Inspection on 04/11/08 for Ashurst House

This inspection was carried out on 4th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashurst House 07/11/06

Ashurst House 02/05/06

Ashurst House 01/08/05

Ashurst House 24/06/05

Ashurst House 04/02/05

Ashurst House 07/09/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ashurst House 9 Briton Road Faversham Kent ME13 8QH     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: Mary Cochrane     Date: 0 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (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 30 Information about the care home Name of care home: Address: Ashurst House 9 Briton Road Faversham Kent ME13 8QH 01795590022 Telephone number: Fax number: Email address: Provider web address: ashhursthouse@tiscali.co.uk Name of registered provider(s): Name of registered manager (if applicable) Ashurst House Ltd Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category 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 category: Learning disability - LD Date of last inspection Brief description of the care home Ashurst house is a large detached property in a residential road of Faversham. The property has been converted for its present use. The home is owned and run by the company Allied Care Ltd who are based in Surrey. They are registered to provide personal care and support for up to eight adults aged 18-65 years who have a learning disability. There are currently six service users living at the home. Accommodation is set over two floors. Stairs access the first floor. All rooms are for single occupancy and have en suite toilet facilities. Some rooms have en suite bathrooms and showers. All bedrooms are fitted with locks and have a television aerial point. There is a large lounge, separate dining room and kitchen. There is a second small kitchenette on the Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 8 Brief description of the care home first floor. and a small garden to the rear of the property. There is limited parking to the side of the property. The home is within walking distance of the railway station and bus stops. Local shops and facilities can be easily accessed. The statement of purpose and service user guide is kept in the office. All service users have an individual copy of the service user guide. A copy of the most recent CSCI report kept at the home. Weekly fees are £892.64p to £1,385.46p Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 peterchart Poor Adequate Good Excellent How we did our inspection: This visit to the service was an unannounced key inspection, which took place over one day. All the core standards were looked at during the visit. The last key unannounced inspection at the home was on 7th November 2006. The manager of the service has been in post for 2 years but has not registered with the commission. The manager was available to assist during the site visit. The people living at the home and the staff on duty were helpful and co-operative. Care Homes for Adults (18-65 years) Page 6 of 30 To collect evidence for this report we looked at the information we have received since the last inspection and we also have looked at evidence we have received since the site visit took place. We spoke to and observed service users. We spoke to staff. We observed how staff supported service users throughout the day. We looked at and discussed service users individual support plans and their risk assessments. We also looked at staff training records and the homes quality assurance. During this visit, we saw a large part of the home. An annual service assurance assessment (AQAA) was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. Information received from the home since the last inspection was used in the report. We also took into account the things that have happened in the service, these are called notifications and are a legal requirement. Since we did the site visit at the home the area manager has raised concerns about the how complaints and safeguarding adult issues have been dealt with. As a result of her findings the service is investigating how the home is being managed and a referral has been made to the safe guarding adult team. The outcome of this is that our opinion on how the home is managed has changed. This has affected the overall star rating of the service. Further information about this is contained in the body of the report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 30 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information about the home is produced in different formats so people have the information they need to make a decision about the home. People know that their needs and future goals will be assessed to make sure the home can support them properly. They know what they are paying for and their places at the home are protected. Evidence: Prospective service users are given the information they need about the home to help them make a decision about moving in. The service users guide is easy to read and is pictorial, which makes it easier for people to understand. We looked at 3 initial assessments. 2 of these had been done quickly due to the closure of another home within the company. These could have contained more in depth information. The third assessment we saw had been well planned. The manager initially went to visit the person to establish whether the home would be able to offer them all the support that they needed. A series of supported visits initially starting Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: with short visits with a family member or staff team was arranged. Following this the service user was asked if they would like to live at the home. The other people already in residence were asked if they thought everyone would get along. The placement is then offered to the service user for an initial trial period. Following this period a review is done to make sure the placement is working and that everyone is happy with the arrangements. The manager told us Terms and Conditions of Residence and Contracts are in place and are updated on an annual basis. They include information on the fees that are charged by the company. They also state who pays the fees and when. The contracts include information on any additional charges made by the company stipulating the amount and the reason why. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users know their changing support needs will be reflected in their care plans and the plans will be followed. They are able to make decisions with assistance and they are supported to take risks as part of an independent life style. Evidence: All of the people living at the home have a support /care plan. We looked closely at 3 of the plans. They covered all aspects of health and social care, medical needs, specialised needs, behaviour management, and nutritional information they are easy to understand, follow and cross reference. The home is working towards making all the plans person centred. They have references to equality and diversity issues. The plans are written with the service user and their key worker and explain how to support and care for the person in the way they preferred. Likes and dislikes are included and there was information in place how people prefer to communicate. The service users told us that they decide how they are cared for and what support they Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: need from the staff. The service users are involved in planning their own lives and take control. They are encouraged and supported to make their own decisions and choices. This was evidenced in the daily record reports. We observed that staff listened to what the service users had to say and acted on this. Reviews are held at regular intervals with relatives and care management. We saw evidence that service plan there own reviews. They decide how much input they want to give.They decide who attends and what they hope to achieve from the review. Personal goals and aspirations are identified and plans are developed with the service user to achieve them. One person told us that she was getting support to move into more independent living. Other plans showed that people are having more control over their monies and medication Risk assessments are in place and run in conjunction with the care plans. They focus supporting people to live a full life. Restrictions are only placed on people when absolutely necessary and this done following a discussion and agreement of the service user. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The majority of the Service Users have opportunities to develop and live the life that they choose. Evidence: During our visit we saw that life at Ashurst is busy and full for the majority of the service users. People were relaxed and happy and getting on with normal daily activities. We spoke to service users and staff and saw that the home promotes and supports individuals to live meaningful life. The majority of the service users have an activities programme one person has chosen not to have a programme and they plan what they want to do on a weekly/daily basis. The staff monitor this and support the person to develop their skills and abilities. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: 3 of the service users attend a local day centre once a week. Some participate in a walking club. Two people have work and one has chosen to do voluntary work for a local charity. Everyone we were able to speak with said they were very happy with their life styles and that they had plans to do more things. The home does need to make sure that the people who are not so able also have the opportunities to develop a life style that suits their capabilities and preferences. Service users access the local facilities and are part of the local community. They go to social clubs and discos. Some service users attend the local church. All the service have contact with their families and visits home are arranged. Personal friendships within and out-side the home are supported. Anyone who wants to can have an annual holiday and the majority of the service users have been away this year. 2 people had taken their holiday in Europe. The manager supports the service users to take the holiday they chose and want. Service users are supported and encouraged to be independent and involved in all areas of daily living within the home. All the service users have a key to their own room and the majority also have a key to the front door so people have the freedom to come and go as they please. The Aqaa told us all service users have an input into the meals and menu planning and are encouraged to participate in cooking meals. This was confirmed by service users. They told us the meals were very good. They said that they could eat whenever they wanted to. There is now a small kitchenette on the first floor of the house to allow more independence for people to get their own drinks and prepare small snacks. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have support they need to take more control of their personal care, health and medication. Evidence: People are given personal support in the way that they want and this is written in their support plan. Everyone has or is in the process of having a health plan that they have been involved in developing. This easy read document helps service users take more control over their health. Staff support people to understand itheir plans and make sure that people see the doctor and any other specialist when needed. There was evidence to show that any appointments or tests undertaken are followed up by the staff team to make sure they are appropriately followed up and outcomes reached The home is working towards all the service users who are able having control over their medication. Medication systems are easy to use and service users have the support of the staff. The local chemist is assisting the home in developing the easiest and safest way for people to self administer their own tablets. Storage is safe and each person has individual storage in their room. Some people now have control over their Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: medication giving a sense of achievement and independence. One person told us their medication has been reduced. They said they are happy that they now have their medication in their room. All this is risk assessed with regular review and monitoring. Some staff have training in specific health needs of the service users. The home needs to make sure that all staff are up to date. The AQAA says that they plan to give service users the opportunity to attend medication administration training with the local chemist to empower them to take more control over their medication. They also plan to look at alternatives service users who take medication for insomnia Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users cannot be sure that their complaints will be taken seriously and acted on. They cannot be sure they will be protected from all forms of abuse. Evidence: The home has complaints procedure and it is accessible to the service users. The complaints procedure is also written in a picture format to make it easier for people to understand. At the time of the visit the service users we spoke to told us how they would make a complaint. They said that they would be listened and their complaint would be taken seriously. The Aqaa told us that there have been no complaints made to the home since the last inspection. There is a policy on whistle blowing and safeguarding vulnerable adults. The majority of staff have had training in safe guarding vulnerable adults so they know how to recognise and respond to possible harm and abuse. At the time of the site visit there was no evidence that there had been any safe guarding issues at the home. Since our visit we have received information from the area manager that on her last visit to the home she found evidence that complaints have been made to the manager that have not been dealt with according to the companies policies and procedures. She also found evidence that there have been incidents between service users, which should have been reported to her, the adult protection team, care management or the commission. These incidences should have been dealt with through safe guarding Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: adults procedures but this had not been done. The area manager has subsequently reported the incidents to the appropriate agencies so they can be dealt with in the best interest of the service users. All staff will be retrained in safe guarding adults to make sure that they know what constitutes abuse, how to recognise it and how to keep people safe. As a result of this the outcome quality rating of this report will be affected as service users have not been fully protected. There is a shortfall in meeting the regulations. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a safe, comfortable and homely environment with adequate personal and communal space to meet their needs. Evidence: We looked around the home. We saw that the home is maintained to a good standard. The lounge and dining room are homely and provided an environment for people to relax in. The bedrooms we looked at were well decorated and furnished. The kitchen was clean and service user can help themselves to drinks and snacks. A room upstairs has been converted into a kitchenette so that people who want to move into independent living can develop more skills and become more autonomous. The bedrooms that we saw are individual and reflected the personalities of the people who live at the home. All the bedrooms have an en-suite toilet and three bedrooms have an ensuite bathroom or shower There is ramp access to the front and back of the house the home and rails around the house to aid mobility. This means that all service users can access al the communal areas of the home without any restrictions. The home is a clean and pleasant place to live. The Aqaa told us there is a cleaning schedule for all areas of the house which is checked and signed for. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: There is separate the laundry area and service users are supported and encouraged to do their own washing. Soiled laundry is transported and washed according to the homes infection control policies and procedures. The majority of staff have received training in infection control. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff have a good understanding of the people living at the home. Positive relationships have been formed. On-going training needs to be in place to make sure the staff have the competencies and skills to meet all the needs of the residents. Recruitment practises protect the residents. Evidence: There is a stable staff team working at the home. There is a key worker system and staff support and communicate with service users in a respectful manner. Staff were observed interacting with service users throughout the site visit. There was a relaxed atmosphere with service users being able to express themselves and enjoy what they were doing. We saw that the staff are approachable and have the skills to meet the individual needs of the service users. The service users responded positively with the staff. Service users told us that everyone gets on well together. One person told us that the staff are helping him to do what he wants. Another person said all the people who work here are very good you can have a laugh with them. The home has an NVQ programme. They have yet to reach the 50 target of staff with NVQ level 2 or above but they are working towards it. There are enough staff on Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: duty on each shift to make sure the service users can do what they want when they want. There is a floating staff member on each day who concentrates on making sure people do their planned activities. The home has a training matrix. Shortfalls were seen in areas of staff training. From looking at the evidence it was seen that some staff have not received the required up dated mandatory training even though they have been at the home for a considerable period of time. There are also gaps in specialist training. Staff need to gain the knowledge and skills they require to undertake their role effectively, efficiently and safely. The home needs to ensure that this shortfall is addressed and that training is planned and ongoing. The management of the home needs to make sure that staff competencies are checked at regular intervals. The service told they have monthly staff meetings. Evidence of this was seen at the site visit. We noticed that improvements have been made in they way records are kept at the home. Staff are now recording sufficient information in the daily records and care plans. They are recording in care plans evidence that shows how service users are given choices and how they make decisions about their daily lives. We looked at 3 staff files during the site visit. The home does have good recruitment practises. The files we looked at contained the majority of information to make sure that the service users are protected. The manager does need to make sure a full employment history is obtained from all prospective staff and that any gaps are explored at interview. They also need to keep an up to date photograph on each of the staff files. A supervision and appraisal programme is in place and staff confirmed they are receiving supervision and annual appraisals. Evidence of supervision and appraisals was seen. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service user cannot be sure that the home was being managed safely and in their best interest. Evidence: When we did the site visit the manager of the home was able to evidence to us how outcomes for service users have improved since the last inspection. We were able to see that people who live at the home are doing well and all the people we spoke to are happy living at Ashurst House. They told us the manager has made their lives better. The manager has 15 yrs experience within the care sector of which over 5 years has been as a manager. His background is in childrens services and he is in the process of working out how much of his NVQ in children and younger adults can be transferred to the NVQ in adult care. The manager told us he has completed his RMA. At the time of the site visit and information we looked at since the last inspection did indicate that he has the skills and knowledge to manage the home effectively. He told us he was in the process of registering with the commission. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: However since the site visit we have received information which is written about under the complaints concerns and protection section of the report which tells us that the manager has not been adhering to the companies policies and procedures with regards to safe guarding adults and complaints. This has left service users vulnerable and at risk from harm and abuse. The outcome of this is that the manager has been suspended from duty pending an investigation by the company. Incidents that he did not report to safe guarding adults have now been reported. The area manager of the company has been open and transparent about their findings and the action they have taken with regards these issues and is addressing it in a pro-actively and professionally. There is now a relief manager in post to make sure the home is being managed safely and in the best interests of the people who live there The Company has a quality assurance programme in place, the Area Manager carries out Regulation 26 visits and the Quality Assurance Manager visits the home at regular intervals with questionnaires for staff and service users. Regular audits are done to ensure that standards are maintained and with the aim to identify shortfalls. The results of these questionnaires need to be collated so that the strengths and weaknesses of the service can be identified. The results of the survey need to be published and made available to the service users. Effective quality assurance and monitoring systems measure the success of the home in achieving its main aims and objectives. All of the necessary Health and Safety checks have been carried out in the home. Environmental and personal risk assessments are in place. All fire assessments and checks are done at the required intervals. Water temperatures are taken and comply with regulations. Because of the issues that have been brought to our attention after the site visit we cannot be sure that the manager is reporting incidences to the Commission under Regulation 37. The home provides a safe environment for people to live in and staff to work in. Good working practices ensure the home is free of hazards. The home has informed us that maintenance checks are up to date. All staff need to be up to date with mandatory training. Training needs to be on going. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 22 22 All complaints received by 08/01/2009 the home need to be taken seriously and acted on. There needs to be clear documentation in place about the complaint the action taken and the outcome. To make sure that service users are listened to and their complaints are taken seriously. To improve outcomes for the people who live at the home. To make sure policies and procedures are adhered to. 2 23 13 There service needs to make 08/01/2009 sure that service users are protected from harm or suffering abuse or being placed at risk of harm or abuse. All forms of abuse need to documented and reported to the appropriate agencies according to the homes policies and procedures. Care Homes for Adults (18-65 years) Page 28 of 30 To make sure vulnerable people are protected from all kinds of abuse 3 35 18 All staff need to receive mandatory and specialist training to make sure they can do their jobs effectively Staff need the skills, competencies and knowledge to look after the people in their care. 4 37 9 The manager of the home needs to have the skills and competencies to manager the home effectively and in the best interests of the people who live there. To make sure the servcie users receive the care and support that they need and are kept as safe as possible. 08/01/2009 31/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (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. 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