Inspection on 15/12/08 for 52 Mill Lane

This inspection was carried out on 15th December 2008.

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

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

Other inspections for this house

52 Mill Lane 30/01/07

52 Mill Lane 17/11/05

52 Mill Lane 16/05/05

52 Mill Lane 10/11/04

52 Mill Lane 24/05/04

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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: 52 Mill Lane 52 Mill Lane Portslade East Sussex BN41 2DE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nigel Thompson     Date: 1 5 1 2 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 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: 52 Mill Lane 52 Mill Lane Portslade East Sussex BN41 2DE 01273439156 01273439156 milllane@onetel.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Julia Durrant Type of registration: Number of places registered: Southdown Housing Association Ltd 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 to 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 52 Mill Lane is run by the Southdown Housing Association, and provides long-term accommodation in a dormer style bungalow for up to five adults of either gender. The people live on the ground floor of the property and have their own single bedrooms, while sharing the communal living/dining room, kitchen, bathrooms and garden. The home is located in the residential area of Portslade, on the outskirts of Brighton, within reasonable distance of local shops and other amenities. Although established as a Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 5 5 Brief description of the care home service for younger adults with learning disabilities, within the current group of people four are also wheelchair users, and the home provides adapted facilities for them. The current fees range from £1,000.00 to £1,300 per week. These fees include day care services but do not include additional extras such as hairdressing, toiletries and complimentary therapies. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection took place over four hours in December 2008. It found that all of the key National Minimum Standards that were assessed had been met and the overall quality of care and support provided was excellent. On the day of the inspection there were five residents living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the homes records and discussion with three members of staff and the Registered Manager. A very comprehensive self assessment of the service was completed by the manager Care Homes for Adults (18-65 years) Page 6 of 30 and information received has been useful in compiling this report. Responses from a CSCI service users survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included. The purpose of this inspection was to monitor care practices and the focus was on the quality of life for people who live at the home. 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. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 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 30 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. The comprehensive admission policy and procedure ensure that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents know that the home is able to meet their individual care and support needs. Evidence: It was noted that there have been no admissions to 52 Mill Lane since the service opened almost twenty years ago. With the exisiting residents evidently very happy and settled in the home, the manager confirmed that there are certainly no plans for any changes in the forseeable future. Up to date and accurate information regarding the service is available to prospective and existing residents in various formats. The Statement of Purpose and Service User Guide have been thoughtfully and imaginatively produced with the use of pictures and symbols and are both comprehensive and informative. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: All Referrals to the service are made via Social Services through a care management process. Assessments are routinely carried out by Area Manager and Service Manager, with the direct involvement of the resident and, where appropriate, their families, advocates, current care providers and other professional support agencies. The manager confirmed that, prior to moving into the home, prospective residents and their relatives are encouraged to visit the home and have the opportunity to look around and meet with members of staff and existing residents. Having moved into the home, the resident would undergo a flexible trial period, during which time their suitability and compatibility are assessed and it is established whether their identified care and support needs are able to be met. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive, high quality support plans enable staff to meet the assessed care needs of residents in a structured and consistent manner. Systems for consultation and participation are effective. Residents are treated with respect and encouraged and enabled to make decisions about their day to day living. Evidence: High quality support plans, Person centred plans (PCPs) have been developed for each resident, ensuring that the assessment and ongoing care planning process is more clearly focused on and accessible to the individual resident. Support plans identify likes and dislikes, communication needs, behavioural triggers and strategies for supporting these. Plans also include details of the specific support that individuals will need for various activities, moving and handling profiles, risk assessments for activities as well as a history of the individual. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: Separate Health files contain information regarding residents past and current health issues, details of current medication, risk assessments, hospital admission forms and any appointments with health care professionals. The manager confirmed that residents continue to be directly involved in their annual PCP meetings and six monthly reviews. She added that, where appropriate, residents relatives also have the opportunity to take part. It was evident from plans that were examined that reviews are appropriately recorded and plans are amended accordingly to reflect changing needs or circumstances. Information recorded includes details of who was present at the review, issues discussed and agreed goals. In accordance with the person centred approach to care planning, it was noted that risks are recorded in the first person and provide evidence of regular and effective communication and consultation with residents. Individuals are clearly enabled and supported to make decisions about many aspects of their life and, as far as practicable, are made aware of the reasons for specific action being taken. Despite the residents complex needs, independence and individuality continue to be encouraged and promoted within the home and are reflected in the personalising of individual rooms, the choice of bedclothes and colour schemes and identified preferences for menus and activities. A positive development has been the recent implementation of a Communication Passport for each resident. Devised for the benefit of new members of staff, the laminated booklet is intended to accompany individuals when out in the community. It contains concise information relating to the resident including: Important people in my life; Likes and disllikes; Things I do for myself; Things you can do to help me; Health and medication; What support I need with eating and drinking and Communication hints and tips. Care Homes for Adults (18-65 years) Page 14 of 30 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 are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Residents benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: The manager confirmed that, where appropriate, residents family links continue to be supported, however she added that not all residents have regular family contact. Social visits to family and friends are planned in advance and residents also have the opportunity to talk / listen to their family members supported by staff on the telephone. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Visiting to the home is unrestricted and residents relatives and friends are made welcome at any reasonable time. The recreational and leisure interests of residents are identified and recorded in their person centred plan. Community participation remains a focus at Mill Road and the high staffing levels enable residents to have one to one support to access activities and facilities, refelcting their individual needs, preferences and abilities. It was noted that activities include art and crafts, music, sail ability (water based at Sussex Yacht club), swimming, aromatherapy, cinema, theatre and the sensory room. Two residents are currently supported, on a 2:1 basis to attend the local Hydrotherapy pool at a local school where the staff are able to offer some physiotherapy exercises to maintain mobility. Swimming assessments/profiles are reviewed annually. One resident is also able to attend a local community pool. Support staff promote and maintain the values of privacy, dignity and respect. Staff were observed knocking on residents bedroom doors before entering. Residents have access to a front door key, which they evidently use when entering the home. Each resident also has a mail rack in the kitchen where post is placed to be opened at a convenient time. Support workers prepare all the meals, residents where appropriate will be involved in various aspects of the meal preparation. On the day of the inspection a member of staff was in the kitchen preparing vegetables, accompanied by a resident who had evidently just returned from the hydro therapy pool. There is a five week rolling menu in place which reflects individual choices and preferences and includes seasonal variations. Specialist support and guidance has been sought from the community dietician and the speech and language therapist, particularly around eating and drinking disorders or difficulties. An alternative to the main meal is always available and residents have access to snacks and drinks at any time. Two residents have a percutaneous gastrostomy tube and receive all food and nutrition via the P.E.G. tube. All staff have been assessed for their competency in undertaking this task. Care Homes for Adults (18-65 years) Page 16 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual care and support needs. Residents are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: Staff spoken to during the inspection confirmed that, despite the limited verbal communication of residents effective and regular interaction and consultation takes place constantly throughout the home. In accordance with their personal care plan, residents are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, residents were observed being supported in a sensitive, professional and respectful manner by members of staff. The manager confirmed that residents are supported in all aspects of personal and Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: intimate care including bathing, toileting, showering, dressing and undressing, oral hygiene and nail care. Within the last eighteen months both bathrooms in the home have been refurbished to a high standard and are now less clinical and fully accessible to all residents. The shower room, which has a shower trolley and w.c. and access with a mobile hoist ensures all residents can use this area. The second bathroom now has a parker style bath with a drop down bench. There is also a ceiling hoist which enables residents to have a choice of either a bath or shower and both areas now provide the specialist equipment necessary. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. Individual support plans that were examined were found to contain detailed information, clearly developed through close consultation with and direct involvement of residents and their relatives. Comprehensive needs assessments and details of staff intervention and action to be taken, ensures a structured and consistent approach to individual care and support. The manager confirmed that close and effective working relationships between residents and their key worker ensured that any subtle change in an individuals mood or behaviour can be identified and addressed at an early stage. All residents are registered with local GPs and have access via the CLDT to other health care professionals, including physiotherapists, psychologists and occupational therapists, as required. It was noted, in support plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Residents Health files that were examined contained a comprehensive record of many aspects of an individuals personal healthcare, including weight, mobility, eyesight and hearing and any identified mental health issues. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. The manager confirmed that all staff responsible for administering medication have received appropriate training and are individually assessed and authorised to do so. This was confirmed through discussions with staff and supported by training records examined. Care Homes for Adults (18-65 years) Page 18 of 30 Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The open and inclusive atmosphere within the home enables residents, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Residents are safeguarded from abuse through relevant staff training and robust policies and procedures. Evidence: A clear, comprehensive and accessible complaints procedure is in place. The manager confirmed that all complaints and concerns received in the home would be actively listened to and appropriate action taken to resolve any issues identified. She added that, in accordance with their policy, complaints are responded to within 28 days and a record of all complaints is kept, with details of the action taken and the outcome. It was noted that there have been no complaints received by the home since the previous inspection. Members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to the manager and each person was confident that they would be listened to. Policies and procedures relating to safeguarding vulnerable adults, including whistle blowing, are in place and were found to be up to date and well maintained. The Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: manager confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. Relevant training is provided for all staff on a regular basis and this was evidenced by training records and certificates in staff files and confirmed through discussions with members of staff during the inspection. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for its stated purpose. Residents benefit from all necessary specialist equipment and pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Evidence: During my guided tour of the premises it was evident that the well maintained decor and good quality furniture and furnishings continues to provide a comfortable, pleasant and homely environment for residents. Since the last inspection all of the residents bedrooms have been redecorated, new furniture has been purchased, and replacement floor covering has been provided. As previously documented, both bathrooms have recently been refurbished to a high standard and a new assisted bath, bench and shower trolley purchased. The Manager confirmed that the health, safety and welfare of residents remains a priority. Environmental adaptations and specialist equipment are provided as necessary and includes various hoists, ripple mattresses, and electric therma posture beds. Independence continues to be promoted within the home, as far as is practicable, and Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: this is evident from the personalising of residents rooms, which clearly reflects individual tastes, preferences and interests. The manager confirmed that residents and their families are supported to choose colours and furniture for their rooms and communal areas. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by the homes thorough recruitment policy and procedures and benefit from sufficient trained, competent and supervised staff on duty at all times to meet their assessed and complex care and support needs. Evidence: There is a staff team of 13 people at Mill Lane, who are evidently well trained in supporting the residents, all of whom have learning and physical disabilities and other complex communication and health care needs.The team is managed and supported by an experienced Manager and two Senior Support Worker. Staffing ratios vary according to the needs of the residents and specific activities, however the minimum number of staff on a shift is three. It is clear that the high staffing levels within the home have a very positive impact on residents quality of life, both in the support that they receive and the opportunities that are provided. The manager clearly recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training, the Common Induction Standard, which is compatible with Skills for Care and includes a structured in house induction programme, training courses and completion of an Induction Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Portfolio. This meets the Learning Disability Qualification Induction Award standards and successful completion of portfolio enables staff to achieve the |Induction Award. In addition to this programme, appropriate core skills training is provided, including Safeguarding Vulnerable Adults, Food Hygiene Crisis Intervention, Challenging Needs, Active Support and Person Centred Support, Infection Control, Communication, First aid and Fire safety. The organisations training department sends out a monthly programme of training courses and staff, where appropriate after consultation with the manager, are able to apply for these courses. This was confirmed through discussions with staff and supported by training records examined: There is so much opportunity for training here. There are currently four members of staff who hold the National Vocational Qualification (NVQ) level 3. The manager confirmed that another is due to complete in the near future. In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis. It was noted that the two senior senior support workers have recently undertaken supervision training. Through direct observation and discussions with members of staff, it is evident that the manager also operates an open door policy, with staff feeling confident and able to discuss any issues at anytime. The home continues to operate thorough and robust recruitment procedures, to ensure the protection of residents. Individual staff files are held at the Head Office. However the manager confirmed that she personally ensures that all relevant and necessary information is received prior to anyone starting work in the home. Details specifically include two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well managed home, effective quality monitoring systems, thorough health and safety checks and guidelines and efficient record keeping. Evidence: The manager has worked for the Association for 14 years and took up her current position in 2007. She had previously worked as a Deputy Manager at Mill Lane between 1999 and 2001. She has achieved both the Registered Managers Award (RMA) and NVQ Level 4 Care Award. Her registration application with CSCI was successfully completed in May 2008. From direct observation and through discussions with members of staff, it is evident that the manager continues to demonstrate a clear and positive sense of leadership and direction. She is conscientious, motivated and approachable and creates an open and inclusive atmosphere within the home. The Organisation has a Quality and Performance Manager who, among her other Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: responsibilities, coordinates the Annual team Quality Monitoring Day when the team get together to look specifically at issues of quality in the home. The views and thoughts of families are also sought prior to this day and used as part of the quality monitoring process. From this day an action plan is created for developing and improving the services provided to residents. Collated responses from the most recent Quality Day indicate a high level of satisfaction with the home and the care and support provided: .....is always well looked after and cared for. He has a good social life and is kept very busy with various activities. The manager confirmed that the health, safety and welfare of residents and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!