Inspection on 29/12/08 for Ashview

This inspection was carried out on 29th December 2008.

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

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

Other inspections for this house

Ashview 19/02/07

Ashview 06/02/06

Ashview 11/07/05

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ashview 330 Main Road Duston Northampton Northants NN5 6NJ     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: Louise Trainor     Date: 2 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 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 27 Information about the care home Name of care home: Address: Ashview 330 Main Road Duston Northampton Northants NN5 6NJ 01604591179 01604591179 manager.ashview@tracscare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Compass Care Ltd care home 3 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Additional conditions: 3 3 No person falling within the category of MD, Mental Disorder excluding Learning Disability or Dementia, may be admitted to Ashview unless that person also falls within the category LD, Learning Disability ie Dual Disability. Date of last inspection Brief description of the care home Ashview is a residential home providing care to two young adults with learning disability and diagnosed mental health needs. The premises comprises a two bedroom bungalow with sufficient communal space. The home is located in a busy residential area of Northampton close to all main facilities and amenities. Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in accordance with the Commission for Social Care Inspections (CSCI) policy and methodologies which require review of the Key Standards for the provision of care for younger adults, between 18 and 65 years of age. It takes account of the residents views and information received about the service since the last inspection. Evidence used and judgements made within the main body of this report include information from this visit. Since the last inspection to this home, changes have been made to the environment, so that the home now only caters for two residents. The variation application with CSCI, is not yet completed, therefore the details at the front of this report have not yet been amended. Care Homes for Adults (18-65 years) Page 5 of 27 This was the first Key Inspection for this service since February 2006, when the home was rated as a three stars / good service. This inspection was carried out on the 29th of December 2008 by regulatory inspector Mrs Louise Trainor. It lasted approximately four hours. There is presently only one resident living in this home. He was present throughout this inspection and very keen to participate. Following a discussion with him and the manager, it was agreed that as it was his wish, we should include specific information that was related to him and the care and support he receives in the home. We looked at all the documentation that was related to his care, and we were able to observe the interactions and the relationship that he has with the staff on duty. During this inspection we also inspected documentation related to staff recruitment, training and supervision, health and safety checks, medication administration, complaints and safeguarding and quality assurance in the home. The manager Marie Morris was present for the second half of the visit and we discussed her vision and expectations of her staff and the service. We would like to thank everyone involved for their assistance and support with this inspection. What the care home does well: This home use innovative methods to ensure that the information they provide about the service is meaningful and understood by the residents. All prospective clients receive a full assessment of needs, by a suitably skilled person, and are then invited to make unlimited visits to the home, in order to assess compatibility with other residents and the staff. The key principle of this home is that the residents are in control of their lives and direct the service. Staff are fully committed in supporting residents to lead purposeful lives, fulfilling their own goals and aspirations. The routines, activities and plans are person centred, individualised and reflect all the individuals needs, incorporating personal goals, aspirations, preferences and wishes. Independence is encouraged and supported, and actively promotes the right of individuals to make informed choices. People who use this service are supplied with a copy of the complaints procedure that they can understand, and have a clear understanding of who to speak to if they have any concerns. Staff are knowledgeable about safeguarding policies and procedures and are aware of the respective roles in this process. This home provides a physical environment that is appropriate to the specific needs of the people who live there. Residents are encouraged to to personalise and decorate their own rooms, and the communal areas are conducive to the promotion of the residents privacy, dignity and autonomy. The recruitment of good quality staff is seen as integral to the delivery of an excellent service. Recruitment is proactive, and this service is highly selective ensuring the right people are appointed into the jobs. Residents in this home are involved in both the interviewing and selecting their staff. The staff team have both the individual and collective skills and knowledge to enhance the standard of care delivery in this home. The manager is competent in delivering effective care. She has good people skills and understands the importance of person centred care and the effective outcomes for the residents who live in this home. People receive personal and healthcare support using a person centred approach. Support is responsive to varied and individual needs and preferences. Staff respond well to changing needs and address them with a flexible, consistent and reliable approach. Care Homes for Adults (18-65 years) Page 7 of 27 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. 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 8 of 27 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 9 of 27 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. This home use innovative methods to ensure that the information they provide about the service is meaningful and understood by the residents. All prospective clients receive a full assessment of needs, by a suitably skilled person, and are then invited to make unlimited visits to the home, in order to assess compatibility with other residents and the staff. Evidence: This home has clear information documents that are reviewed regularly and appropriately reflect the present, registration and management structure of the home and the company. There is presently only one resident living in this home, and these documents have been produced in an audio format, which is his preference and ensures that he has a copy of these documents that he can understand. This person has a contract of terms and conditions that is signed and dated. Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: This home is in the process of assessing a new resident, who is presently living in another home owned by this company. To date the manager has visited this person in their own environment, and has copies of all previous assessments, reviews and other relevant documentation that relates to their history, diagnosis, personality and care requirements. The manager is due to make a second visit to this individual in the new year, after which their compatibility with the homes only resident presently living at Ashview, will be discussed and considered, before any further processes are addressed. If compatibility is deemed suitable, tea visits and overnight visits will be arranged. These will take place over a period of time which best suits the residents. No time limit will be applied at this point. Only when these processes are satisfactorily completed will the the placement be confirmed. The certificates in this home are in the process of being replaced to reflect changes in registration. Care Homes for Adults (18-65 years) Page 11 of 27 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. The key principle of this home is that the residents are in control of their lives and direct the service. Staff are fully committed in supporting residents to lead purposeful lives, fulfilling their own goals and aspirations. Evidence: There is presently only one resident living in this home and he has been here for approximately eight years. He is addressed about, and involved in, decision making regarding all aspects of life in the home, from menu planning to staff recruitment. On several occasions during this inspection he told us. I like it here, I want to stay here for the rest of my life, they spoil me rotten. He talked about how his change in condition meant that he had to look for different occupational and social activities, and how the staff were helping him to find the right place where he would be happy. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: He has very detailed care plans in place, which have been generated from a full assessment of needs. They have been reviewed regularly to address his changing needs. This had been well illustrated over the past few months, where there have been major changes in his condition, which have effected the level of care and assistance he requires. This persons care plans are also produced in audio format, so that he can understand their content, fully contribute verbally to his care plan, and express how he would like to achieve his personal goals and aspirations. All aspects of daily activities for this person are risk assessed, and the appropriate support identified. Individuals lifestyle choices and preferences are acknowledged and addressed through the care planning process. This includes things such as kitchen activities as well as outings and leisure activities. Clear records are held relating to personal expenditure, and although this resident does not manage his own bank account, he is supported to make small purchases independently with minimal support. All records were accurate, and receipts were present to support all purchases and withdrawals from his account. Care Homes for Adults (18-65 years) Page 13 of 27 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 routines, activities and plans are person centred, individualised and reflect all the individuals needs, incorporating personal goals, aspirations, preferences and wishes. Independence is encouraged and supported, and actively promotes the right of individuals to make informed choices. Evidence: An individual activity programme is implemented for each resident. It is reviewed regularly in consultation with the individual resident to ensure that their personal choices and wishes are a priority consideration. There is currently only one resident living at Ashview, and his programme is under constant review following a dramatic deterioration in his eyesight due to a recently diagnosed condition, which is undergoing treatment. He has recently commenced attending the Northampton Association for the Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: Blind (NAB) once a week, and the staff are presently assessing other suitable placements with him, so that he can meet more people of his own peer group. He has also taken up golf, which had been a goal of his for a long time, and spends time at other local homes, where he will occasionally visit for meals and other social events. He told us he was very happy in this home and wanted to spend the rest of his life there. He enjoys going out for walks in the village, and frequents two of the local pubs, where he is well known and welcomed. Christmas cards displayed in the home indicated that he has a good relationship with the neighbours, and the manager also told us that she cannot go out in the village without someone stopping her to ask how he is. This is a real indication of acceptance in the local community. There is presently only one resident living in this home, and although he does enjoy being spoilt rotten, as he describes it, he is looking forward to the introduction of a new resident in the new year. He has an aquarium with six fish and was also preparing for a kitten, whose arrival is imminent. This is however a compromise, as his real preference is for a pet pig. There is a rolling menu plan in this home, however it is very flexible and is planned in discussion with the current resident. On the day of the inspection, he told us. Were having meatballs and pasta tonight, I enjoy helping to make that. Care Homes for Adults (18-65 years) Page 15 of 27 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. People receive personal and healthcare support using a person centred approach. Support is responsive to varied and individual needs and preferences. Staff respond well to changing needs and address them with a flexible, consistent and reliable approach. Evidence: There is presently only one resident living at Ashview. He has a health care action plan which has been produced in consultation with him, using an audio tape. This action plan has then been used as a foundation for his care plans, which he also has on audio tape. He was very keen to participate in this inspection process, however as he is the only resident living in this home, we were concerned that some of the information used could identify him. We explained this to him, and in the company of the home manager, he agreed that we should use his information in this report. He had a wide range of care plans, addressing all his healthcare needs ranging from, dental and chiropody care, where his preference was a female practitioner, to communication, where it was clearly identified. How I make my feelings known. It Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: specified that. I tell someone if I m in pain, talk to me slowly and clearly, no gestures, and I dont like two people talking at once. This was very specific and left the reader in no doubt. Care plans were being reviewed regularly in consultation with the resident, and they clearly reflected his recent change in condition, and how the level of assistance he required was changing. There was a care plan that explained his smoking rota, with which he is in full agreement with, and his weekly treat of a couple of bitter shandys at the weekend. We looked at the Medication Administration Record (MAR)sheets and medication stocks for this person. They all reconciled correctly, and records indicated that a regular weekly stock audit is carried out. This home presently do not have facilities to store Controlled Drugs (CD)s. Although there is presently no CDS in use in this home, the manager is very aware that there is a possibility they could be required, and has already included this facility on her wish list for the home. Care Homes for Adults (18-65 years) Page 17 of 27 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 who use this service are supplied with a copy of the complaints procedure that they can understand, and have a clear understanding of who to speak to if they have any concerns. Staff are knowledgeable about safeguarding policies and procedures and are aware of the respective roles in this process. Evidence: This home has a complaints procedure that is displayed in the office. The resident who presently lives in Ashview has a copy of this procedure on audio cassette, which is his preference. There have been no complaints received since the present manager came into post about a year ago. Staff are also made aware of this procedure through the induction process and the staff handbook as is Safeguarding. Although one member of staff that we spoke to had not attended Safeguarding training, he was able to demonstrate a clear understanding of the Safeguarding policy and related processes. He has training scheduled for the 12/01/09. Care Homes for Adults (18-65 years) Page 18 of 27 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. This home provides a physical environment that is appropriate to the specific needs of the people who live there. Residents are encouraged to to personalise and decorate their own rooms, and the communal areas are conducive to the promotion of the residents privacy, dignity and autonomy. Evidence: This home provides a clean, comfortable and homely environment for the people who live here. Since the previous inspection, this home which was previously a three bedroom bungalow, has been refurbished, and now has only bedroom accommodation for two residents, however an improved and more spacious communal area has been developed. There is a dining room, which although small, provides sufficient space for up to four people to dine comfortably, and there is a spacious lounge which is tastefully decorated. The resident was very proud to show off his aquarium in the lounge, and introduce all the fish that were respectively named after staff in the home. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The bedrooms can be decorated to the specifications of the individual. The resident who presently lives at Ashview told us of his plans for redecorating his room in purples and blues with a colour matching blind. He is also getting a new reclining chair for his room, he told us that this was so that when he is unable to sleep at night, he can just relax in his room. There are gardens to the rear and front of the bungalow, and a smoking shelter has been incorporated at the rear. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment of good quality staff is seen as integral to the delivery of an excellent service. Recruitment is proactive, and this service is highly selective ensuring the right people are appointed into the jobs. Residents in this home are involved in both the interviewing and selecting their staff. The staff team have both the individual and collective skills and knowledge to enhance the standard of care delivery in this home. Evidence: There are presently only five full time staff working in this home. This consists of the manager, a senior and three support workers. This is sufficient for the current resident who has a 1:1 care regime in place. However the manager has recently recruited some new staff, for which final police checks are in progress, and it is expected that these staff will be in place, fully inducted and equipped with the necessary training and skills, by the time the new resident arrives at the home. The manager told us. The staff team have been interviewed and selected by myself and the current service user, to meet the needs of our service. They are mentored in the person centred approach so they are moulded into thinking outside the box before Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: they work with the service users. The recruitment process is robust, and during this inspection we examined the file of one member of the team. All recruitment documentation was appropriately completed, and the necessary checks had been completed and authenticated prior to this person commencing work. The file identified that this member of staff had attended training in Medication Administration, Fire, First Aid, Food Hygiene, Managing Challenging Behaviour, Understanding Clients Perspectives and others besides. Records also confirmed that supervision is carried out on a regular basis, and staff are well supported and guided when required. We spoke at length to this member of staff, who was very competent and confident in his role, and well versed on policies and procedures. He knew the resident very well and the relationship between them was observed to be relaxed but mutually respectful with recognised boundaries. The manager is very proud of her team, and told us how quickly one member of the team had progressed to a senior support worker. She also explained how he had won an award, beating 49 other support workers, for going above and beyond the call of duty. He had earned this award by transporting and supporting a resident to attend hospital appointments two or three times a week in Oxford which is a 100 mile round trip. The whole team were involved in facilitating this, and ultimately these actions enabled the resident to return home to his own environment where he felt safe and comfortable after each treatment. Care Homes for Adults (18-65 years) Page 22 of 27 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 manager is competent in delivering effective care. She has good people skills and understands the importance of person centred care and the effective outcomes for the residents who live in this home. Evidence: The manager for this home is very experienced within this field of work and has been in post for approximately one year, however her application with The Commission for Social Care Inspection as registered manager is still in progress. She describes herself as a person centred facilitator, and is very proud of her team, who she works very closely with to ensure that there is a shared vision of the approach to care. She told us. As a manager I strive forward on a daily basis to empower our current service user, to access activities that will meet their wishes and needs, even though our current client has been registered blind. This has been facilitated by him joining Northampton Association for the Blind (NAB), every Thursday, and also taking up golf, which he has always been reticent to try, even before he lost his sight. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: Discussions with staff indicate that this is an effective management style, and she has earned the respect and trust of both staff and residents alike. The home is undoubtedly run with the current resident as a central focus, with all daily routines and activities being arranged with flexibility, around him and his specific needs, which at present are being constantly reviewed to reflect ongoing changes. Records clearly identify these changing needs, and both the resident and staff are aware of the level of support and assistance he requires. The health and safety of both residents and staff is promoted in this home by policies and procedures, regular health and safety checks, auditing systems and reporting processes, that are understood and acknowledged by the staff in the home. We saw quality assurance reports that had been formulated following both internal questionnaires to staff and residents, and external questionnaires to other health professionals who work with the home. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 The home should consider purchasing a CD cupboard. They should be mindful that in the event of a resident being prescribed a CD, they would not have the facility to legally store this medication. Care Homes for Adults (18-65 years) Page 26 of 27 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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