Inspection on 10/12/08 for Bradford House

This inspection was carried out on 10th 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

Bradford House 14/12/06

Bradford House 17/03/06

Bradford House 16/08/05

Bradford House 15/02/05

Bradford House 25/11/04

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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: Bradford House Bradford House 74 Ellington Road Ramsgate Kent CT11 9SX     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: Christine Grafton     Date: 1 0 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. 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 © (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 29 Information about the care home Name of care home: Address: Bradford House 74 Ellington Road Bradford House Ramsgate Kent CT11 9SX 01843580026 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Graham Charles Whatley Type of registration: Number of places registered: Mr Graham Charles Whatley,Mrs Susanne Jane Whatley care home 7 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/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home Bradford House is a large property situated in Ramsgate close to local shops and amenities. Bus routes are close by and the Home is not far from the local railway station and sea front. The Home is currently registered for 7 service users and provides a relaxed and welcoming atmosphere with service users at the centre of all care given. 7 Over 65 0 Care Homes for Adults (18-65 years) Page 4 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: 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 a key inspection of the service, which means that we reviewed all the information we have received since the last inspection of 14th December 2006, including a visit to the home. An unannounced visit took place on 10th December 2008 between 09:50 hours and 17:45 hours, with a break between 13:00 and 15:00 when people were going out. The visit included talking to people living in the home, the provider, staff and observing the home routines and staff practices. We looked at some records and looked round the home. The provider sent us some information prior to the visit, in the form of the homes Care Homes for Adults (18-65 years) Page 5 of 29 annual quality assurance assessment (AQAA). This gave us most of the information we asked for and has been used in the planning of the visit and the overall assessment of the service. Information from the previous inspection and that received since then has also been considered. At the time of the visit there were 7 people living at the home and their weekly fees were in the range of 340:88 to 403:95 pounds. Mr and Mrs Whatley own and run the home. Mrs Whatley has the dual role of provider and manager. For the purposes of this report, she will be referred to as manager. What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Adults (18-65 years) Page 7 of 29 The providers have shown their commitment to the ongoing development of the home. We saw that what they tell us they do well is right. They have plans to continue to improve the service they provide to people living in the home. The plans now need to be written down in the form of an annual development plan. This will provide a benchmark for them to measure their success in achieving their stated aims. The following are things discussed with the manager at the visit that could be included in the development plan. We are confident that they will make the changes to develop their service. The statement of purpose needs to be reviewed and updated so that it contains accurate information in a form that is easy to read. This is something that should be done at least annually and when things change. Peoples risk assessments should be regularly reviewed and updated as necessary. Risks need to be considered as part of the monthly care plan reviews to make sure that things that have been risky in the past are not forgotten. Staff are trained in medication procedures, but medication competency assessments are to be introduced as an added safety measure. The staff training matrix is to be updated and regularly reviewed. This will then show where there are gaps that need to be addressed, as some staff need updates of important mandatory health and safety courses. Recruitment checks are completed for any new staff employed. However, they need to make sure that they complete all of the specified security checks before new staff start working at the home, to protect the people living there. The manager is going to introduce formal staff supervision meetings. This provides a way of briefing them and receiving feedback. This is also a means to see how things are going for them and decide what training they need to develop their practice. They have started to monitor the quality of what they do. This needs to be developed by seeking views of people living in the home and all others concerned with their well being. They will then be able to measure their performance against what they say in their statement of purpose. Environmental risk assessments need to be improved to make sure that safety hazards in the home, to include bedrooms, are looked at regularly and action is taken to deal with any safety hazards identified. For example, things such as hot radiators and the risk of burns. These need to be assessed to see if they need guards. 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 Care Homes for Adults (18-65 years) Page 8 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People moving into the home will be given information about it in a way they can understand. They can be confident that their individual aspirations and needs are assessed and will be met by the home. Evidence: People thinking about moving into Bradford House can learn about it in several ways. They can visit the home and meet the people already living there and the staff. They can look at the vacant room and see what the communal living areas are like. They can talk to people and ask questions. They can also see the guide for the home known as the service users guide that has been written in simple language, in large print, with pictures that make it easy for people to understand. It shows things like what people should do if they are unhappy about something and how to make a complaint. There is also a statement of purpose document, which is more detailed and people like care managers and relatives might want to read to learn more about the home. This has not been rewritten since January 2005 and although hand written amendments Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: have been added, it needs reviewing and updating. We looked at how they find out about peoples needs before they move into the home. There has been one new person come to live at the home in the past year. The manager told us how the admission had been arranged and we looked at the assessment process, which is how the home finds out about the new persons needs and what they aim for in the future. This is important so that staff can help the person settle in and support them in what they want to achieve. Usually a person considering moving in would be invited to spend time at the home on several different occasions before they move in. This might be for a tea time visit, then an overnight stay and then a weekend stay, so that they really get a feel for the place. Although this did not happen for the new person, there were particular reasons for this and the home did everything to gather as much information beforehand, so that when the person moved in they knew about them and how to support them. We saw that the home had obtained detailed assessments from care managers and when the person moved in they did their own assessment and drew up a care plan. The new person said they like living at Bradford House and seeing how they were getting on with other people in the home, it was clear that they have settled in well. 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 living in the home benefit from having their own person centred plans that they have been involved in drawing up. These show their assessed needs, wishes and aspirations, and how staff will support them in making decisions and meeting their changing needs. They can be confident that they will be enabled to take reasonable risks to develop their life experiences in a safe way. Evidence: Each person has their own individual care plan that covers their aspirations and a whole range of needs. This gives information for staff so that they know what to do. For example, we saw that the things people can do for themselves, what they need prompting with and what staff must do to assist with personal care are clearly set out. Some people showed us their own person centred plans, known as PCPs that they have been involved in writing in pictorial format. These are kept in separate files that they have control over. They have been written during the past year with the help of Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: key workers and contain pictures and photographs. They cover such things as, the important people in the persons life, their circle of friends and relatives, their life as it is now, what they think is good about themselves, things they like and do not like, and what their best evening and best weekend would be. The care plan files contain all the information that staff need to know about peoples needs and address equality and diversity issues well, for example, gender, sexuality and religion. We saw how a person is supported to follow their faith and attend religious services. We also saw that gender and sexual needs are well considered with sensitive arrangements in place so that peoples needs are fulfilled in a safe way. People spoke to us about the decisions they make on a daily basis, such as deciding what they want to do, involvement in the choice and planning of meals, shopping and buying things of their own choice, deciding what to watch on television and choosing holidays and outings. Care plans and peoples individual daily diaries also show evidence of lots of involvement in decision making. Risk assessments are completed where an activity might be considered risky, for example where a person goes out alone, where they do cooking, or like to take a bath alone. One person spoke to us about going out on their own and using public transport. It was clear that they have developed confidence in doing this and that the experience gives them a great deal of fulfilment. One risk assessment we looked at had not been regularly reviewed as the manager said nothing had changed. However, we discussed that this is an important risk that must not be overlooked and care plan reviews should show that the risk is still being considered. Also, all risk assessments should be regularly reviewed and updated as things change. 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 living in the home benefit from being supported to live fulfilling lifestyles, both within the home and in the wider community. They can be confident that their personal relationships will be encouraged and supported. They will know that they will be encouraged and supported to make choices about their diet and can take part in planning meals. Evidence: Each person has their own weekly activity routine recorded in their care plan. At the time of the visit two people had chosen to stay at home, while the others had gone to their day centre or college activities. The two that stayed at home went out for lunch and enjoyed a shopping activity. People spoke about their leisure activities and seeing their families. Some of the things Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: they do include, walking, shopping, bowling, swimming, horse riding, trips to the cinema, having meals out, and going to church services and enjoying other church meetings. People are fully involved in the daily routines of the home and we saw that they have unrestricted access throughout the home. People were fully included in our visit and were relaxed and confident in their communication between themselves, with staff and with us. Peoples views are sought at the regular residents meetings about what they want to do. We saw records of these meetings where such things as holidays are discussed. This year they chose to go to Hastings for their holiday. We saw how much they had enjoyed this in the records of the subsequent residents meeting and they also spoke to us about what a lovely time they had. People are involved in choosing the food they eat, by discussions in the residents meetings and going out each week to the shops to choose their favourite food items. The weeks meals are then planned, making sure that they are varied and nutritious. Records are kept of what they have eaten. Meals are enjoyed together at the large dining table that provides a congenial setting. People say they have nice food and they like being involved with the food shopping. 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 living in the home benefit from being supported in a way that makes sure their health and personal care needs are met. They can be assured that this is done in a way that respects their dignity and that the practices in place for managing their medications will protect them. Evidence: We looked at two care plans and saw that they contain lots of details about peoples health care and the personal support that they need. The way people like to be supported is well recorded and the daily records completed by staff show that privacy and dignity is promoted and maintained. We saw that people are encouraged and supported to dress smartly in a way that they prefer. A key worker system has been developed since the last inspection and people have been involved in choosing a designated staff member to relate to. Staff monitor peoples health and make sure that they attend medical appointments with doctors, opticians, dentists and chiropodists, to name but a few. They keep a watchful eye on peoples weight as an indicator of changes in health. The people living in the home Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: have accessed Well Woman Clinics and Well Man Clinics and have received input from specialist nurses to improve their quality of life. The manager and staff liaise regularly with the local learning disabilities community nurse and have accessed the services of a speech therapist for input to help with peoples communication needs. We looked at the way peoples medicines are managed. These are safely stored and administered by staff that have completed medication training. Staff keep proper records so that it can be seen when people have taken medications, or if they have not, the reasons why. We discussed with the manager about introducing staff competency assessments to make sure that they continue to put into practice what they have learnt at their training. This is an additional check to monitor if medicines are safely handled. The manager said that this is something she hopes to introduce in the coming year. 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. People can be confident that any complaints will be listened to and sorted out. They can be assured that staff practices in the home will safeguard them from harm. Evidence: There is a simply written complaints procedure with pictures and symbols that make it easy for people to understand. It tells people who to speak to if they have a problem and points out names of people outside the home, such as day centre staff, care managers and the CSCI. People say that if they have a worry or a concern they know they can talk to any of the staff. We spoke to two staff members that know the people living in the home well and recognise when something might be wrong. We saw staff listening to people and encouraging them to express their feelings. The manager said they have not had any complaints since the last inspection, but staff know to record complaints, which would then be fully investigated. Some staff have done training on the protection of vulnerable adults in the past, but the manager plans to arrange this training for all staff in the next three months, to make sure their knowledge is kept up to date. The manager has done some awareness training on the Mental Capacity Act and has booked to attend further training for this in March. She also stated her intention to attend training on the deprivation of liberty safeguards. We saw that people were clearly comfortable with staff and talking to them about their day on their return from day centre activities. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: People are supported with their personal finances to make sure their interests are protected. We saw that people are helped to do their own banking and their own personal shopping. Records are kept of financial transactions, which staff sign and where possible people sign their own record as well. This makes sure that there is a check on what has been spent and of any monies held on peoples behalf. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a comfortable, homely environment that is clean and spacious suiting them individually and collectively. Evidence: There is a large lounge diner, which is comfortably furnished so that people can relax, socialise and dine together. Bedrooms are large and all have ample personal space, which people have made their own by bringing in their own things and laying the room out as they want. Each room reflects the personality of its occupant, for example, one person that likes books has recently had a very large built in book case fitted. Another person likes gardening and has a room overlooking the garden, which he asked to be painted green. People told us that they like their own bedrooms and are involved in keeping them clean with staff support. During the past year they have done several things to keep the home well maintained and looking homely. They have completed the painting of the outside of the home and improved the garden. They have had new windows fitted in the kitchen and ground floor bathroom and carried out improvements to the first floor bathroom. A new boiler has been fitted and soap dispensers and hand towel dispensers have been added at all sinks. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: We saw that the home was clean, bright, airy and free from any offensive odours. Radiators have thermostatic valves, so people can adjust their room temperature. Radiators are not guarded and the surface temperature in some rooms was very hot. This poses a risk of burns that needs to be considered. Risk assessments have been carried out for environmental risks, but this particular risk had not been considered. We discussed with the manager to look at other possible risks in bedrooms, such as the risk of wardrobes being pulled on top of a person. These are not routinely fixed to walls, so the likelihood of this needs to be considered as well. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have a good understanding of the people that they support and positive relationships have formed. People can be confident that they will be supported by competent and qualified staff, and that recruitment practices are adequate to protect them. Evidence: The staff team is small, as people living in the home have developed their independent living skills and need mainly prompting, encouragement and guidance. Where they need support, the manager makes sure that there is always enough staff on duty to assist them. There continues to be a stable staff team that know their roles and responsibilities and work well together as a team, standing in for each other and covering any absences. There is a set rota that shows one person on duty when people are at home, plus the manager works along side staff for some of the time during weekdays. There might be some times when there is no one at the home, for example, usually between 13.00 hours and 15.00 hours on weekdays. The manager makes sure that everyone connected with peoples care knows her mobile telephone number and that the homes Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: answerphone messages are checked. Staff are committed to making sure that people living in the home enjoy a good quality of life. Of the six staff members, four have completed their National Vocational Training (NVQ) in care, two at level 2 and two at level 3, with another currently working towards their level 3. They are also encouraged and supported to attend a range of short courses to develop their knowledge and skills. We looked at two staff files and saw that recruitment procedures include preemployment checks to safeguard people living in the home, such as, references and criminal records bureau (CRB) checks. However, we discussed with the manager that she needs to be more vigilant in making sure that two written references and evidence of the protection of vulnerable adults register (POVA) first checks have been received, before a new staff member starts working at the home. Induction training is given to new staff and records are kept. The manager stated her intention to start using the Skills for Care Common Induction Standards for any new staff employed in future. She has completed care skills passports for each staff member and drawn up development plans with them. Staff say they like working at the home and feel well supported. The manager does not currently carry out regular staff formal supervision but spoke of her intention to start this in the New Year. 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 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 managed in a way that promotes the best interests of people living there, protecting their health, safety and welfare. Evidence: The providers have been running the home for over twenty years, during which time they have increased its size and the number of people living there. The manager has achieved a relevant qualification and keeps up to date with good practice by attending short courses and accessing professional publications. She spoke with understanding and awareness of peoples needs and has created an open, positive and inclusive atmosphere at the home. The Annual Quality Assurance Assessment (AQAA) was completed on time and provided the information that we asked for. It was helpful in the planning of our visit and the things that we tested out were confirmed as being correct. People living in the home are at the centre of any decisions made. Their views are sought in a various ways, such as, residents meetings and use of pictorial quality monitoring surveys, Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: which have recently been introduced. We discussed with the manager that surveys should be sent out annually to all interested parties and their results collated and analysed to decide any action needed to bring about improvements. This could then inform the homes annual development plan. The AQAA indicates that the homes equipment is being maintained. The staff training matrix indicates that training on safe working practices takes place. Some updates are now due and the manager said these would be booked in forthcoming months. Regular health and safety checks are carried out and recorded. 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. 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