Inspection on 23/02/09 for April Cottage

This inspection was carried out on 23rd February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

April Cottage 14/11/06

April Cottage 13/12/05

April Cottage 05/05/05

April Cottage 14/02/05

April Cottage 21/10/04

April Cottage 19/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: April Cottage Ducklington Lane Witney Oxfordshire OX28 4TJ The quality rating for this care home is: one star adequate 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: Nancy Gates Date: 2 3 0 2 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 32 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 32 Information about the care home Name of care home: Address: April Cottage Ducklington Lane Witney Oxfordshire OX28 4TJ 01993773832 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) : jules.mckim@ridgeway.nhs.uk Oxfordshire Learning Disability NHS Trust care home 4 Number of places (if applicable): Under 65 Over 65 4 4 0 0 learning disability physical disability Additional conditions: 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). The maximum number of service users to be accommodated is 4. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home April Cottage is a purpose built four bedroomed bungalow situated at the end of a private drive about a mile from Witney town centre. It provides a shortterm break/respite service for up to four people with learning and physical disabilities who live with their families in the local area. The bungalow has ramps and adaptations and is fully accessible for people who use wheelchairs. The home is run and managed by the Ridgeway Partnership (previously Oxfordshire Learning Disability NHS Trust) and is accessed only through referrals from local authority care management. The guest contributes from 49.65 GB Pounds to 90.65 GB Pounds per week. Care Homes for Adults (18-65 years) Page 5 of 32 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: one star adequate 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 6 of 32 How we did our inspection: This is what the inspector did when they were at the care home Before visiting the service we reviewed the previous inspection report, viewed information provided by the manager of the home and reviewed any information we have received about the service since the last inspection in November 2006. We visited the home on the 23rd February 2009 to complete an unannounced key inspection. We arrived at the home at 3pm and finished the site visit at 8pm, we were at the home for 5 hours. During our visit we discussed changes made and any proposed changes to the service with the registered manager. We also talked with two guests who were staying at the home and with two staff members who were on duty at the time of the visit to gain there views. We looked at a number of records including care/support plans, staff records, training records, complaints and compliments and health and safety information. We also made a tour of the premises and looked at meals and refreshments provided to guests. Care Homes for Adults (18-65 years) Page 7 of 32 What the care home does well A full assessment of new guests needs is completed to ensure that individuals support, health and welfare needs can be met at the service. Guests who use the service are supported to take part in a variety of activities that reflect what they usually do when at home and risk assessments are completed to ensure that people are safe. Guests told us that they are happy with the support they get at the home, that they have a good time when they stay and that staff are very helpful and friendly. There is a friendly, relaxed and welcoming atmosphere at the home and there are positive relationships between guests and staff. Guests are provided with the information about how to complain, and are confident that their concerns will be listened to. Staff have an understanding of guests needs and their skills are supported by training courses available within the organisation. Care Homes for Adults (18-65 years) Page 8 of 32 What has got better from the last inspection What the care home could do better People who wish to use April Cottage are provided with information that assists them to decide whether they want to use the service, however some of the information is out of date and must be updated. The quality of information within the support plans for some people who use the service is inconsistent and did not provide clear information about guests support needs. The personal and healthcare needs of guests are generally well met, however information available to staff to support some individuals has not been reviewed Care Homes for Adults (18-65 years) Page 9 of 32 regularly and may not describe individuals current support needs. The service provides a reasonably homely and safe environment for its guests, however a number of issues regarding storage and bathing facilities for all guests needs to be addressed to ensure the comfort and safety of all guests who use the service. Staff are generally attentive and respectful, however there should be an awareness of language used in response to guests behavioural support needs. Judgement regarding recruitment procedures to ensure the protection of the people who live at the home could not be made due to information not being available within the service. The manager must make sure that recruitment information or a checklist confirming recruitment information is available within the home. Care Homes for Adults (18-65 years) Page 10 of 32 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 Nancy Gates 33 Greycoat Street London SW1P 2QF 02079792000 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 11 of 32 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 12 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who wish to use April Cottage are provided with information that assists them to decide whether they want to use the service, however some of the information is out of date. The home completes a full assessment before deciding if individuals support, health and welfare needs can be met at the service. Evidence: April Cottage does not support any individuals on a permanent basis. The service provides short term respite support. People who use the service are referred to as guests, a term which will be used throughout this report. A Statement of Purpose and Service Users Guide is made available to anyone who wants to use the service for short term breaks; overnight stays, tea visits and day support. The documents have been written using text and some pictures in an attempt to support people who have additional communication needs. The Registered Manager stated that the service is working on a video version of the Service Users Guide to support people who are not able to use the written document. Care Homes for Adults (18-65 years) Page 13 of 32 Evidence: The Statement of Purpose has been written for use by all short term breaks services within Ridgeway Partnership, however services can adapt the document to include up to date details of the manager and staff. The current document does not accurately reflect the current staff team and must be updated. Assessments completed before support is provided are undertaken by the Registered Manger who on occasion, is supported by another member of the staff team. We viewed the assessments for two people, and they contained all the information necessary to help the service decide if they could meet the individuals support, health and welfare needs. Care Homes for Adults (18-65 years) Page 14 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The quality of information within the support plans for some people who use the service is inconsistent and did not provide clear information about guests support needs. Risk assessments support people needs. Evidence: We looked the support/care plans of four people to see how the service aims to meet their needs. Two files related to guests who have used the service for a number of years, the others related to guests who have been using the service for a relatively short period of time. Each file contained assessment information including care plans. Two of the files had enough information to inform staff of the individuals support needs, however the two other files were not up to date and did not provide clear information about the individuals current support needs. The standard of information recorded to support all guests to use the service is inconsistent. A number of guidelines viewed had no date of completion, did not indicate whether they had been reviewed or whether they were relevant to individuals current needs. Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: The daily notes written to describe elements of guests stay were on occasion inappropriate and lacked specific detail about how the individual was supported. X sat himself up and got his legs stuck between the bedsides bless him. Seemed a bit upset and he was wet through too. Totally confused and unable to walk today as 3x seizures last night. Staff should be encouraged to write an accurate factual account of how an individual is supported. Risks assessments appropriate to the needs of each guests were in place and had been completed following a visit from a Local Authority reviewing officer who had commented on the standard of record keeping at the service. Care Homes for Adults (18-65 years) Page 16 of 32 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 . Guests who use the service are supported to take part in a variety of activities that reflect what they usually do when at home. Evidence: We visited the service on a weekday afternoon and on arrival were greeted by three members of staff and one guest who is currently using the service on a full time but temporary basis. Three further guests arrived at the home during our visit and we were able to have an informal discussion about the support provided at the home and whether people are able to continue with lifestyle choices whilst staying at April Cottage. Two people said that they felt they were able to relax and o what they wanted. We can use the pool table and the Playstation, we can what TV, listen to music, do what we want. we sometimes go out to the shops, into town, staff help us Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: as well. Many of the activities provided in-house remain based on what guests prefer to do in their leisure time; these included listening to music, watching TV, videos, DVDs, magazines, puzzles and games, arts and crafts, cooking, and hand and foot massage. Activities outside the home include going to the shops, to the pub, for walks and organised trips to places people have identified they would like to visit. Guests continue to be supported to attend any day service, college, groups or clubs they would usually go to whilst at home whilst their families. We were in the home when the evening meal was being prepared and served. Guests and staff continue to have their meal together in the dining room and were heard to talk about conversation about what people had been doing during the day. Regular drinks and snacks are available; a varied menu is provided and guests special dietary needs are catered for. Care Homes for Adults (18-65 years) Page 18 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The personal and healthcare needs of guests are generally well met, however information available to staff to support some individuals has not been reviewed regularly and may not describe individuals current support needs. Evidence: We looked at four care/support plans. Personal and healthcare needs are described for all individuals, however not all of the information for all guests was seen to be up to date. A number of plans hold clear guidance of how people wish their needs to be supported and it is clear that families are consulted when a person is unable to communicate their needs. What is apparent is that essential information needed by staff to be able to provide personal and healthcare support is available. Guests healthcare needs are undertaken by their families and arrangements in case of an emergency are noted within the service. Liaison with GPs, district nurses and other healthcare professionals continues to ensure guests healthcare needs can be met whilst using the service. Staff continue to help guests to look after their medication. Guests medicines are held securely in locked medicine cabinets located in each bedroom. The service continues to Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: use a standard medication administration record (MAR) which is handwritten and signed by the individuals GP to ensure the prescribing responsibility remains with the GP. Staff are trained and assessed to ensure they are competent to administer medication and a member of staff confidently demonstrated how an individual is helped to take their medication. Care Homes for Adults (18-65 years) Page 20 of 32 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 people who use the service are provided with the information about how to complain, and are confident that their concerns will be listened to. The people who use the service are protected from abuse, neglect and self-harm through safeguarding guidance, appropriate staff training and staff awareness. Evidence: Information on how to make a complaint is available to guests and their family members. Clear policies and guidance regarding complaints, concerns and allegations are available to staff to ensure they are aware of how to respond appropriately to concerns raised by guests and their families. Three complaints have been received at the home since our last visit in November 2006 and we saw evidence of how the issues were dealt with within a timely and satisfactory manner, in line with the Ridgeway Partnership/OILDT complaints policy, resulting in the complainants being happy with the outcome. One safeguarding matter has been raised at the service which was appropriately notified to the local authority and the CSCI with all necessary action taken to safeguard guests and staff. Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: All staff complete training regarding safeguarding and protection which reflects the multi-agency codes of practice. Staff were able to describe a good understanding of protection issues and how to respond to allegations. Refresher training is available throughout employment at the service to ensure knowledge remains up to date. Care Homes for Adults (18-65 years) Page 22 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service provides a reasonably homely and safe environment for its guests, however a number of issues regarding storage and adequate bathing for all guests needs to be addressed to ensure the comfort and safety of all guests who use the service. Evidence: Our previous visit to the home in November 2006 highlighted a number of issues to ensure that the service provided a comfortable and safe place for guests to stay. Following the previous visit a new kitchen has been installed, all areas within the home have been re-decorated and advice and guidance regarding clinical waste disposal has been sought and acted upon. We looked around all areas of the home and found that guests are provided with a comfortable, home-like place to stay. The furniture and fittings are modern and domestic in style. During the latter part of the inspection the lounge became very cold due to a draught coming thorugh the pation/french doors (it was noted that an area of plaster was missing form near the patio/freanch door frame). Neither of the two guests who were in the lounge stated that they felt cold and the radiators within the lounge were warm to touch, however one of the guests was wearing a jacket at the time. Guests who may not be able to verbalise whether they are felling hot or cold could be affected by the draught. This should be monitored and rectified to ensure that guests Care Homes for Adults (18-65 years) Page 23 of 32 Evidence: are provided with a lounge area that is suitably heated. We talked to two guests about the accommodation provided at April Cottage. Both guests said they were happy with the rooms they stay in, that rooms are comfortable, warm and clean. The home has one bathroom containing an toilet, wash hand basin and bath (adjustable height), a ceiling track hoist and additional equipment to support guests to bathe. Staff stated that there are difficulties for a small number of guests to use the bath as the layout of the bathroom and equipment available for use does not meet their needs. This should be reviewed to ensure that all guests have the opportunities to use the facilities when they stay at the service. When viewing bedrooms it is apparent that storage for household items is minimal. Wardrobes in some bedroom are being used to store household items e.g. garden furniture seat covers and this should be reviewed to ensure that guests are able to use all furniture when staying. Staff clearly aim to provide a clean and comfortable home for guests. All areas of the home were seen to be clean. Care Homes for Adults (18-65 years) Page 24 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . April Cottage has an appropriate level of staffing to support the needs of the guests who use the service. Staff are generally attentive and respectful, however there should be an awareness of language used in response to guests behavioural support needs. Judgement regarding recruitment procedures to ensure the protection of the people who live at the home could not be made due to information not being available within the service. Training provided to staff ensures that they are competent and qualified to meet guests needs. Evidence: April Cottage has an appropriate level of staffing to support the needs of the people who use the service, however staff report that when they are supporting people with a high level of physical support needs it can be exhausting, but confirmed that staff morale is good. The team comprises of the registered manager and 8 support workers. The staff supporting people when we visited the service were enthusiastic and motivated, offering generally respectful support to individuals. On occasion staff were heard to address an individual in a inappropriate manner, using the word naughty. Behavioural support guidelines for the individual did not indicate that this is an Care Homes for Adults (18-65 years) Page 25 of 32 Evidence: appropriate response in de-escalation with the individual and should be monitored to ensure that appropriate language is used.. Staff described a robust recruitment and selection process conducted by the provider. It is clear that the selection of employees aims to ensure that competent and motivated people are available to support individuals at the home. We looked at six staff files held at the home, however they did not which contain the information required for recruitment and for the protection of the people who live and work at the service. The manager confirmed that two written references are obtained before the commencement of employment. Criminal Record Bureau checks, including POVA first are completed centrally within the organisation, appointments confirmed following the receipt of acceptable references and CRB check. The manager also stated that the information is held centrally and is not available at the home. An agreement has been established with the provider to ensure that registered services retain a checklist of information that can demonstrate that appropriate has been received in relation to all staff. AS the information was not available at the home during the site visit we were unable to confirm that appropriate recruitment checks had been completed for staff. Staff spoken with were clearly knowledgeable regarding the needs of people who use the service and described how courses provided by the organisation have supported their development and knowledge. This was confirmed by information held within staff files regarding the training provided by the organisation. Care Homes for Adults (18-65 years) Page 26 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is generally well managed and staff work as team, which benefits all guests who use the service, however shortcomings have been highlighted in record keeping. The organisation has systems in place to monitor the quality of care and to ensure that standards are being maintained. Health and safety practices safeguard the guests who sue April Cottage. Evidence: The registered manager has worked for Ridgeway Partnership/OLDT for a number of years and has a good understanding of the needs of the guests who use the service, ensuring that the best interests of the people who use the service remain the most important factor in planning and developing the service. The managers skills and experience are supported by NVQ and management qualifications relevant to the management of the service. However, a number of issues identified within the inspection of the service have highlighted shortcomings in record keeping and an Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: understanding of the requirement for information to be held at the home. Staff describe the manager as being supportive and knowledgeable, ensuring that the request of guests and their families are met as far as possible. The manager has regular meetings with staff, guests and with relatives of to ensure continuity of support as far as possible. The manager is said to be visibly present and available for advice and support. Regular visits to the home are completed by a representative of the organisation to look at the quality of care/support. Reports of theses visits are held at the home. The guests and their families complete a questionnaire with the manager, giving then the opportunity o comment on the service provided and whether their needs are being met. The results of the first surveys are positive, people are happy with the service but have made comments regarding the variety of activities on offer. Policies regarding safe working practices are available and staff are required to undertake training for the tasks they perform. Health and safety is promoted; training is provided to staff in induction and all staff receive regular training updates. records held in relation to health and safety viewed at the site visit are accurate and up to date, promoting the safety of all. Risks assessments are now updated and in place for the individuals who use the service and for safe working practices, following a visit form the Local Authority quality monitoring officer. Care Homes for Adults (18-65 years) Page 28 of 32 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 29 of 32 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 1 1 4 06/04/2009 The registered manager must review the Statement of Purpose to ensure the information provided to prospective guests and other stakeholders is up to date. People who use the service must be provided with up to date information to ensure they can make an informed decision about using the service. 2 6 15 The registered manager must ensure that care and support plans for the people who use the service are reviewed regularly 24/04/2009 Care and support plans must be reviewed and kept up to date to ensure that the current needs of the people who use the service are recorded and that staff are Care Homes for Adults (18-65 years) Page 30 of 32 enabled to meet identified needs. 3 34 17 The registered manager 10/04/2009 must ensure that documentation relating to the recruitment of staff are held at the home in accordance with the written agreement between the CSCI and the registered organisation. Information relating to the recruitment of staff must be available for inspection to ensure that the recruitment procedures completed by the organisation protect the peole who use and work at the home. 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 2 6 24 Records of how an individual is supported should be accurate and factual. Storage facilities for household items should be reviewed to ensure that furniture within bedrooms should be solely for guests use. The layout of the bathroom should be reviewed to ensure that all guests who stay at April Cottage can use the bathing facilities. 3 27 Care Homes for Adults (18-65 years) Page 31 of 32 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. 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