Inspection on 14/10/08 for 4a Ash Street

This inspection was carried out on 14th October 2008.

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

4a Ash Street 15/11/07

4a Ash Street 06/06/07

4a Ash Street 08/12/06

4a Ash Street 06/12/05

4a Ash Street 26/07/05

4a Ash Street 29/11/04

4a Ash Street 29/06/04

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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: 4a Ash Street 4a Ash Street Ash Nr Aldershot Hampshire GU12 6LT     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: Suzanne Magnier     Date: 1 4 1 0 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 28 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 28 Information about the care home Name of care home: Address: 4a Ash Street 4a Ash Street Ash Nr Aldershot Hampshire GU12 6LT 01252350582 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Dimension (NSO) Ltd Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 5 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 Physical disability - PD Date of last inspection Brief description of the care home 4a Ash Street is a modern bungalow situated just off the main road on the outskirts of Ash Village. Windsor Housing Association owns the premises and the service is provided and managed by a not-for-profit organisation, Dimensions. Accommodation and personal care is provided for up to five persons, who have both physical and learning disabilities. All bedrooms are single accomodation and there is a spacious Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 5 5 Brief description of the care home open style kitchen, dining room, lounge area, sensory room and laundry. There is parking available at the front and side of the property. Care Homes for Adults (18-65 years) Page 5 of 28 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: The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced Key Inspection. Some additional standards were assessed and have been included within the report. Following the previous key inspection on the 15th November 2007 the service has met all the requirements made. Ms S Magnier Regulation Inspector carried out the inspection and a senior care worker represented the service due to the lack of a manager in post. The Area Manager represented the service for a short while and gave the inspector an update regarding several issues related to the home. Care Homes for Adults (18-65 years) Page 6 of 28 For the purpose of the report the individuals using the service are referred to as supported people. The inspector arrived at the service at 08.00 and was in the home for six hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the home and any information that CSCI has received about the service since the last inspection. The commission received seven staff written surveys and two surveys from health care professionals. Two comment cards were received from supported people which had been completed by staff at the home. The comments of surveys have been included within the report. The inspector spent time being, talking and observing the body language of people living at the home and with staff members in order to gain their views and opinions about the service. The inspector looked at how well the service was meeting the national minimum standards and has in this report made judgments about the standard of the service. Documents sampled prior and during the inspection included the homes Annual Quality Assurance Assessment (AQAA,) Statement of Purpose and Service User Guide, care and person centred plans, risk assessments, medication procedures, staff files, training records and several of the services policies and procedures including complaints and safeguarding. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection and one safeguarding referral has been successfully concluded. The home had submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, which was brief yet well written to inform the commission about the service and some details of document have been added to the report. From the evidence seen by the inspector and comments received, the inspector considers that the home continues to be able to provide a good service that meets the needs of the supported people who have diverse religious, racial or cultural needs. 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 28 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 28 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. People and their representatives have information about the home in order that they can make an informed choice about moving to the home. The homes admission and assessment procedures ensure that an individuals needs are appropriately identified and met. Evidence: The person in charge advised that the service had had a new admission since the previous inspection and the individual had been admitted from another Dimensions home two days prior to the inspection. Dimensions have a pre admission and assessment policy and procedure which enables the prospective supported person to have the time to meet other individuals and staff and get to know the home prior to moving in. It was evidenced that that the supported person newly admitted had not had a transition to home as this was viewed to be in their best interest by the individuals family, health care professionals and Dimensions staff who had supported the individual in their Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: previous home. The person in charge was knowledgeable about the criteria and the importance of a persons needs being assessed prior to admission to the home in order to ensure that staff could meet the needs and aspirations of the individual. Care Homes for Adults (18-65 years) Page 11 of 28 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. The support and personal care that supported people receive is based on their individual needs set out in their care plans. Monitoring of risk assessments is well managed to ensure the safety of individuals and peoples dignity and respect is consistently promoted. Evidence: The two care plans sampled contained clear and well written guidelines for the homes staff to read which enabled them to provide care and support in the way the supported individual preferred. There was evidence that individuals lifestyle choices were clearly recorded and throughout the inspection it was observed that the individuals preferences were respected by staff. Documented agreed working practices and guidelines have been maintained to support the individual if they should become distressed and there were clear documented actions staff should take to reduce the individuals distress or anxiety. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Account had been taken to ensure that the supported individuals communication needs had been identified and a well documented communication profile had been documented to assist staff to understand the individuals way of communicating. The care plans were well managed kept under review and reflected the current support needs of the supported person. Written comments received from staff about the care and support for individuals stated we try to meet the needs of the people we support as much as possible. We try to do everything well as long as our job is concerned. Most important is supporting the people to live their lives the way they want to. Individuals person centred plans have been maintained by the homes staff. It was evident where possible that individuals had assisted and been included in their plan which included a variety of aspects of their life including their dreams and aspirations, likes and dislikes, social and cultural history, family and friends. The documents have continued to be thoughtfully presented and include pictures and photographs which offer the reader an insight into the individuals life. Signed and reviewed risk assessments were available in the supported persons files to demonstrate that the homes staffs are aware of the hazards in peoples lives and ways in which to reduce harm to the individual. The recording and management of the files was robust and well managed. The AQAA advises that the homes staff are aware and will work towards developing a more enabling culture to support individuals in acheiving their dreams. Care Homes for Adults (18-65 years) Page 13 of 28 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. Individuals are able to exercise choice in their daily lives, maintain bonds with family and friends and take part in social, cultural, religious and recreational activities. Individuals are encouraged to be involved in the running of the home and maintaining their daily living skills. A choice of a healthy diet is provided. Evidence: Throughout the inspection it was observed that supported people were comfortable and happy in their surroundings and the four staff were attentive to the needs of each individual. The AQAA advises that the home are planning more individual activities rather than group activities for the supported people and intend to look into more community resources in which individuals can take part. The home have an activity board which Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: identifies what activities were taking place that day and also during the week. It has been recognised by the home that they want to increase the pictorial information in order to give the supported people more information about activities and interests outside of their home. Whilst speaking with staff it was evident that supported peoples family and friends are involved in the supported persons lives and contact with relatives of people no longer residing at the home have been maintained. It was noted that supported people are encouraged to visit and have overnight stays with relatives if they choose to. The supported people have a cockatiel called Tufty and it was observed that individuals showed an interest at his noise and whilst he was flying around the lounge. Written comments received from staff about including people in their home and about meaningful activities stated we work to support people to live how they want to and are very person centred and always explain to individuals about everything that is happenning in the house, It would be good to have some more one to one time so that we can get out more with people we support, we include the people we support being involved in the daily running of their home being present when cleaning setting the table laundry and menu planning are done. Two health care professionals written comments included occasionally a staff member prefers not to come in the water at the hydropool or an agency staff person is not confident in handling, but overall this is a highly skilled and experienced staff team. A challenging group and it is likely that no one has all the skills and experience that would be desirable but the care staff at this home are excellent. The inspector observed individuals being supported with their breakfasts and midday meal where choices were offered and staff were attentive and respectful in the way each resident was supported to have their meals. The menu included a variety of meals. The person in charge explained the need for nutritional and eating and drinking risk assessments in order to ensure the well being and safety of individuals and nutritional risk assessments were observed in supported peoples care plans. The homes fridge and freezer were well stocked with fresh dairy products and fruit and vegetables available. Records of fridge and freezer temperatures and food temperatures were available and well recorded. Care Homes for Adults (18-65 years) Page 15 of 28 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. Individuals physical, emotional and health care needs are monitored and met. Choice and dignity is promoted and the homes medication procedures ensure that medication is administered to all individuals in a safe and appropriate way. Evidence: The staff team consist of a multi racial mixed gender staff group and the person in charge advised that where possible gender based care is provided and staff are aware of the supported persons individual preferences. It was observed that staff supported individuals in a sensitive way ensuring their privacy is respected when providing assistance with personal care. The care plans and health care report books have been maintained and included records of attended health care appointments which included visits to the supported persons general practitioner chiropodists, physiotherapists, dentist, dieticians, occupational therapists and specialist health care personnel. The medication cupboard continues to be located in a safe and secure area within the Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: home and a monitored dosage system remains in place. Procedures regarding the safe handling administration and disposal of medicines have been maintained. The homes medication policy and procedure was robust and medication administration charts were well recorded and demonstrated the way the person preferred to take their medicines, the side effects, purpose of the medicine and the individuals photo and any known allergies. The inspector observed the homes staff administering medicines with the support of the agency staff members and the procedures were unrushed and methodical to ensure the safety of the supported people receiving their prescribed medicines. Written comments received from health care professionals reqarding the care and promotion of supported peoples health included Advice sought is always adhered to by the staff team, daily monitoring of details of health and reporting anything adverse or worrying immediatly if they are unsure how to deal with the issue themselves. They might call the GP or the LD team or family whoever is most appropriate. The service cater for the needs of all the residents to the best of their ability and do a splendid job. Care Homes for Adults (18-65 years) Page 17 of 28 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 homes complaints procedure is an accurate document for individuals to express any concerns or complaints. Individuals are protected from abuse and harm by the homes policies and procedures. Evidence: The home has a clear complaints policy and procedure which has also been adapted into pictorial form and is available within the home to supported people or any person associated to the home so that their views, opinions and complaints are recognised and acted upon. The person in charge confirmed that no complaints have been received by the home and no complainant has contacted the commission with information concerning a complaint made to the service since the last inspection. The AQAA details that no complaints have been received since the last key inspection. The person in charge demonstrated that she was aware of the local authoritys multi agency procedures for safeguarding adults and confirmed there had been one safeguarding referral which had been satisfactorily concluded. The home has a whistle blowing policy and procedure, which is available to staff in order to safeguard individuals in their care. The home have the current multi agnecy safeguarding protocols dated 2008. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Records confirmed that all staff except one had received safeguarding vulnerable adults training and that the remaining staff member had been booked onto a course within the next month. Care Homes for Adults (18-65 years) Page 19 of 28 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 physical layout and indoor and outdoor communal areas of the home enable supported people to live in a safe and well maintained environment and all areas of the home are clean and safe. Evidence: During the tour of the premises the inspector observed that the home was well maintained with appropriate access available to all supported people in the home. The home has an ongoing decoration programme which ensures that individuals bedrooms and communal areas have been or will be planned to be decorated with the inclusion of the supported peoples choice and preferences. The home was clean and orderly throughout and no malodour was detected. A concern has been brought to the Housing Associations attention regarding the bath in one of the homes bathrooms as the feet of the bath appear to be sinking into the flooring thus causing the bath to tilt slightly. Records indicated that engineers had visited the home but the concern had not yet been rectified. The person in charge confirmed that currently this concern did not pose a potential risk to the supported persons or staff and will continue will to be monitored by the homes staff. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: During ther inspection the fire safety equipment was tested by an external contractor and it was reported that all fire doors and equipment was in good working order. The front and back gardens continue to be accessible for individuals to use. Care Homes for Adults (18-65 years) Page 21 of 28 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. The homes staff provides twenty four hour support to the individuals living at the home. Recruitment practices are well managed. The home has a robust induction and mandatory programme to ensure that supported peoples needs are met appropriately and safely. Evidence: The homes staff are currently supporting four individuals and does not have a full staff team. The level of staffing was discussed with the area manager during the inspection following the admission of an individual who may need additional suuport during the night time hours. The inspector was assured that an ongoing monitoring of the individuals needs and staff resources would be maintained and action taken to address any shortfalls. On the day of the inspection there were four staff on duty two of whom were agency staff. The homes staff were observed as skilled in supporting the people in their care and were knowledgeable regarding the specific needs of individuals to ensure their safety, well being and offer reassurance. The staff mentored practice to the agency staff and were thoughtful and thorough in explaining details of procedures to ensure that the agency staff persons understood the procedures, standards and values of Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: home. Staff carry out all roles within the home, which include personal care, shopping, cooking, housekeeping and laundry as well as assisting individuals to social activities and transporting them to these. The home has a recruitment and selection policy, which incorporates equal opportunities. The inspector sampled one staff file of the person most recently recruited, which contained an application form, with two references, evidence that face- to -face interviews had taken place and the job description in order that the staff member was clear about their roles and responsibilities. There was documented evidence that a CRB clearance had been obtained. The person in charge and the area manager confirmed that as part of the recruitment and selection process supported people are involved by developing the person specification for recruiting prospecttive members of staff to work in their home. The staff mandatory and induction training records evidenced that staff had received updated training and written comments from staff about the staffing and the training provided by the organisation stated The training is excellent. the service would improve if we had enough staff on every shift so each person had a one to one. The AQAA identifies that 40 of staff have or are working towards achieving their National Vocational Qualification in Care (NVQ)awards. Care Homes for Adults (18-65 years) Page 23 of 28 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 management and administration of the home is robust. The home continues to be run in the best interests of the supported people and their views and opinions and those of others associated with the home are sought. Individuals welfare is promoted through monitoring of health and safety in the home. Evidence: As documented within the report it was evident through observation that the pace of the home continues to be designed to meet the needs of the supported people and the staff present during the inspection had a good knowledge about the supported people to ensure their safety and well being. The home has been without a named manager for several months and the day to day management of the home has been undertken by a senior care worker who represented the service during the inspection in a professional and calm manner and was very knowledgeable about the running of the home to benefit the supported people and keep them safe. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The area manager confirmed that a new manager had been recruited and would be commencing work in November 2008. Whilst sampling the homes complaints, safeguarding and fire procedures it was observed that the records available in the homes office were not the current documention issued by the organisation. The person in charge was prompt to find the updated documents and update them in the presence of the inspector. It was observed that the homes office space was unclutterd and there was space where staff could undertke administrative tasks. Confirmation was seen that Dimensions continues to seek supported peoples, and their representatives views and opinions about the service through the pictorial Quality Assurance feedback which was available to sample during the inspection and which reflected favourably of the care and support received by individuals. Food stored in the homes refrigerator was labelled and stored in compliance with food hygiene standards and hot food temperatures had been recorded to ensure as far as reasonably practicable the home is free from hazards to the supported people. Accident and incident records were sampled within supported peoples files and demonstrated that the homes staff are prompt in giving notice to the commission without delay regarding any event, which affects the safety and welfare of the supported people. Hand washing facilities remain available throughout the home and clinical waste disposal is appropriately managed. Records indicated that servicing of fire equipment had taken place and health and safety checks had been undertaken and recorded. A current insurance indemnity, gas and electric certification was sampled and the current certificate of registration of the home dispalyed. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 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 27 of 28 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 28 of 28 - 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!