Inspection on 30/09/08 for Barleyfield House

This inspection was carried out on 30th September 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

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Polesworth Group Pooley Heights

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10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Barleyfield House 110 Crowmere Road Shrewsbury Shropshire SY2 5JJ     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: Becky Harrison     Date: 3 0 0 9 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 29 Information about the care home Name of care home: Address: Barleyfield House 110 Crowmere Road Shrewsbury Shropshire SY2 5JJ 01743355746 01743355746 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Roseann Campbell Genese Type of registration: Number of places registered: Coverage Care Services Ltd care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Th maximum number of service users to be accommodated is 5 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disabilities (LD) 5 Date of last inspection Brief description of the care home Barleyfield House is a purpose built facility, owned by Bourneville Village Trust, and registered to provide five short-term respite care places for adults with a mild to moderate learning disability aged between 18-65 years. The service is open 360 days a year and placements are contracted by Shropshire Social Services. Coverage Care, which is a non-profit taking Organisation, were registered to manage the service on 1st April 2008. Coventry and Warwickshire Partnership Trust previously managed the service. Barleyfield House is located in a well-established residential area of Shrewsbury, convenient to all local amenities. Accommodation is provided over one Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 5 Brief description of the care home floor; people have a single bedroom and have access to communal areas to include a lounge, dining room, kitchen and conservatory. Grounds are easily accessible and are just one of the Homes pleasant aspects. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. One inspector carried out the unannounced inspection over 4 and a half hours. A range of evidence was used to make judgements about this service to include talking with two people who use the service, two members of staff on duty, the manager and the Operations Manager. We did a tour of the home, reviewed the homes quality assurance processes. A number of records were reviewed to include care records held on behalf of three people, complaints and protection, staff training, recruitment and health and safety records. Care Homes for Adults (18-65 years) Page 6 of 29 Two people who use Barleyfield House were case tracked this involves establishing individuals experience of using this service by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the manager for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. We reviewed all twenty two of the key standards for care homes for younger adults and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity. The provider has a block contract with Shropshire County Council and is not directly responsible for the fees payable due to a block contract agreement. The amount people pay to use the service is assessed by the local authority under the charging for Residential Accommodation Guide, and individuals are invoiced directly by the Council. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 29 The report of this inspection is available from our website www.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 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People looking for a respite facility can be confident that Barleyfield House can support them. This is because information about the short stay service is made readily available to help them make an informed choice about whether the home is able to meet their individual needs. A complete assessment of their needs is obtained with them and others close to them, and people are given plenty of opportunity to visit the home and test drive the service before they decide whether they want to stay. Evidence: Information about the service is readily available in the Statement of Purpose and Service User Guide, which have developed by the new registered provider. Both documents provide people with information to help them understand the services that Barleyfield House provides and potential service users are given a copy of the documents prior to using the service. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: Referrals to the service are made by Shropshire County Council who meet with the provider on a monthly basis. Care Management Assessments, completed by social workers, are obtained in addition to the manager undertaking home visits and completing a support plan with the individual and those close to them. Discussion held with the staff and manager evidence that transition to the service is well planned and effectively managed. People are given the opportunity to spend time in the service, meet other guests and familiarise themselves with the environment, staff team and routines. Both files examined during the inspection contained a community care assessment in addition to a detailed needs assessment undertaken by the management team. People who use the service are provided with a copy of the terms and conditions of their stay, which they or their representatives sign in addition to the registered manager. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service have a detailed support plan, which informs staff about their individual needs and how they prefer these to be met. Individuals are able to make decisions, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks during their stay to enable them to remain independent. This is because the staff have appropriate information on which to base decisions. Evidence: People who use the service can be confident that the staff supporting them are familiar with their individual needs. Detailed support plans have been developed with the person using the service and those close to them, which is essential given the number of people who use the service throughout the year. Support plans are reviewed prior to Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: a guest using the service and during their stay if their needs change. Support plans could be further developed using a more person centred approach, which the manager agreed to do. The staff we spoke with considered that support plans contain enough information to support individuals effectively and they demonstrated a good understanding of the needs of the people we case tracked. Not everyone who uses the service is able to express their needs verbally however they can be confident that staff are familiar with their preferred communication styles because these are documented in their support plan. We saw a range of formats available to aid communication, such as signs, symbols, photographs, a pictorial activity board and an activity book. Discussions held with the manager clearly evidence that she wishes to pursue this area and provide documents such as the Service User Guide and the Complaints Procedure in a more user friendly format to benefit the people using the service. Discussions held with two people who use the service indicate that they are provided with opportunities to make decisions and offered choices during their stay, for example what activities they wish to partake in, what time they retire to bed and the meals they wish to eat. People are supported to take responsible risks to maintain their independence during their stay. We advised the manager to further develop the risk assessment for one individual who is vulnerable in the community, this will help staff to identify risks and take the necessary action when supporting the person concerned. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported to attend their usual day services and engage in daily activities and are provided with opportunities to be part of the community. People are provided with a choice of meals in accordance with their dietary needs and preferences. Evidence: People we spoke with told us they attend their usual programme of activities and clubs during their stay ensuring continuity of care. A driver is employed to transport people to their usual day provision, as seen during the inspection. One person told us we all get together and decide what activities we would like to do. We off to the cinema tonight and going ten pin bowling on Thursday. We go everywhere and do lots of different things, I really enjoy coming here Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: People may maintain contact with their family and friends during their stay if desired, and all contact is recorded, as evidenced on the file examined for the one person we case tracked. People’s rights during their stay are clearly stated in the Service User Guide and include the right for dignity, individuality and lifestyle choices respected and be fully informed and central to decisions. Preferences in relation to routines and likes and dislikes were documented on service user plans examined. People are provided with a single room during their stay and keys are available upon request. Although people consider their stay as a holiday they are encouraged to maintain some skills for example by going shopping for their meals and laying the dinner table and clearing away. The two people we spoke with told us that they can choose what meals like want to eat and that they enjoy the food. One person said ‘Staff ask us what we want to eat, we go shopping and I help lay the table for our dinner, I also get my own breakfast. The food is good’. Menus offered choice and appeared well balanced and staff we spoke with had a clear understanding of any special dietary requirements and information about this was detailed on the records examined. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support based on their assessed needs and in the way they prefer and want during their stay. The management of medication has improved providing greater protection to people who require support with their medication, supporting continued good health during their stay. Evidence: Staff are aware of the individuals who require support with their personal care needs and how they prefer to be supported because these are recorded in peoples support plans. People we spoke with told us they are happy with the support they receive. Attendance at routine health appointments is the responsibility of carers, as people using the service do not permanently live at Barleyfield House. However individuals are appropriately supported to access health appointments or facilities in the event of an emergency and details of health professionals involved with an individual are retained on file. The service has a designated room and equipment available to support individuals with mobility needs. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: People in receipt of medication can be confident that they are better protected by the improved procedures in place for the management of their medication. The manager demonstrated a clear understanding of how people are supported with the management of their medication and the improvements implemented following our last inspection, under the previous registered provider. Medication procedures appeared satisfactory at the time of this inspection. The provider has a comprehensive policy and procedure in place for the receipt, storage and administration of medication, although we advised this be further developed for individuals who require lunchtime medication away from the home and for photographs to be placed on medication administration records to minimise the risk of error. The medication cabinet has been relocated in the office as it was previously sited in the laundry, which may have posed problems due to fluctuations in temperatures. Medication is now counted and signed for upon receipt and discharge, this ensures there is a robust audit trail of all medications received into and leaving the premises and a controlled drugs book has been obtained. Competency assessments of staff responsible for giving medication are regularly undertaken. Staff responsible for administering medication have received medication training with the previous provider however are due to commence the certificate in safe handling of medicines shortly. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns with their care, they or people close to them, know how to complain. Their concern would be looked into and action taken to put things right. The service safeguards people from abuse by ensuring staff are trained in adult protection and action taken to follow up any allegations. Evidence: People who use the service and their representatives have access to a complaints procedure, which is readily available. The manager is looking into ways to produce this in a format appropriate to the people who stay at Barleyfield House. The two people we spoke with indicated that if they were not happy with the service they would talk to either the staff or the manager. We have not received any concerns or complaints about the service and no complaints were found in the complaints log held at the service and confirmed by the manager. The service has a copy of the local Multi-Agency Adult Protection Policy and the manager confirmed all of the existing staff have received training in adult protection and the two new staff are due to receive this shortly. An issue identified at the previous inspection concerning a possible safeguarding referral and was dealt with through a multi agency risk conference and the necessary action taken. No new Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: referrals have been made under safeguarding adult procedures under the new registered provider. Existing staff have received training on the management of actual and potential aggression (MAPA) however require refresher training, which the manager committed to action. A member of staff spoken with had a clear understanding of adult protection and whistle blowing procedures and stated Id have no hesitation to use these procedures. The management of people’s finances during their stay is effectively managed. Records of all transactions are appropriately maintained, checked regularly and signed by two members of staff and a copy of expenditure sent home. Copies of receipts are now retained at the service as advised at inspection, under the previous provider, ensuring a clear audit trail. One staff member stated I am happy with the financial procedures in place, in fact people are overprotected if anything. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people who use the service to stay in a comfortable, clean and well-maintained environment, which encourages independence. There are good infection control procedures in place to protect the people who stay at Barleyfield House. Evidence: People are provided with a single room, which are allocated on a first come, first served basis. People we spoke with told us they dont mind which room they are in and that they can bring their own things in with them for example music systems, instruments, nightlights, game systems and televisions as evidenced during a tour of the home. Photographs on bedroom doors assist individuals to familiarise themselves with their room during their stay. A brief tour of the building was undertaken. The bedrooms of the two people we case tracked were furnished appropriately in accordance with their needs and communal areas provide a pleasant and homely environment for people to stay. One bedroom is adapted to meet the needs of people with a physical disability and bathing, showering and ceiling hoist facilities are available. During the inspection the manager placed an Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: order for devices to be fitted to bedroom doors for people who prefer to keep their doors open during the night. These automatically close in the event of a fire alarm. New kitchen units and worktops are due to be fitted shortly. People staying at Barleyfield House are provided with a clean home, free from offensive odours. Products hazardous to health are appropriately stored and data assessments have been obtained. Staff have recently received training on infection control procedures and are responsible for keeping the homes clean. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have safe and appropriate support as there are enough competent and qualified staff on duty at all times during their stay. 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. Evidence: On arrival at the service staff were supporting two people before they left the home to attend their usual day provision. Staff interacted well in a positive manner and observations made clearly evidence that staff have developed positive working relationships with the people using the service. It was reported that seven staff have obtained a care qualification known as NVQ at level 2 and above and one member of staff is working towards this qualification. It was reported the home is fully staffed. People we spoke with told us they feel there is sufficient staff on duty to support the needs of the people who use the service. The usual staffing ratio is a minimum of two staff to support five people using the service at any one time. Feedback received from staff was extremely positive with staff Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: reporting morale as good, absolutely superb and describing the team as brilliant, very friendly and helpful. One member of staff stated I love my job. People who use the service said The staff are really good to us and I like the staff here. Personal files for the two new staff employed over the last twelve months were examined. They were found well presented and contained all the documentation required, safeguarding people using the service. Staff spoken with reported that they are provided with good training opportunities to include service specific training such as midazolam and epilepsy in addition to training in safe working practices to include health and safety, first aid, fire safety, food hygiene, infection control and moving and handling. New staff receive induction and undertake the Learning Disability Qualification (LDQ). Staff have an individual portfolio and a member of staff was happy to share her with us, which was well presented and evidence numerous training certificates. The staff-training matrix is well maintained and identifies when staff have attended training and future dates. The service are now members of Shropshire Partners in Care and the manager plans to access new training opportunities via them. Individual staff training needs are also discussed as part of staff supervision. Staff spoken with reported that they are in receipt of regular supervision as evidenced on records available on the files sampled and the supervision matrix displayed on the office wall. Regular staff meetings are held and staff are encouraged to add items to the agenda. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the service because it is run and managed effectively in the best interests of service users and staff. People’s opinions are central to how the service develops and reviews their practice, as the Barleyfield House 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 in order to safeguard people. Evidence: People who use Barleyfield House benefit from a service, which is effectively managed. The manager is experienced and is knowledgeable of the individual support needs of the people who use the service. We received a very positive response to how the service is managed, comments include: Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The views of people who use the service are taken into account through feedback gained in satisfaction surveys that are distributed and the results collated. This helps assess how the service is currently performing and evaluate outcomes for people and aid future planning. The manager continues to attend Carers Forum Meetings to listen to the views of people. The Operations Manager who visited the service during this inspection undertakes monthly visits required by Regulation 26. The Annual Quality Assurance Assessment (AQAA) forwarded to CSCI was detailed and reflects both the strengths and areas of improvement for the service. The service wishes to offer a wider range of activities to individuals by advanced planning by changing the staff mix and shift patterns, redecorating bedrooms, for staff to work towards NVQ level 3 and provide information to people who use the service in a pictorial format. Health and safety and maintenance checks are undertaken in the home to ensure that the equipment is safe and in full working order. Water temperature checks are recorded which assists in the prevention of people accidentally scalding themselves. Service certificates were readily available in addition to risk assessments and other safety records required. It was reported that the Environmental Health Officer has not visited the home since our last inspection however the Fire Officer has visited and records evidence the home is now fully compliant with fire safety. Devices such as magnetic door devices that close in the event of a fire. Staff are now in receipt of training in safe working practices for example first aid, food hygiene, infection control and manual handling. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!