Inspection on 16/12/08 for Bawden Manor Farm

This inspection was carried out on 16th December 2008.

CSCI found this care home to be providing an Good 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

Bawden Manor Farm 07/11/06

Bawden Manor Farm 21/12/05

Bawden Manor Farm 07/06/05

Bawden Manor Farm 31/01/05

Bawden Manor Farm 10/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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: Bawden Manor Farm West Polberro St Agnes Cornwall TR5 0ST     The quality rating for this care home is:   two star good 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: Michael Dennis     Date: 1 6 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 28 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 28 Information about the care home Name of care home: Address: Bawden Manor Farm West Polberro St Agnes Cornwall TR5 0ST 01872552237 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): mail@dcact.org Spectrum Name of registered manager (if applicable) Miss Gemma Margaret Pooley Type of registration: Number of places registered: 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 7. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home Bawden Manor Farm is a care home providing accommodation and personal care for up to 7 adults of both sexes, who have a learning disability. The registered provider is Spectrum, an organisation that specialises in providing services to people with autistic spectrum disorders. Spectrum employs a manager who is registered with the Commission and a team of care staff to run the home on a day-to-day basis. Senior managers, who are based outside of the home, are available to provide specialist input and support to the residents as required. The home is a detached, two-storey building, set in its own, extensive grounds with a spectacular view of the Cornish coastline. All of the residents have individual bedrooms and are able to access a large communal Care Homes for Adults (18-65 years) Page 4 of 28 care home 7 Over 65 0 7 Brief description of the care home lounge, a smaller, quiet lounge and separate dining room. Some of the bedrooms have en-suite bathrooms and there are separate toilets and bathrooms in addition to these. The home has a communal kitchen and car parking space outside the main building. The home has separate office facilities with space for staff to sleep in. The homes main entrance is accessible by steps but there is a separate entrance with level access and there are bedrooms on the ground floor of the building. The building could be adapted to meet the needs of people with physical disabilities if necessary. There is a lift that goes to the first floor of the building, but it is not currently in use. The home is in a quiet, secluded area on the outskirts of the village of St. Agnes. The village is within walking distance and local towns are accessible by car. Care Homes for Adults (18-65 years) Page 5 of 28 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: two star good 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 was an unannounced key inspection, which took place on 16th.December 2008 and lasted for approximately four and a half hours. The purpose of the inspection was to ensure that service users needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that service users placements in the home result in good outcomes for them. Information received from and about the home since the previous inspection has also been taken into consideration in making judgements about the quality of outcomes for the service users living there. The inspection included observation of all of the service users. Two members of staff were interviewed and there were opportunities to directly observe aspects of service Care Homes for Adults (18-65 years) Page 6 of 28 users daily lives in the home and staff interaction with them. Other activities included an inspection of the premises, examination of care, safety and employment records and discussion with the acting manager of the home, the registered manager being on leave. Case tracking of four service users involved a more in-depth review of how the home meets their needs, with particular reference to their age, racial and cultural origin, religion, gender, sexual orientation and disabilities. Information telling service users about the home is held on their personal files and is available in pictorial formats, if required. What the care home does well: Service users are assessed prior to moving into the home and have good information about it so that they can be sure it will be suitable for them. They appeared to be settled and comfortable in the home, and well matched with each other as a group, at the time of the inspection. Service users have written care plans that consider their personal, health and social care needs. Their care plans include consideration of their background and culture, age, religion, gender, disabilities and sexual orientation. Their care plans are given to them in appropriate formats or explained to them in ways that they can make sense of, as far as possible, so that their views are considered. Service users were observed using a variety of different communication methods and tools to indicate their choices and preferences about things that were important to them. This included choosing when to get up in the morning, what to eat at mealtimes and how and where to spend their free time, for example. Staff described how they support and help them to make decisions so that they can develop their skills and independence. Service users are encouraged to take part in a wide range of activities in and out of the home, which often involve some degree of risk. They are not overly protected in this sense, but encouraged to take part in activities that are designed to improve their skills and confidence and enhance the quality of their lives. Examples of activities include going swimming, horse riding and for country walks and drives. They are assisted to maintain contact with their families and friends outside of the home as far as is possible, and go to parties at other Spectrum homes so that they enjoy a good quality of life. They are informed of their rights and responsibilities as residents of the home in their individual contracts, which are also available in translated formats that are more readily accessible to them. Service users are helped to choose the foods they like and are provided with different communication tools so that they can show staff what they want to eat. At the time of the inspection they were observed choosing breakfast and lunch items and appeared to enjoy their meals, which they took together with staff. Service users access NHS healthcare services in the local community so that they maintain good health. This includes specialist services, if they need them, in most cases. Medicines are managed in ways that are safe for service users so that they are provided with the medicines they need in ways that are safe for them. Service users are given opportunities to make comments about the care and services they receive in the home, so that they can be improved. There are good systems in place to protect them from harm and abuse so that they can feel safe. The homes environment provides service users with a clean, comfortable and safe Care Homes for Adults (18-65 years) Page 8 of 28 place to live in, which offers privacy and access to the local community. It provides them with an ordinary, domestic-style setting, which is not overly institutional so that they can develop independence and skills in ordinary everyday activities. Staff either have or are working towards achieving formal qualifications in care and have good access to ongoing training so that service users can have confidence in their knowledge and skills. They are recruited fairly and on the basis that they are suitable to work with vulnerable people in a care setting so that service users can have confidence in their competence and integrity. The home is generally well managed and safe and run in the best interests of the service users living there. 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 9 of 28 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 28 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. Current and prospective service users have good information about what the home provides so that they know it will be suitable for them, although some improvements are needed.Admission to the home is on the basis of an assessment of service users individual and diverse needs so that they can be assured their needs will be met. Evidence: Service users currently placed in the home have copies of the homes service users guide, which also acts as a placement contract for them, on their individual files. Copies are provided to them in pictorial formats so that they can access more of the information directly. This information now includes details of how their fees are broken down. The acting manager said that several of the service users have lived in the home for several years and are very familiar with what it provides, through their experience of living there. Those who have become resident more recently, underwent detailed transition plans to help them move comfortably from their previous placements, records of which are on their individual files. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: There is detailed assessment information on most of the service users files, which indicates that their health, personal and social care needs are fully considered prior to their moving into the home. Records indicate that there is due consideration of their racial and cultural origins, any additional disabilities, gender, age, religion and sexual orientation so that they can be sure that the home will meet their needs in these respects. Some service users, who have lived at the home for many years, did not have initial assessment information available, but there were detailed records containing historical and background information about them. The service users appeared to be comfortable and relaxed in the home during the course of the inspection and in this respect, it appeared to be meeting their needs well. Care Homes for Adults (18-65 years) Page 12 of 28 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 have detailed individual care plans, which fully address their personal, health and social care needs. They are regularly reviewed and updated. Improvements have been implemented so that service users will be more involved in the process and have clearer goals to work towards.There have been improvements to ensure that some service users have better assistance to communicate their decisions so that they have improved levels of choice about things that are important to them. Service users are supported to take risks in a managed way so that they live full and active lives. They are encouraged to develop their confidence and independence with due regard for their welfare and safety. Evidence: Copies of service users care plans are held on their individual files. Service users personal, health and social care needs are fully accounted for in their care plans. This includes issues relating to their racial and cultural origin, gender, any additional physical or sensory disabilities, faith needs, age and sexual orientation. The care plan Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: formats provide service users with detailed and specific goals so that they will be better able to measure their achievements and understand the purpose of their placements in the home. Service users were observed making choices about when to get up in the morning, what to have for breakfast and lunch and how to spend their free time during the inspection. Staff gave examples of how they support service users to make decisions for themselves about things that are important to them, using a range of different communication tools. This includes pictorial and symbol tools, some of which are available to service users on a computer in the dining room. The acting manager stated that some service users have been referred to specialist NHS speech and language therapists, so that they can be assisted to develop their communication skills. There was good interaction between staff and service users. There are detailed written risk assessments on service users individual files, which suggest that risks are fully considered as part of the care planning process. This includes risk assessments of specific activities that service users engage in. Their daily care records indicate that they are not prevented from taking managed risks to develop their skills and independence and they take part in a wide range of activities in and out of the home. The homes accident book indicates that there is a low level of physical injuries to staff and service users, which suggests that risk assessments and management plans are effective. Care Homes for Adults (18-65 years) Page 14 of 28 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. Service users take part in a wide range of activities in and out of the home so that they enjoy a good quality of life, which are suitable in terms of their ages, interests and backgrounds.They are supported to maintain contact with their families and meet people outside of the home so that most of them are not isolated there. Service users rights are respected and they are informed of their responsibilities.Service users nutritional needs are met so that they are well fed and stay healthy. Evidence: Service users were observed taking part in a variety of different activities in and out of the home. Staff who were interviewed said that there were enough of them employed to enable service users to undertake activities in accordance with their individual care plans. Service users were able to point out the various activities they enjoy, using pictorial symbols and photographs. Service users individual daily records indicate that Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: they take part in activities such as horse riding, swimming, hydrotherapy and country walks during the day, as well as practical tasks to develop their skills in the home. Service users were observed enjoying less structured time in their own rooms or in the lounge when not engaged in more structured activities. The acting manager said that most of the service users have families who advocate for them. If this is not the case advocacy support can be found if necessary. The acting manager said that they attend parties and social functions at Spectrums other homes so that they can meet other people, with similar ages and interests, with staff to support them. Service users individual contracts set out their rights and responsibilities as residents. These contain information on their rights to access personal information about themselves, for example, and their rights to obtain independent advocacy. They also set out expectations of service users in order to develop their skills and independence. This includes assisting with household tasks, for example. Service users are able to access their contracts in translated formats so that this information is directly available to them and further work is being undertaken to enable them to develop the communication skills they need to be able to understand more about their rights. There is evidence on their files that copies of their contracts are sent to their social workers and families who can agree them on their behalf. Service users appeared to be physically healthy and were observed choosing items of food for breakfast and lunch. Staff were available to support them at mealtimes and took their meals with them. Mealtimes appeared to be flexible, depending on service users individual activities. Their care plans consider their dietary needs and preferences so that appropriate menus can be provided. Care Homes for Adults (18-65 years) Page 16 of 28 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. Service users are supported with their personal care and are encouraged to develop their independence so that they maintain their dignity.They have good access to healthcare services and the homes manager advocates for them so that they stay well and access specialist services they need.Systems for managing medicines are mainly safe and sound. Evidence: The home has adequate facilities for service users to receive personal care in private, and several of the bedrooms have en suite bathrooms. The acting manager said that most service users are quite independent with regard to their personal care although some need more support. Service users personal files contain information that indicates they regularly access a range of NHS healthcare providers outside of the home. This includes routine checks with NHS professionals, including GPs, dentists and opticians for example, so that they maintain overall good health. Some have received support with regard to their speech and language needs and this is continuing so that all those who need this form of Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: support are able to receive it. There are clear written instructions for staff with regard to medicines management and medicines are safely stored in a lockable filing cabinet. There were no excess stocks at the time of the inspection and records appeared to be clear, up-to-date and accurate. All staff who administer medication have, according to the records, received training. It is strongly recommended that where hand written entries to the administration records are made, these should be accompanied by two signatures. Care Homes for Adults (18-65 years) Page 18 of 28 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. Service users have opportunities to make their views known and they are taken seriously so that their rights are respected.They are well protected from harm and abuse so that they can feel safe in the home. Evidence: The acting manager said that there had not been any formal complaints since the previous inspection. There were records of questionnaires that are put to service users and their representatives asking them for their views on the quality of the care and services at the home. Service users and their relatives are provided with copies of the homes formal complaints procedure, which is included in their placement contracts. Staff were confident about what they would do if they suspected a service user was being abused. They and the manager said that because they work as a team and there are good systems for staff to communicate between each other, service users are well protected. There are suitable written procedures to guide staff on the formal steps that they need to take if they suspect a service user has been abused. Staff are subjected to checks upon recruitment with regard to their suitability to work with vulnerable adults in a care setting. The manager said that she has completed multi-agency training on safeguarding vulnerable adults. Care Homes for Adults (18-65 years) Page 19 of 28 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. Service users live in a comfortable environment, which meets their needs and is in a suitable setting so that they benefit from living as part of a local community. The home is mainly clean and hygienic although further improvements are needed to staff training so that service users are better protected from cross-infection risks. Evidence: The home is well situated so that it provides service users with space and privacy but is close to a large village community. Service users appeared to be comfortable in their surroundings at the time of the inspection, and were making use of the choice of communal spaces as well as their individual bedrooms. The home felt warm and comfortable and looked homely and attractive in most parts. There have been a number of recent improvements, which were observed. There are suitable environmental adjustments made to ensure that service users with disabilities or additional health care problems can be cared for safely in the home. These were observed during the inspection of the premises. The home looked reasonably clean but was very cluttered and therefore gave the impression of untidiness. The acting manager thought that there were plans to extend and improve the laundry. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Care Homes for Adults (18-65 years) Page 21 of 28 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. Staff either have or are working towards achieving formal qualifications in care so that service users can have confidence in their abilities to work with them effectively. They are recruited on the basis of fair, safe and effective recruitment and selection practices so that service users can be confident that they are suitable to work in a care setting.Staff have good access to ongoing training so that they are able to work safely and competently with service users. Evidence: The homes acting manager said that all the staff either have or are working towards completing NVQ level 2 in care and there are records in the home to support this. Staff who were interviewed said that they felt they were recruited fairly. Their recruitment records suggest that they were recruited on the basis of suitable checks and equal opportunities interviews that test their suitability to work with vulnerable adults in a care setting. Staff who were interviewed said that they have good access to ongoing training and there are records of this on their individual electronic record files. The manager was able to produce a whole staff team training plan so that their individual training needs Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: can be identified and met. New staff have completed a five-day induction training course prior to commencing work in the home. Records to confirm this are held on the homes computer. Care Homes for Adults (18-65 years) Page 23 of 28 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 home is generally well and competently managed for the benefit of the service users living there.Service users views are considered appropriately with regard to making improvements so that they benefit from changes that are made.There are systems in place to ensure the health and safety and welfare of service users so that they can feel secure in the home. Evidence: The manager is experienced in working for Spectrum and as manager of this home and there have been several notable improvements completed since her appointment. Spectrum has supplied information to the Commission about her qualifications, experience and suitability to manage a care home. Staff described the ways in which they involve service users in the homes quality assurance systems and the acting manager confirmed that their relatives and placing authorities are also consulted. They are sent questionnaires, which invite them to comment about what the home provides and copies were available for inspection. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Senior managers from Spectrums head office visit the home regularly and their reports were available. The acting manager was able to describe improvements that have been introduced to health and safety in the home. Fire safety training and records have improved. The manager has completed a risk assessment of the homes environment in addition to service users individual risk assessments, to account for their welfare and safety. Staff who were interviewed said that they felt the home was a safe place to work in. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 2 20 42 Two signatures should be evident to witness hand written entries made on the medication administration records Reduction in clutter about the home will promote a more tidy and therefore safer environment. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!