respect privacy and dignity. People have a named nurse and a key worker who looks after their specific needs. There are both female and male staff, this enables people in the home to have their physical personal care needs carried out by a gender they feel most comfortable with. The registered manager explained how the people were visited by the local GP. Also two relatives told us people were seen by health professionals and they were kept Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: informed of any changes in a persons health care. Peoples records also confirmed they were seen by health professionals. The registered manager explained how the daily care records enable the staff to track any changes in peoples health. The staff were also able to tell us how when they had been unable to manage a persons mental health care needs they had asked for the advice of the behavioural support team. At the previous inspection we asked for the staff to check the medication system for accuracy. We found the medication is locked away securely and a monitored dosage system is used. The staff told us only the nursing staff administer medication. A sample of medication administration sheets were checked and found to be correct. Also the registered manager explained he carries out weekly checks to make sure the correct medications have been given. At the previous inspection we asked for the home to provide end of life training to all the staff. The registered manager explained training in end of life situations is discussed in staff induction. Also the care plans have been improved about peoples wishes if they die and this information is now sought from the family. Care Homes for Adults (18-65 years) Page 18 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. Complaints and concerns are listened and responded to and People are safeguarded from harm. Evidence: Staff told us they would be able to tell by peoples behaviour if they were unhappy with the care they were receiving. We also talked to two relatives who told us they would feel comfortable in telling the registered manager if they had any complaints. We have not received any complaints about the home. The registered manager told us there have been three complaints following the last inspection, which have been fully investigated. We looked at the complaints and found they had been investigated and responded to. We found staff are completing incident forms, this is required so the staff can identify any patterns. The registered manager told us these are monitored to identify any pattterns and they would use this information at peoples reviews. We looked at the incident forms and found they had all been completed with enough information by staff. Where the staff had identified there was a pattern of incidents between two people, the registered manager had involved the appropriate health professionals. The staff explained they have sometimes needed to restrain people to protect both Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: themselves and the individual. However they explained as people had become more settled this was not used as frequently and they also were now using more distraction techniques to calm people. The staff and the registered manager also explained all staff are provided with specialist training on how to carry out restrictive physical interventions to enable them to protect individuals and themselves before they start working in the home. Discussion with the registered manager showed he was aware of the actions to take to safeguard adults. Staff have received training in adult protection and safeguarding issues either during induction or as part of their national vocational qualifications. Three staff were aware of whom to alert if an incident occurred. People are supported with their finances. Detailed records are kept of all financial transactions carried out by the individual or by staff on their behalf. Care Homes for Adults (18-65 years) Page 20 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. People live in a clean and comfortable home. Evidence: Three and four Cuthberts Close are two houses that accommodate four people in each bungalow. There are communal lounges and dining areas, and toilet and bath facilities and all the bedrooms are single and have en suite toilets, wash hand basins and showers. The staff and registered manager have made great efforts to find and make sure the furniture was what people would prefer, durable and not institutional. The houses have been adapted for peoples needs and there is specialist equipment available to help people move around the home. One of the homes had sensory equipment in the dining area for people to use. We looked at two peoples rooms which were clean, and comfortable, and were decorated in the way they preferred, both had double beds. One had a television for the person to watch in their room, and staff had made a special frame to protect it. Two relatives told us the home was alway clean and fresh, however when we visited one of the homes did have a unpleasant odour. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: At the previous inspection we asked the provider to ensure the fly screens in the kitchen area, these had been carried out. A maintenance man was making repairs to the home during out visit and although the home experiences alot of wear and tear it was very well maintained. To help prevent the spread of infections and to make the home a clean and comfortable place to live a cleaner is employed. We saw gloves are available and anti bacterial soap dispensers are installed at some wash points and staff are receiving infection control training. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support people who use the service. Evidence: Staff told us one house has three support staff and the other has two support staff during the day and one nurse. On a night there is a registered nurse and two support staff who cover both houses. Three staff and one relatives told us they felt this was generally enough staff to meet peoples needs. Positive comments were made about the staff by the relatives who told us they were brilliant caring kind and really happy with them. We looked at four staff records all to make sure the home is employing suitable people for the job. We found that they are taking the necessary precautions to make sure only suitable people are recruited to work at Cuthbert Close. The registered manager and two staff told us there is an induction programme in place that ensures new staff members are given the right information to be able to do their jobs well, this was confirmed by looking at staff records. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: The registered manager explained that staff have generally received regular supervision and yearly appraisal and staff told us they do feel supported by the management. Staff explained they receive regular up dates of any training which is essential for their job, the organisations head office inform them of the date they need to attend the training. They also told us how they have all carried out specialist training on conflict resolution and restrictive physical interventions before they start work. However staff have not received training about the mental capacity act, staff need to be provided with this training to enable them to be aware of how this may affect their work and peoples rights. Staff confirmed they have regular meetings and the registered manager explained these are used as an opportunity to recap policies and to make sure staff are kept up to date and able to carry out their roles properly. The registered manager told us over half of the staff have their National Vocational Qualification level two or above in care, this qualification helps to make sure staff are properly trained to carry out the work. 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. People benefit from a home that is managed in their best interests. Evidence: The registered manager has worked for the provider since it opened in 2005 and has their registered managers award. He is supported by a deputy manager. Staff said they felt extremely well supported by the registered manager. The manager promotes equal opportunities, has good people skills and understands the importance of person centred care and effective outcomes for people who use the service. Quality assurance systems consisted of an regular visit from the operational manager, care reviews which relatives attend, and reviews of the complaints, incidents and accidents records to identify any patterns etc. The home also has regular audits from Bradford District Care Trust. However the registered manager told us that they do not seek the views annually of people and organisations involved in the service. To be sure Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: the service is always run in peoples best interest their views should be sought annually. The registered manager told us the maintenance and service records are in order and accidents are recorded and reviewed by the registered manager to identify and resolve any potential risk. One member of staff explained that they are the health and safety representative and attend regular regional meetings to keep them and the home updated. 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 1 6 Where a need is identified there should be a up to date support plan in place which reflects what people want now and in the future and the actions the staff need to make to enable people to do this. To prevent people from possible risks. People should have a risk assessment in place which is person centred and relevant to the individual and regularly updated. So the home is a comfortable place to live there should be no unpleasant odours in the home. To make sure the home is always managed in peoples best interests the views of people and organisation involved in the service should be asked for annually. 2 9 3 4 30 43 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 © (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. 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!