Inspection on 13/03/09 for 55 Daventry Road

This inspection was carried out on 13th March 2009.

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

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

Other inspections for this house

55 Daventry Road 28/02/08

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 55 Daventry Road 55 Daventry Road Dunchurch Rugby Warwickshire CV22 6NS     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: Julie Preston     Date: 1 3 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 55 Daventry Road 55 Daventry Road Dunchurch Rugby Warwickshire CV22 6NS 01214306306 01788811427 redwood@cttm.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care Through The Millennium care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 6 The maximum number of service users to be accommodated is 6. The registered person may provide the following category of service only: Care Home Only To service users of the following gender: Either Whose primary care needs on admission to the home are within the foloowing category: Learning Disability (LD) 6 Date of last inspection Brief description of the care home Redwood House is a newly built, spacious house situated in the village of Dunchurch, approximately four miles from Rugby. The home is registered to provide care to up to six people with a learning disability. There are six bedrooms, all with en suite bathrooms. Two bedrooms are on the ground floor and four are on the second floor. There is a large lounge, a quiet room that is smaller and is used by people who want to relax away from their bedrooms or the main lounge. A separate dining room that leads onto the rear garden can comfortably seat ten people and there is a well equipped kitchen. Bathrooms are provided on each floor. The fees charged are variable according to peoples needs. The home can provide further details. Care Homes for Adults (18-65 years) Page 4 of 29 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. This process considers the homes capacity to meet regulatory requirements, national minimum standards and focuses on aspects of service provision that need further development. Before we visited the home we looked at their Annual Quality Assurance Assessment (AQAA) which provides information about the way that they are meeting standards and identifies how they plan to maintain and improve outcomes for service users. We also reviewed information about complaints and notifications regarding events that may have affected the well being of people who live in the home. Care Homes for Adults (18-65 years) Page 6 of 29 Our visit took place over one day. Staff and people who live in the home did not know that we were coming. We spoke to the manager, three members of staff, a visitor and two people who live there as part of our visit. Some people who live at Redwood have complex communication needs so it was not possible for us to talk to them about their experiences of living in the home. Instead, we spoke to staff who support them and observed peoples interaction with staff to form a judgment about their views and opinions. Two people were case tracked. Case tracking involves talking to people about the care they receive, or observing them, looking at their records and talking to the staff who support them. This helps us focus on outcomes for people who use the service. We looked at staff training and supervision records, policies and records relating to health and safety, quality assurance and medicines management. We interviewed two members of staff to get information about the training they receive and how they are supported to meet peoples needs. We looked around the home to make sure that it was warm, clean, comfortable and safe. There were no immediate requirements made as a result of our visit. This means that there was nothing urgent that needed to be done to protect people who live in 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 29 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples have information about the home and opportunities to visit, before they move in so that they can make an informed choice about whether to live there. Peoples needs are assessed before moving in to the home so that they can be confident their individual needs will be met there. Evidence: The home has a statement of purpose and service user guide which is made available to the people who live there and to their relatives. These documents contain information that describes the services and facilities that are provided in the home. Since our last visit in February 2008, the staff team have reviewed the service user guide, which is now presented in plain language with accompanying pictures. This makes the information easier to understand for people who may have difficulty reading. There have been new people move into the home since our last visit. We looked at the Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: homes pre admission procedure to make sure that peoples needs had been assessed before they moved in so that they could be confident that the home would meet their individual needs. Each person had a copy of the assessment made by the funding agency and the homes own assessment that described how they liked and needed to be cared for and supported. From looking at the dates of each assessment it was evident that they had been completed before the person was offered a place at the home. The manager told us that senior staff would be responsible for completing assessments in accordance with the homes pre admission procedure. We saw that peoples placements had been reviewed by the funding agency after three to six months to make sure that the home was continuing to meet their individual needs. We spoke to one person and a family member about their experience of choosing Redwood as their new home. We were told that useful information about the home was made available before they moved in and that they felt fully included in the moving process. A visitor told us that the staff team had gone beyond the call of duty to help X (their relative) settle in to the home. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems of care planning and risk assessment in place, which should ensure that peoples needs are understood and met. People receive good support to make choices and decisions about their lifestyles. Evidence: We looked at care plans and risk assessments for two people who live in the home. These documents describe the support that people need in their day to day lives and include information about how risks to their health and well being should be managed. The care plans and risk assessments that we saw clearly identified how people need to be supported to ensure that their needs would be met consistently. There was evidence that the records had been reviewed on a regular basis so that they remained relevant to peoples current needs. The three members of staff that we spoke to demonstrated knowledge of each persons individual needs, which indicates that care Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: records had been read and understood. Two people who live at Redwood told us that they have many opportunities to make decisions about their lifestyles. They said that they choose activities, meals and how they spend their money. Some people who live at the home were not able to give us their opinions due to complex communication needs however, it was evident that staff understood their body language and gestures as a means of expressing choices. For example, one person led a staff member to the kitchen and was promptly offered a drink and snack in response. We were told that some people use Makaton signs as a means of communication. This had been recorded in their care plan but there was no detail to describe which signs were used and what they meant to the person. People who live at the home need assistance to manage their money. We looked at two sets of financial records at this visit. Both were accurate and we saw that the records had been checked each week to make sure that no mistakes had been made when recording what people had spent. A member of staff showed us evidence that financial records are audited each month as a further way to ensure that peoples money is well looked after. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home experience a meaningful lifestyle that promotes their independence and reflects their personal choices. A varied and nutritious menu is provided, which meets peoples needs and preferences. Evidence: We looked at activity plans and daily records for two people to see if they had regular opportunities to do things that they enjoy. Each person had a record of the activities they like and those that they dont like. The daily records that we looked at showed that people take part in a range of activities both at home and in the local community, either in small groups or on their own, with the support of staff. Activities included swimming, horse riding, shopping for food and personal items, trips out to places of Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: interest and for meals and drinks. One person told us that they really enjoyed going horse riding and were learning a lot from the experience. We were told that another person continued to attend the day centre they went to before moving into the home. Staff told us that this was important as the person had made many friends there. We saw that reviews had taken place each month to evaluate peoples responses to the activities they had taken part in. Two members of staff told us that this helped to aid future planning and to ensure that people were not taking part in things they do not enjoy doing. The home supports people to keep in touch with their friends and families. Care plans that we looked at described how people should be supported to maintain this contact and it was evident that people had been enabled to stay in touch with friends they had made before they moved into the home. A visitor told us that they were always made to feel welcome by the staff team. Some people take part in domestic tasks around the home such as cooking and laundry. This had been written into their care plans. One person said that she enjoyed doing chores to help her retain her independence. We looked at menus and the records of food that people eat to make sure that a varied and healthy diet is offered that meets peoples needs and preferences. People told us that they had a choice of meal and day and that they went shopping for food each week. This was also evidenced in daily records and had been planned for as part of peoples regular routines. The home offers low fat and reduced sugar meals, in accordance with peoples health care needs. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems in place to meet peoples personal and health care needs. Medicines are well managed so that people receive their medication in a planned and safe manner. Evidence: We looked at personal and health care records for two people. They contained clear information about peoples needs and had been recently reviewed to make sure that they were accurate and up to date. Peoples preferences with regard to the way they receive their personal care had been recorded. This included whether the person liked a bath or a shower, at what time(s) of the day, the skin care products they like and the gender of staff that should support them. From looking at financial records it was evident that people shop for their own toiletries and clothes and make use of local hairdressers and barbers as part of their regular routines. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: The three members of staff that we spoke to were able to describe how they supported people with their personal and health care, which indicates that they had read and understood individuals care plans. Staff at the home have made good relationships with healthcare professionals. There were records which showed that community nurses had visited the home to develop guidance and provide training for staff to support people with epilepsy. All staff have received training in diabetes care awareness, which should ensure that they meet individuals needs consistently. The records we looked at showed that people had regular appointments with healthcare staff and that the outcome of the contact had been recorded so that staff had up to date information about peoples health. People who live at Redwood have varying health care needs. We saw that moving and handling assessments were in place to reduce the risk of potential harm to people who have mobility difficulties and that all staff had completed training in this area. Care plans for managing continence, epilepsy and diet an nutrition had been reviewed within the last three months so that they reflected peoples current needs. We looked at the way medicines are managed in the home to check that this was being done safely. The majority of staff have received accredited training in the safe handling of medicines, which should contribute toward a safer system of managing medication. From looking at the medication records of two people it was evident that medicines had been given as prescribed. Some people take medication on an as required basis. Written protocols were seen that explained the circumstances under which staff should offer the medication. In one case a protocol could not be found and we have made recommendations about this so that people receive their medication according to their individual needs. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective procedures in place to listen to peoples complaints and safeguard them from possible harm. Evidence: There have been two complaints made to the home since our last visit in February 2008. The complaints log showed that all three had been promptly investigated and the outcome recorded. The complaints procedure is presented in plain language with pictures and photographs to back up the written content. Staff told us that this helped make the information more accessible to people who may have difficulty reading. A visitor and two people who live in the home told us that they had received a copy of the complaints procedure and were confident that they would be listened to in the event they raised any concerns. The home has a safeguarding procedure which is made available to staff at their induction. We spoke to two members of staff who confirmed that they had received training in safeguarding vulnerable adults and that they understood the importance of reporting allegations or suspicion of abuse for the protection of people who live at Redwood. Some staff have not attended safeguarding training however there are plans to offer further sessions later this year. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: The home has an easy read safeguarding procedure which staff go through with people when they move in. This tells people what they should do if they dont feel safe in their home. People confirmed that they had seen this procedure. One person told us that they felt very comfortable at the home. Each person has a list of their belongings that they bring when they move in, which is updated as they buy new things. This should make sure that peoples property is accounted for and provides information should things go missing. It was evident that the staff team are taking appropriate action to listen to and act upon peoples concerns and complaints. There have been no safeguarding issues raised within the home since our last visit. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is warm, clean and well furnished. This makes a pleasant environment for people to live in. Evidence: Redwood is situated in the village of Dunchurch, approximately four miles from Rugby town centre. There are local amenities such as shops, pubs and a post office within walking distance. This is important to people who live in the home as they make use of these facilities. We were shown around the home by one of the people who live there. All bedrooms have en suite shower, toilet and wash hand basin. Two bedrooms are on the ground floor with the remaining four on the first floor. There are bathrooms on both floors. The bedrooms that we looked at clearly reflected peoples personal tastes. One person told us that they liked having a key to their bedroom door for privacy. Another person (who was not able to give their opinion verbally about their room due to complex communication needs) showed us various possessions and it was evident that they were happy with their room. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Shared space consists of a large lounge, smaller quiet lounge, separate dining room, kitchen and gardens. We were told that there are plans to fence off the garden from the road to provide more privacy and to install gates to provide better security at the front of the home. All areas of the home were clean, warm, well decorated and furnished. There were no unpleasant odours that may indicate poor cleansing routines. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a trained team of well established staff who have good understanding of their needs. The home operates a robust system of recruiting staff for the ongoing protection of the people who live there. Evidence: People who live in the home told us that the staff team were excellent, very good and friendly. Some people were not able to express how they felt about the staff team due to complex communication needs. We saw that people spent a lot of time with staff, choosing to sit next to them and stand with them. This indicates that people are comfortable with the staff who work in the home. A visitor told us that the staff team were knowledgeable and welcoming. We looked at the homes rota which showed that four staff work during the day and two staff work during the night. The rota stated that a female member of staff always worked at night to support the women who live in the home. This was confirmed by the manager and other staff members. There was no evidence to suggest that current staffing levels do not meet peoples needs. Activities had been offered to people as Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: arranged; at our visit people received prompt support from the staff team to meet their personal care needs and the manager was able to spend time with us without impacting on peoples plans for the day. We looked at staff recruitment records for a new worker. The records showed that checks had been made of the persons suitability to work within the home, prior to appointment. There is an induction procedure in place so that new staff receive information about peoples needs and training to enable them to support people before they start work. This contributes to the ongoing safety and protection of people that live at Redwood. The AQAA (Annual Quality Assurance Assessment) showed that just over half of the staff team have completed training at National Vocational Qualification Level 2. From sampling staff files and talking to three members of staff it was evident that a range of training opportunities are provided. Mandatory health and safety training had been completed as well as that which is specific to peoples individual needs such as epilepsy awareness and diabetes care. This should make sure that people are supported by a competent and trained team of staff. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well managed and peoples health and safety is promoted and protected. Evidence: The home has a manager who is a registered learning disabilities nurse and who has also completed training in the management of care services. The manager is supported by a deputy who has completed National Vocational Training in Care. The manager was present at our visit and demonstrated effective knowledge of her role and a commitment to improving outcomes for the people who live at Redwood. People who live in the home, staff and visitors described the manager as approachable, friendly, fair and supportive. The staff that we spoke to said that they felt the home was being well managed. There are systems in place to review the quality of care and service provided within Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: the home. A representative of the registered provider visits each month to gather information about the quality of service and makes a report based upon their findings. We saw that changes had been made in response to recommendations of the representative, such as reviewing the cleaning rota and changing the way staff shifts are organised. Comments received by the home in February 2008 from relatives as part of quality assurance procedures included, Excellent care is provided. Outstanding staff team. I am aware of the complaints procedure and can speak to staff privately if I need to. I have no concerns at all. This indicates that the home are taking quality issues seriously for the benefit of people who live there. A number of checks are made to make sure that peoples health and well being is protected. We looked at some records that show this has happened. The fire alarm system had been tested and serviced on a regular basis to make sure that it was working properly. People had taken part in fire drills so that they had opportunities to practice leaving the building in the event of an emergency. We saw in emergency lighting test records that no entry had been made since January 2009. Staff did comment that they believed that a test had taken place since then, however this had not been recorded. Certificates and records were in place for the testing of portable electrical appliances and the temperature of hot water to reduce the risk of harm to people who live at Redwood. Training records showed that all staff have taken part in health and safety training. This should contribute toward promoting peoples health and safety. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Details about the way people use signs to communicate should be written into their care plans. This should enable staff to understand individuals non verbal communication. Protocols for the administration of as required medicines should be reviewed to ensure that staff are aware of the circumstances under which they should be administered for each person who lives in the home. Records which evidence that the fire alarm system has been tested should be audited so that it is clear that they are in good working order for the ongoing protection of people who live in the home. 2 20 3 42 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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. 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