Inspection on 26/01/09 for 7a Finborough Road

This inspection was carried out on 26th January 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

7a Finborough Road 23/02/07

7a Finborough Road 01/02/06

7a Finborough Road 19/09/05

7a Finborough Road 10/03/05

7a Finborough Road 12/10/04

7a Finborough Road 24/10/03

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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: 7a Finborough Road 7a Finborough Road Short Break Service Stowmarket Suffolk IP14 1PN 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: Tina Burns Date: 2 6 0 1 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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 34 Information about the care home Name of care home: Address: 7a Finborough Road 7a Finborough Road Short Break Service Stowmarket Suffolk IP14 1PN 01449626205 01449626205 david.gilbert@socserv.suffolkcc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Suffolk County Council Name of registered manager (if applicable) Mr David James Gilbert Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 4 care home 4 learning disability Additional conditions: Date of last inspection A bit about the care home 7a Finborough Road opened in 1995 as a short break facility for adults with learning disabilities. It is run by Suffolk Social Services and is registered as a care home for 4 adults with Care Homes for Adults (18-65 years) Page 4 of 34 learning disabilities. The home is situated in a small cul-de-sac, close to Stowmarket town centre. It has a large driveway with a parking area shared by neighbouring buildings. The house has four individual bedrooms, two on the ground floor and two on the first floor. There is a spacious kitchen/dining room, which opens onto a patio area. The living room leads into a staff sleep in room which doubles as a duty office. The laundry room, a fully accessible shower room and bathroom with spa bath and WC are also on the ground floor. A wide staircase leads to the upstairs bedrooms, bathroom, toilet, storeroom and managers office. There is another patio area behind the laundry room, which overlooks a pond. Towards the front of the building there are views towards the church. Fees at the time of inspection were £9.94 for an overnight stay. Care Homes for Adults (18-65 years) Page 5 of 34 Care Homes for Adults (18-65 years) Page 6 of 34 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 Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home We asked people who use the service for their views. We spoke with some of the staff and looked round the home. We looked at some peoples care plans and other records that are held in the office. Care Homes for Adults (18-65 years) Page 8 of 34 What the care home does well People tell us that they really like the staff team. The staff support people well and they treat people with respect. People are involved in developing their care plans so they get the right care and support. People are supported to full participate in the daily routines of the home, such as planning and preparing meals. Care Homes for Adults (18-65 years) Page 9 of 34 People feel the home is well managed, safe, comfortable and clean and they enjoy staying there. What has got better from the last inspection Staff medication training is better. They keep a record of all hot water checks so we know that it is maintained at a safe temperature. Care Homes for Adults (18-65 years) Page 10 of 34 There has been a spa bath installed that is fully accessible to wheelchair users. The home completes a report that very clearly tells us what they do well and how they intend to improve. What the care home could do better They tell us that they want to get better at providing information using pictures and symbols. Care Homes for Adults (18-65 years) Page 11 of 34 They tell us that they want to make better use of the garden, possibly adding a sensory area and summerhouse. They tell us that they will look at replacing the kitchen that has become dated and worn. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Tina Burns 33 Greycoat Street London SW1P 2QF 02079792000 Care Homes for Adults (18-65 years) Page 12 of 34 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 13 of 34 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 14 of 34 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People can expect to receive appropriate information about the home. Further more, they can expect to have a comprehensive needs assessment so that they can be sure that their needs are known and understood before they use the service. Evidence: The AQAA tells us that there is a comprehensive and well written Statement of Purpose and Service User Guide that gives a descriptive and precise overview of the service. Both of these documents were provided on the day of our visit and were reflective of the comments in the AQAA. It was also positive to see that although the Service User Guide was detailed it was written in plain english and included photographs and pictures to support the readers understanding. People that used the service had copies of their Service Agreements in their records. These had been signed by their representatives and acted as a contract between the service user and/or their representative and the home. The AQAA tells us that the service has developed its own care needs assessment that ensures that the service can meet the needs of people before they are offered a Care Homes for Adults (18-65 years) Page 15 of 34 Evidence: service. The assessments that we saw during our visit were very detailed, they covered a wide range of areas and clearly specified peoples needs. Although the assessments seen were of a high quality the manager advised that they were in the process of developing them further so that they include more information about friendships, relationships and personal capacity. He also advised that they were planning to include a statement in the Statement of Purpose to reflect that they support peoples friendships and relationships and work within the framework of the Mental Capacity Act. Care Homes for Adults (18-65 years) Page 16 of 34 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 . People can expect to participate in the day to day routines of the home. Further more, they can expect to be fully consulted and will receive a highly personal needs led service. Evidence: The AQQA tells us that The development and implementation of the Service User Plans have significantly underpinned the development of a person centred and quality led Service for the individuals receiving respite care within the Service. These plans monitor, audit and maintain the individuals care package and clearly identify how the Service supports an individual staying at the home. The care plans we examined were of a high quality and extremely well detailed. They were written in a style that demonstrated that people who use the service are highly valued. The plans reflected the needs identified in peoples assessments and accounted for their likes, dislikes and preferences. They also included comprehensive guidelines Care Homes for Adults (18-65 years) Page 17 of 34 Evidence: for staff regarding individuals basic and complex needs such as communication, mobility, eating and drinking and personal hygiene. There was also good evidence of reviews and consultation with people who use the service and their families in the development of the care plans. Comments we received from staff confirmed that they felt fully informed and understood peoples needs. The AQAA says Service Users are involved with day to day decision making, eg choice of menu, household routines and as to what level of involvement they would like to participate in within the Service. Their day to day lives are recorded within their personal notes as a way of evidencing how this is accomplished. This was supported by the comments we received from people and the records that we examined during our visit. A wide range of range of generic and individual risk assessments had been undertaken to enable people to develop their skills and independence with appropriate support. Four service users surveys were completed and returned to us. They confirmed that they are able to make decisions about what they do when they stay at 7a Finborough Road. Comments in relatives surveys gave high praise and evidenced that the home works hard to provide a needs led service. They included; They are very good at keeping up with issues that may effect clients and respond accordingly. The staff are very friendly and treat all clients with respect and value. They all work to enable, encourage and empower clients. They make everyone feel relaxed and adapt to each persons needs. Treat all clients individually for all their different needs. Our relatives needs are met absolutely!. Comments we received in staff surveys included; Offers a very good service giving people the correct support for their needs. We promote independence and support and encourage service users to maintain and build on set goals within their care plans. Care Homes for Adults (18-65 years) Page 18 of 34 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 can expect to continue with their usual daily routines and benefit from the opportunity to engage in a range of other activities within the home and the wider community. Furthermore, they can expect to be actively supported to help plan and prepare meals of their choice. Evidence: With the exception of weekends, 7a Finborough Road does not generally provide daytime support and people staying at the home are expected to continue to attend their usual daytime activities. The Statement of Purpose and Service User Guide specifies when the service is open and reflects the fact that it is generally closed between 9.30am and 3.30pm on weekdays. In addition to supporting people to continue with their usual daily routines whilst Care Homes for Adults (18-65 years) Page 19 of 34 Evidence: staying at the home people are offered a wide range of activities during their short break. Care plans included details of how people liked to spend their time and daily records and personal feedback sheets that were completed after each stay included details of activities offered and undertaken both in the home and the wider community. Due to the fact that people only stay at the home for short breaks they are not often visited by their friends and family while they are there. However, everyones breaks are planned with consideration given to whom they know and get on well with and relatives indicated that they were always made welcome at the home. The home currently provides respite care for approximately forty people with a wide range of needs, including physical, sensory and complex needs. Care plans we looked at and people we spoke with confirmed that whatever the complexity of their needs people are encouraged and assisted to participate as far as possible in the daily routines, such as domestic tasks and planning and preparing meals. There is no cook employed, residents are encouraged to participate in planning menus, shopping for food and preparing meals with the assistance of support workers. Staff had undertaken food hygiene training and care plans included details of individuals likes, dislikes and dietary needs. Care Homes for Adults (18-65 years) Page 20 of 34 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 . The health and personal care that people receive is based on their personal needs. The principals of respect, privacy and dignity are put into practice. Evidence: Care plans were very detailed and clearly identified peoples personal and health care needs. During their stay each person has a folder in their room that includes essential information so that it can be easily and quickly referenced by staff. It includes their MAR sheet (Medication Administration Record) and Medication profile (if applicable), their ELP (Essential Lifestyle plan), their personal goals and their Manual Handling risk assessment. The ELPs that we looked at were very detailed and highly individual. They clearly laid out the support required with regard to health and personal care and took account of peoples preferences regarding the way in which personal care should be provided. Feedback we received confirmed that peoples health and personal care needs are met and staff respect peoples privacy and dignity. Care Homes for Adults (18-65 years) Page 21 of 34 Evidence: On the day of inspection staff on duty responded well when a service user with highly complex needs became distressed. They recognised the signs and symptoms that indicated they were uncomfortable and might be unwell. They clearly understood the individuals condition, were clear about the protocol to follow and informed the relatives concerned. Throughout they were comforting and reassuring to the individual, maintained their dignity and provided warmth and compassion. There were appropriate procedures in place for the safe handling of medication, including assisting people to administer their own medication where appropriate. Staff had undertaken in-house training in this area and completed a comprehensive workbook. In addition they had completed a safe handling of medication level two qualification through the local college. Care Homes for Adults (18-65 years) Page 22 of 34 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 . People can expect their views to be listened to and acted on. Furthermore they can expect to be safeguarded from abuse and have their rights protected. Evidence: Discussion with the manager and records seen confirmed that there had been three complaints since the last inspection in February 2007. These were related to matters that arose in 2007. The complaints had been well documented together with details of the subsequent investigations and outcomes. Each one had been taken seriously, acted upon and appropriately addresses. Surveys that were completed and returned to us confirmed that people know how to make a complaint and raise concerns. Further more they have confidence that they will be listened to and their complaints will be addressed. Two people gave examples of how well the home had dealt with potential complaints. One said The staff were open and honest and gave me the option to make a complaint if I wished to, I was very pleased with the professional manner in which they handled the matter. Other comments included; Any issues can be discussed and resolved quickly and effectively. Had a problem...., but resolved...., only took 24 hours, very helpful. ....always approachable and act immediately on concerns raised regarding care. Care Homes for Adults (18-65 years) Page 23 of 34 Evidence: The AQAA says Daily checks are made by staff when supporting people...., they have been trained to look for and report any concerns noted in the Service Users physical health and/or changes to emotional wellbeing. It also says All staff are trained in control and restraint, (Unisafe) - this is to ensure that any aggression, physical or verbal that is exhibited by the Service User group towards staff or other Service Users is dealt with appropriately and that physical restraint is only used as a last resort. Records we examined on the day and feedback we received were reflective of the comments in the AQAA. At the time of inspection there has been no safeguarding referrals made by the home in the last twelve months but staff had a good understanding of potential issues and continued to work within the framework of the Suffolk Inter Agency Policy and Procedures for the Safeguarding Adults. It was also positive to see an easy read poster entitled Say no to abuse displayed in the entrance of the home together with the Department of Healths easy read safeguarding summary. Care Homes for Adults (18-65 years) Page 24 of 34 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 premises are safe, clean and comfortable and provide suitable facilities to meet peoples needs. Evidence: With the exception of the kitchen, that had begun to look worn and dated, the home was well maintained. It was pleasantly decorated and furnished in a modern but comfortable and homely style. The accommodation is purpose built and consists of four single bedrooms, two on the ground floor and two on the first floor. There is also a communal lounge, staff sleep in room/office, and a spacious kitchen/dining room that opens onto a pleasant patio area. Facilities include a shower room, suitable for wheelchair users, separate toilet and laundry area on the ground floor and an additional bathroom and toilet upstairs. Both ground floor bedrooms have rise and fall beds, rise and fall hand basins and tracker hoists. Since our last inspection there had been a spa bath installed on the ground floor with full disability access. Both the kitchen and laundry areas were clean, tidy and appropriately equipped and the manager acknowledged that the worn domestic kitchen would probably need renewing shortly to ensure that it remained clean and hygienic. Appropriate infection Care Homes for Adults (18-65 years) Page 25 of 34 Evidence: control procedures were in place for handling soiled linen and clinical waste. Survey forms confirmed that the home was always fresh and clean and we found this the case on the day of our visit. Care Homes for Adults (18-65 years) Page 26 of 34 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 who use the service can expect to be safeguarded by thorough and robust recruitment procedures. They can also expect to benefit from well supervised, trained and competent staff. Evidence: The AQAA told us that the homes recruitment and induction process was thorough and all appropriate recruitment records were in place. This was the case in the records we examined during our visit. They included; two references, evidence of verification of ID, evidence of satisfactory Criminal Record Bureau Disclosure checks, application forms and evidence of face-to-face interviews. Staff turnover is low but where new staff are appointed they complete an induction programme that meets the requirements of the Skills for Care Induction Standards. They also have a comprehensive in-house induction programme that includes shadowing more established, fully trained staff. Following their induction staff have on going training that covers a wide range of areas. All staff are trained in Manual Handling, Control and Restraint (Unisafe), Safeguarding Adults, Intimate and Personal Care, Epilepsy, Person Centred Planning and Communication. Four out of the six care staff employed also have NVQ qualifications. There was good evidence that staff received annual appraisals and regular planned 1-1 Care Homes for Adults (18-65 years) Page 27 of 34 Evidence: supervision sessions and staff meetings took place on a fortnightly basis. Feedback from staff confirmed that they felt appropriately trained to do the job and fully supported by their line managers. Comments from people who use the service and/or their relatives indicated that the staff are highly professional and committed, comments included; They are informative, approachable and take pride in their work. The staff are friendly and treat all clients with great respect.... The managers are excellent and have clear expectations with staff about how they treat clients. I think they are as good as it gets!. Care Homes for Adults (18-65 years) Page 28 of 34 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 service is well managed and people benefit from the ethos, leadership and management approach of the home. Further more their health, safety and welfare is promoted and protected. Evidence: David Gilbert, the registered manager, is also responsible for managing a small domiciliary service run from the same premises. At the last inspection he was also temporarily managing a small residential home located close by. At this visit he confirmed that a manager had been appointed to that service and he was no longer the temporary manager for that home. The manager and the deputy manager have completed the Registered Managers Award and hold NVQ level 4 qualifications. They were both present on the day of inspection and showed a high level of commitment to the service. The AQQA tells us; The Service benefits from a good and clear set of aims and objectives and defined nature of service of which the underpinning philosophies is that of the John OBrien Five Service Accomplishments, Valuing People and Ordinary Life Principles. The ethos within the home is a commitment to quality of life issues, inclusion, positive and Care Homes for Adults (18-65 years) Page 29 of 34 Evidence: practical encouragement, individuality, creativity and positive social inclusion. Feed back we received and observations we made during our visit reflected the comments made in the AQAA and evidenced that the managers give a clear sense of direction and leadership. Comments we received in relatives surveys were highly complimentary and included; The manager, senior support worker and staff achieve a place of excellence for our people to receive respite care. The managers are both excellent and have clear expectations with staff and how they treat clients. I am aware professionally and personally that 7a is one of the best, most consistently good services available. It is a lifeline to many parents and carers....., but it is also somewhere that you feel your relative is safe, happy, well cared for and secure, as well as having fun and feeling valued. Long may 7a continue!. Comments we received from staff included; The managers offer staff very good support working over and beyond the expected. A lovely place to work. I am very lucky to work here. Its a lovely place to work, excellent staff and management. Great team spirit amongst staff and management and a great place to work. The home had a number of quality assurance processes in place including service users feedback forms that are completed with assistance from staff after every stay. At the time of our visit they had also recently distributed quality assurance questionnaires to all the families that use the service and at the time nineteen had been returned. One respondent said that they were satisfied with the quality of respite they are offered and eighteen said that they were very satisfied. Staff we spoke with told us that they have team meetings fortnightly, one said; As a team we discuss all aspects of the service at our team meetings so we are therefore always looking at how we may do things better. The AQAA submitted to the commission in October 2009 was completed to a high standard and provided clear information about what they do well, how they evidence it and how they intend to improve. The service has a comprehensive range of policies, procedures and local policies in place. They are accessible to staff and were made available during our visit. The AQAA tells us that The Service has appointed a staff member with Health and Safety responsibilities to ensure that all necessary weekly and monthly checks are completed and to heighten awareness of health and safety within the team. The staff Care Homes for Adults (18-65 years) Page 30 of 34 Evidence: member provides health and safety feedback statements and these are Minuted within the fortnightly staff meeting Minutes. When we visited we found that a full health and safety audit is carried out annually, appropriate fire safety procedures were in place, water temperatures were appropriately monitored and all required health and safety records and certificates were in place. Care Homes for Adults (18-65 years) Page 31 of 34 Are there any outstanding requirements from the last inspection? Yes  No  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 32 of 34 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 Description 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 Description 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 33 of 34 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 34 of 34 - 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!