Inspection on 04/03/09 for 51 Norton Road

This inspection was carried out on 4th March 2009.

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

51 Norton Road 26/03/07

51 Norton Road 03/01/06

51 Norton Road 28/09/05

51 Norton Road 07/03/05

51 Norton Road 18/01/05

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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: 51 Norton Road 51 Norton Road Hove East Sussex BN3 3BF     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: Lucy Green     Date: 0 4 0 3 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 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: 51 Norton Road 51 Norton Road Hove East Sussex BN3 3BF 01273747449 01273747449 ftf1d@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Frances Taylor Foundation care home 10 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 10. 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 Disabilities (LD). Date of last inspection Brief description of the care home 51 Norton Road is registered to provide residential care to ten adults with learning disabilities. The home is located in Hove with good access to local transport and amenities and Brighton town centre is within fifteen minutes walking distance. Resident accommodation is provided on four floors, each with ensuite toilet and washbasin facilities. All bedrooms are decorated and furnished to reflect individual tastes and interests. 10 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home The communal areas consist of a quiet lounge, large lounge/dining room, and separate kitchen. There is an attractive garden and patio area to the rear of the home. More detailed information about the services provided at 51 Norton Road can be found in the homes Statement of Purpose and Service User Guide, copies of these documents can be obtained, along with the CSCI inspection reports on request from the home. 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: 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: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term service user to describe those living in care home settings. For the purpose of this report, those living at 51 Norton Road are referred to as residents. This report reflects a key inspection based on the collation of information received since the last inspection, a review of the homes Annual Quality Assurance Assessment and a site visit which was conducted lasted for four hours and forty minutes on Wednesday 4th March 2009 between the times of 10am and 2:40pm. The site visit included a discussion with all parties, a tour of the premises and an examination of some medication, care and staffing records. There were ten residents living at 51 Norton Road at the time of this inspection visit. The home therefore has no Care Homes for Adults (18-65 years) Page 6 of 28 vacancies at the current time. During the visit, the Inspector met and had private conversations with six of the ten residents. Four residents were attending local day services at the time of the visit and were therefore not seen as part of this inspection. The Inspector spoke individually with the Deputy Manager and three support workers. The Registered Manager was on leave at he time of visit, although the Inspector made telephone contact with her following the inspection and she submitted some additionally requested records that were not available at the time of the inspection. 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 Care Homes for Adults (18-65 years) Page 8 of 28 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 9 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 10 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. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are comprehensively assessed prior to moving into the home. Current residents enjoy living with a group of people they know and who they are compatible with. Evidence: The home has not had any admissions since the last inspection and therefore Standard 2 was not inspected on this occasion. The majority of residents at 51 Norton Road have lived together for many news and it was evident that the person who moved in two years ago has settled in well and is compatible with the other people who live at the home. The Deputy Manager reported that should a vacancy occur, the home would use the same admissions procedure that has previously been assessed as good. The Annual Quality Assurance Assessment (AQAA) that was completed by the Registered Manager provided evidence of a detailed admission policy that includes giving prospective residents the opportunity to visit the home. The AQAA emphasises that compatibility Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: with existing residents is key in the assessment of any new resident. Care Homes for Adults (18-65 years) Page 12 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The high standard of care planning provides staff with an excellent foundation to support residents in a way that both enables and protects them. Residents are fully consulted and involved in all decisions about their lives. Evidence: Through discussion with staff and observation of their practices, it was demonstrated that they have good relationships with the people they support and an excellent understanding of their needs. A review of the care plans in place for three residents revealed that care needs of each individual are recorded in a way that is both accessible and person centred. Discussion with residents and staff identified that a lot of work has recently been undertaken to support residents to produce their own truly person centred plans of care. The home has also purchased a computer with accessible software that has enabled residents to be involved in the typing of their own information. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Goal setting and monitoring are fundamental principles in the way care plans are constructed. The three care plans viewed contained individual goals for each resident to enable them to develop their skills and maintain maximum independence. It was evident from the feedback received from residents that the goals recorded are genuinely personal and important to them. Care plans are regularly reviewed, with a formal review of care needs every six months. It was also noted that care plans are reviewed on a monthly basis for those residents who are now over 65 years of age. Care plans contain a range of risk assessments for each resident with a clear objective that risk assessments should be enabling rather than restrictive. The documentation in place for one resident outlines the safety measures in place to enable this individual to use public transport, stay overnight at a friends house and manage her own medication independently. Evidence gathered from documentation and observation of staff supporting residents during the inspection, highlights that the home provides a service where residents are encouraged and supported to lead their lives as they choose. Care Homes for Adults (18-65 years) Page 14 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. Residents benefit from the opportunities to access the local community and to participate in educational, social and meaningful activities. Residents are supported to maintain and develop relationships with other people and receive a range of balanced and wholesome food. Evidence: The residents at 51 Norton Road are supported to lead their lives as they choose. The activity timetables in care plans reflect the type of activities that the residents spoken with said they enjoy. Throughout the inspection, it was also again highlighted that staff are sensitive to the differing needs and energy levels of residents. Evidence gathered throughout the inspection process revealed that residents attend a variety of day services and community based activities. At the time of the Inspectors visit, four residents were out at day centres for the duration of the inspection. The Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: home also links with its nearby sister home to run internal activity groups, which include cookery, computer skills, photography, art and knitting. Both residents and staff reported that the in house activity sessions continue to be well attended and thoroughly enjoyed. The residents are actively involved in the running of the home and consequently time is built into their schedules for undertaking household tasks. It was observed that residents get a real sense of purpose from helping each other and staff to keep the home running and each have an important role to play. Each resident has their own key to the home, which also operates the lock to their bedroom door. During the inspection, it was evident that residents have the freedom to live their lives as they choose, whilst understanding the responsibility of living with other people. Discussion with one resident at the time of the last inspection revealed that she would like to have digital television to enable her follow her passion of watching live sport. It was therefore pleasing to see that this has been facilitated and the resident in question proudly showed the Inspector her new television and multiple channels. Several residents access a range of evening activities, including attending a variety of social clubs. One resident goes to church every Sunday independently and another resident confirmed that she is supported to go when she requests to. Staffing levels are flexible according to activity programmes and the Deputy Manager confirmed that in line with a recommendation from the last inspection, the provision of staff who are able to drive is a consideration when devising the rotas. A group discussion with residents led to feedback about recent and planned holidays. One resident told the Inspector that she had recently been on holiday for four days to the Isle of Wight. Another resident stated that she had been to Spain with her key worker the previous year and that she was hoping to go abroad again this year. A review of the minutes from the residents forum highlighted the way residents choose who they go away with and how their holidays are planned. 51 Norton Road has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that the home supports residents to meet with and receive visits from their families. One resident told the Inspector how staff had supported her to attend a friends wedding in Kent. Residents reviews include the opportunity for residents relatives/representatives to attend if the resident wishes. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Meals at 51 Norton Road continue to be discussed at weekly residents meetings and as such a menu is drawn up in consultation with residents and reflects the meals they wish to have. Staff have recently undertaken training in diet and nutrition and those spoken with demonstrated that they are able to appropriately support residents to eat healthily and maintain choice. The menu displayed in the kitchen showed a range of varied and well balanced meals. The Inspector spoke with six residents individually and all reported that they liked the food prepared and that their favourite meals were included on the menu. One residents comment about the food was its really lovely, I like it so much. Two residents have drink and snack making facilities in their bedrooms and it was evident that they really enjoyed the freedom and independence that this allows. On the day of inspection, the lunchtime meal of bagels and choice of filling was well received. Staff join residents to eat at mealtimes which was observed as a relaxed and friendly occasion. Care Homes for Adults (18-65 years) Page 17 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. Residents benefit from the provision of flexible and respectful personal and health care support and are protected by the systems in place to manage medication. Evidence: Residents are encouraged and supported to manage their own personal care as far as possible. The role of staff in supporting most residents is primarily to prompt them as necessary and for some, ensure they are safe in accessing the bath. There was evidence in the care plans and through staff discussion that support is offered in a sensitive and respectful manner. Staff were again observed to be supporting residents in a respectful and flexible way at the time of the inspection. Staff support residents to ensure their health needs are met. Each resident has a health action plan, in line with the recommendations from the Valuing People paper (2001). Residents have total ownership of the health action plans and these are kept in locked cupboards in residents bedrooms. One resident showed the Inspector her plan. It was discussed with this resident and the Deputy Manager that the current format for the health action plans is not very user friendly. The Deputy Manager stated that this had been identified through the person centred planning process and Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: confirmed that the home would now commence work on developing these documents with residents. Care plans contain a record of any visits or contact with health care professionals, along with details of the support that staff need to provide to residents to keep them healthy. One resident currently receives daily input from the District Nurse team and this arrangement is currently working well for the individual concerned. It was evident that the service has worked hard to support individuals as their needs are changing with age. As such, the home have sourced specialist equipment and made environmental alterations to enable residents to continue to live safely and independently at 51 Norton Road. A review of the storage and recording of medication and discussion with the Deputy Manager identified that systems are in place to ensure medication is managed appropriately. The medication policy was not inspected on this occasion. Staff undertake appropriate training prior to handling medication. Two residents continue to administer their own medication and appropriate risk assessments for this activity are in place. Lockable cabinets are available in their bedrooms for the safe storage of their medication. The home does not currently hold any controlled medication, but it in line with legislative changes, it is now required that all care homes have the appropriate storage facility in case such medication is prescribed in the future. As such a timescale of three months has been set for the home to acquire this facility. Care Homes for Adults (18-65 years) Page 19 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. Residents and visitors to the home benefit from and are protected by, the open culture at 51 Norton Road where they know their views will be listened to and respected. Evidence: The home has a complaints procedure in place and a pictorial format has been produced for residents. Copies of the complaints procedure were found to be available in residents bedrooms and all those spoken with confirmed that they knew how to air their views. Neither the home nor the CSCI have not received any complaints about 51 Norton Road since the last inspection. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. Residents meetings are held every week and a new monthly residents forum has been introduced which is chaired by residents and focuses on what improvements they would like to make to the running of the home. Various systems are in place to protect residents from abuse. The Registered Manager confirmed that new staff continue to be employed subject to robust checks. The three staff members spoken with confirmed that they had attended regular training in the safeguarding of vulnerable adults and that they were clear of their responsibilities in this area. Care Homes for Adults (18-65 years) Page 20 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. Residents benefit from a homely, safe and clean environment that meets their needs. Evidence: The Inspector undertook a tour of the home with the Deputy Manager. The home was found to be clean, tidy and well-maintained throughout. Accommodation at 51 Norton Road is across four floors with level access being provided by way of a passenger lift. The provision of communal space includes a quiet lounge with drink making facilities, a larger lounge/dining room and separate kitchen. Resident accommodation is provided in ten single bedrooms each with ensuite toilet and washbasin facilities. Bedrooms have been decorated and furnished to reflect individual tastes and preferences. Assisted bathroom and toilet facilities are provided throughout the home. The external grounds offer an enclosed patio area. The Inspector was impressed to note that the home have made a number of adaptations and installed specialist devices to facilitate safe access around the home for those residents whose needs are changing with age. 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. Residents benefit from the support of a stable and dedicated team of staff who have the necessary skills and experience to perform their roles effectively. Evidence: At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. Discussion with the Deputy Manager and two staff members identified that staff hours are applied flexibly, but with a minimum of three staff during the morning and two staff in the afternoon. The Registered Manager and cleaner are supernumerary to these figures. At night, the home is covered by one waking night duty. The rota was found to be reflective of these levels and there have been no concerns about way the home is staffed. At the time of the inspection, the Registered Manager was on leave and as such it was not possible to look at staff files which for confidential reasons are kept locked away. Given that the home have demonstrated at previous inspections to have robust recruitment procedures in place, the Inspector made a judgement that these did not need to be inspected on this occasion. The homes Annual Quality Assurance Assessment and discussion with the Registered manager on the telephone confirmed Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: that new staff continue to be employed subject to the appropriate checks and documentation. The Registered Manager supplied a training matrix which confirms that staff continue to have access to a raft of mandatory and specialist training including; fire safety, first aid, safeguarding, epilepsy, people handling, makaton and diabetes. New staff members complete an induction programme within the first twelve weeks of employment in line with Skills for Care. The Inspector saw evidence of regular staff meetings and supervision sessions being conducted with minutes recorded. Discussion with three staff members, one of which was a member of relief staff provided evidence that staff feel they have the training and support to enable them to undertake their job well. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the home being run by an experienced and committed management team who ensure that the home is run safely and effectively. The organisation has excellent systems in place to self audit and implement improvements. Evidence: Since the last inspection the Manager of 51 Norton Road has been successfully registered with the Commission. She has already completed the Registered Managers Award and National Vocational Qualifications (NVQ) at both Level 3 and 4 in Health & Social Care. Through the completion of the AQAA, inspection of the service and feedback from residents and staff, it is evident that this individual has the skills and ability to manage the service effectively in an open and transparent way. The home has an excellent system for assessing its own standards of quality which includes the annual surveying of all stakeholders. A recent collation of surveys showed Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: that 23 of thirty surveys sent had been returned to the home. A review of some of these surveys identified comments from residents such as I like my house and I like the people who work here. Similarly relatives feedback included I think I am very lucky to have my daughter at 51 Norton Road, I have more contact with (residents name) than I have had in the past for which I am grateful and it is a happy home. Monthly monitoring visits are carried out on behalf of the Registered Provider and copies of these reports were viewed during the inspection. In addition to these, the Manager is required to audit the home against a tool that is based on the National Minimum Standards. The Quality Assurance Manager then assesses the home against this tool which generates a list of improvements for the home to action. Since the last inspection, the home has introduced a monthly residents forum which provides residents with the formal process to discuss their own ideas for improvement. It was noted that this meeting is chaired by one of the residents who is in charge of gathering agenda items prior to the meeting. The rolling plans for improvement in so many areas, some of which have been highlighted in this report evidence the services commitment to providing a progressive service. The AQAA provides evidence that the home has various robust systems in place to ensure the Health and Safety of the home are maintained. The Inspector did not have cause to question the way health and safety is maintained and therefore records in respect of health and safety were not fully inspected on this occasion. 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 1 20 13 The Registered person must ensure that medication is stored in accordance with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. The Registered Person must ensure the safekeeping of all medicines, including making provision for the safe storage of any controlled medication. 01/05/2009 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. 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