Inspection on 26/11/08 for Briar House

This inspection was carried out on 26th November 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

Briar House 13/12/06

Briar House 21/12/05

Briar House 12/05/05

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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: Briar House Briar House 89 Povey Cross Road Hookwood Surrey RH6 0AE     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: Deborah Sullivan     Date: 2 6 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 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: Briar House 89 Povey Cross Road Briar House Hookwood Surrey RH6 0AE 01293786881 01293786881 briar@gccare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Cavendish Care Type of registration: Number of places registered: care home 6 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: 6 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 Briar House is registered with the Commission for Social Care Inspection to provide accommodation and care to a maximum of six service users with a learning disability. The home is located in a residential area close to public amenities and other facilities and accommodation comprises of an office, lounge, kitchen, dining area, laundry room, bathrooms, toilets and six single bedrooms with en-suite facilities. The home has a garden which is secure and accessible and private parking is available at the front of the building. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 6 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: This key unannounced inspection of Briar House took place over six and a half hours.During the visit time was spent with the manager,deputy manager,service users and support staff.A tour of the property took place and there was observation of staff at work during the day. A range of documents and recording was read including a sample of care plans,staff files and training information,policies and procedures and maintenance records. Discussion took place with the manager and deputy manager throughout the visit and information supplied in the AQAA(Annual Quality Assurance Assessment) document submitted as required to the Commission by the manager has also been used as evidence for this inspection. The current weekly fee range is 1,500 to 2,100 pounds per week.The last key Care Homes for Adults (18-65 years) Page 6 of 29 inspection of of this service took place on 13th December 2006. 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. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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 9 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. Prospective service users and their representatives have access to up to date information about the home. Assessment and introductions to the service are well planned and service users are only admitted if their needs can be fully met. Evidence: The home has a statement of purpose and service users guide,both are have been brought up to date and are available in a pictorial format as well as in text. The home had one vacancy at the time of the inspection and the manager and deputy manager had assessed a potential new service user and discussed how they were being introduced to Briar House. They had considered compatibility with the existing service user group and the intention was the person would move in in the new year. The manager and deputy manager were undertaking visits to them at their current home and staff from that home had brought them to visit Briar House. Further visits were planned, including one the following day when the service user was coming with Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: staff to the house for a meal and then would be offered the opportunity to choose an activity to take part in with the current service users. Staff at Briar House were becoming familiar with the applicant and information about them had been compiled for staff to read.The manager and deputy manager spoke of plans to redecorate the vacant bedroom in the applicants chosen colour scheme and said that they were happy with the room available. Transition into the home is flexible,set at the service users pace and their allocated keyworker becomes familiar with them before they move in. Contracts are in place for each service user,it is recommended that whilst the home has an agreed contract with a local authority for each person,copies held at the home be signed by the service user or a representative. Care Homes for Adults (18-65 years) Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each service user has an individual plan of care that is person centred and accurate reflects their current needs. Care plans are completed to a high standard and well maintained. Service users are offered opportunities to be involved in the running of the home and are encouraged and supported to make decisions about their lives. Evidence: Each service user has an individual care plan,the care plans read were person centred,accessible for service users,regularly reviewed and kept up to date.The care plan is held on computer as well as on the care plan file and can be updated quickly and printed off to reflect changes.Care plans were completed and maintained to a high standard.Care plans include background information on the service user,likes and dislikes,communication needs,a comprehensive range of personal risk Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: assessments,health action plans,activities programmes and behavioural support guidelines. The care plan of a service user who is non verbal and who uses Makaton to communicate included photos of them demonstrating the signs they used most.It had been recorded that the service user had been read their care plan as they were not able to read text. The risk assessments had been reviewed and dated and each staff member signs that they have read and understood them,when a new activity is introduced that could entail a risk an assessment is produced.A sample of comprehensive activities and practices for which risk assessments are in place are trampolining,choking,non issue of a bedroom key ,and for one person recently going in an aeroplane for the first time. Service users are supported to make decisions about their daily lives,this was observed during the visit with service users going out to activities they enjoyed,choosing their meal and accessing communal areas of the home and their rooms freely. The manager and deputy manager discussed how service users are consulted about their interests and activities and service user meetings are held that are recorded in written form and pictorially. Should a service user require advocacy it would be requested and the manager gave an example of a service user who had been supported by an advocate at one stage. Information that is confidential is stored securely whilst care plans are available to service users at all times. Care Homes for Adults (18-65 years) Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are offered a wide range of activities and lead a stimulating lifestyle. Independence is promoted and service users are supported to achieve goals. Contact with relatives is maintained and promoted. Meals are healthy and well balanced and service users take part in menu planning. Evidence: Service users have opportunities to take part in a very wide range of educational,social and leisure activities at home and in the community.Each person has their own activity programme that is individualised and drawn up taking into account their personal skills and abilities,interests and goals. Some examples of activities are pottery,swimming,a Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: fitness class in the community,horticulture at college,a work placement on a farm,attending weight watchers with staff support,trampolining,dance nights at a social club,music and relaxation at home, and going to the gym. Many activities are on a one to one basis whether or not there is funding for this, and service users only go to sessions together if they share an interest and this is their choice.During the visit one person was at their work placement in the morning,one went to a session at a sensory room, one went shopping for personal groceries and another went out for lunch and to the cinema. The home has two vehicles allowing for staff to transport to lots of different venues and the manager is the organisations transport coordinator responsible for planning travel to and from activities. All service users have bus,train and cinema passes. The organisation has college and work placement coordinators who work with the home. During summer months when there is no college and some other activities are not on, the organisation arranges a holiday club open to all its service users. The manager said this helps to alleviate boredom and any related behavioural issues. This year the club had been to the coast and places of interest. Holidays are arranged in consultation with service users,this year two had been to Centre Parcs and two to Butlins,sufficient staffing is provided so individual activities can be pursued when away.One service user does not like staying away from the home so has days out,they had never flown in an aeroplane so a trip was ranged in a light aircraft that they had enjoyed. Independence is promoted,the abilities of service users are quite varied,all are supported to be as independent as possible and one person has started menu planning,food shopping and preparing their own meals as a step towards greater independence.They had made themselves a well balanced packed lunch. A male service user from an ethnic minority background had been supported on a one to one basis by a male staff member from the same background,the staff member no longer works at the home but the service user now has support from another worker and they have built up a good rapport. Contact with relatives and friends is supported, care plans showed that relatives are in regular contact ,two service users go home for planned weekends regularly. Service users have friends outside of the home and the deputy manager spoke of the large number of Christmas events they had been invited to.The manager said recently service users had been invited to tea with a neighbour for the first time and this was a success. Parents forums are held six monthly and parents are invited to social events such a summer barbecue.The organisation offers training workshops to relatives that include topics staff train in,these are well attended. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Meals are healthy and well balanced,a written and pictorial menu is on display,menus are changed weekly in consultation with service users.One service user has a pureed diet and the two on weight watchers programmes have had their meals carefully worked out by the deputy manager.Plenty of fresh fruit was available for snacks and all food is bought in by staff and service users,none is delivered in bulk. One service user is supported to enjoy meals from their culture regularly. Lunch was observed during the inspection and it was taken in a calm and relaxed atmosphere with staff chatting to service users present. 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. Staff support service users with their personal care in the way that they prefer and privacy and dignity is maintained. A healthy lifestyle is promoted and health needs are well met and documented. Policies and procedures for the safe administration of medication are in place. Evidence: The health and personal care support needs of service users are recorded in detail on their plans and health action plans.Service users have a range of needs,two are independent as regards their personal care whilst others need varying amounts of support,wherever possible gender preference is respected in the delivery of personal care. Bedrooms all have en suite facilities so privacy is maintained,service users can also choose to use the shared bathroom if they wish. The health of service users is seen as a priority with emphasis on healthy eating and an active lifestyle.Two service users are attending weight watchers and photographs show that they have succeeded in loosing weight,one has lost three stone in total.The deputy managed had complied Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: their eating plan with them so that it followed weight watchers system and incorporated this into the meals taken at home. Service users have regular health checks such as dental appointments and well man and well woman checks as well as attending any specialist appointments or receiving input from health professionals such as a community nurse,psychologist or epilepsy specialist.One service user attended a dental appointment during the inspection. The home has flexible routines and service users are supported to choose appropriate clothes and to look their best. Any health concerns were well recorded on care plans along with actions taken about them. The manager consulted relatives about how to address issues about bereavement should a service user loose someone important to them,this is so that staff can use terminology understood by the service user to support them. The manager said that bereavement counselling had been requested for a service user who had a family bereavement and had recently voiced concerns about death. Staff receive loss and bereavement training. Medication is safely stored and a new medication cabinet is on order although the current one is adequate for the time being.Since the last inspection photos of service users have been added to the medication folder.Currently no service users self medicate,all staff receive medication training from an internal trainer and the pharmacy used by the home. MAR sheets were inspected,the majority were properly completed and an issue about recording was brought to the attention of the manager and deputy manager who stated this would be addressed with the staff member concerned without delay. 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. Service users and others have access to the homes complaints procedure and can be confident that any concerns or complaints would be taken seriously. Service users are protected from harm by the policies and procedures in place and staff are aware of their responsibilities to keep them safe. Evidence: The home has a clear complaints procedure in place,each service user is provided with a copy in a format they can understand.No complaints had been recorded since the last inspection. A staff member spoken with said they were aware of the procedure and safeguarding procedures and would feel confident about both if they needed to. The home has a safeguarding vulnerable adults and whisteblowing procedure. Since the last inspection one safeguarding matter has been referred to social services by the manager and fully investigated.This was in mid 2007 and the matter is now closed.As a result of the concerns the home has strengthened its procedures for recording and auditing relating to service users finances. Behavioural support guidelines are in place to protect service users and staff and they are regularly reviewed. All staff receive POVA training and regular update training,staff are CRB checked before starting work at the home. Care Homes for Adults (18-65 years) Page 19 of 29 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. Service users live in a homely,well maintained and clean home that suits their individual needs and is close to local facilities. Bedrooms are furnished and decorated to a high standard and are personalised to the taste of the occupant. Evidence: Briar House is homely,well maintained,clean and comfortable.Since the last inspection there has been some refurbishment and redecoration.It is near to local facilities and situated in a pleasant residential area. There is a large,spacious lounge,large kitchen and dining area,a staff office, and bedrooms are on the ground floor and upstairs.Bedrooms are all personalised with items such as photos,pictures of cars,TVs and music systems and cuddly toys.They are all spacious and decorated and furnished to a high standard,service users choose their colour schemes.The paint had already been purchased for the redecoration of the vacant bedroom in the prospective new service users favourite colour, and a rail was to be fitted as the room has a step to the bathroom.Other bedrooms have en suites with showers and there is a shared bathroom can that service users can access if they wish to have a bath rather than a shower. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: One service user had moved out of the current vacant room when another bedroom became available at their request and they are now more settled in the new room. The garden is well maintained,large and attractive,the home employs a gardener year round,there is a patio area with patio furniture and the deputy manager said it is well used in good weather.It is accessible and there is a ramp from the dining room. The laundry has two washing machines,one with a sluice facility,service users are encouraged to bring their own laundry for washing and one is very independent in this area.The kitchen has plenty of room for service users to socialise and assist with tasks if they wish to. The home was clean throughout,service users are supported to help keep their rooms clean and tidy,the most independent service user is completely responsible for the cleaning of their own room. 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. Service users are supported by a well trained and well supported staff team who are genuinely interested in the lives of service users and enjoy working with them. The recruitment procedures in place protect service users and are thorough. Evidence: The home is well staffed with enough staff on duty to be able to provide one to one support to service users when necessary at home and when they are at activities or out in the community.The staff group is diverse with a mix of people of different ages and cultural backgrounds,there are male and female staff some of whom are well established at the home and there have been some new members this year. The home employs support and senior support staff and the deputy manager,at night there is a waking and sleeping member of staff on duty.There is a part time maintenance man and gardener. Staff and management meetings are held regularly. Staff observed and spoken with during the visit were confident,enthusiastic about their work,cheerful,had a good rapport with service users and were attentive to their needs. A sample of staff files were read they were well ordered and up to date with the necessary recruitment documentation in place.CRBs are renewed three yearly and Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: recruitment procedures are robust. The organisation offers plentiful training a staff member said training never stops and that training was very good, the deputy manager and manager echoed this view.There is now an organisational training manager who coordinates courses. New staff receive recorded induction and training on core topics which is very regularly renewed,each person has a separate file with their certificates in.Service specific courses such as on autism and Makaton are provided for all staff and they are expected to enroll on NVQ three in care training,some staff have already gained this qualification. The organisation offers training for staff from other countries who wish to improve their English language skills that are open to all employees,the deputy manager had attended one and enjoyed it. The manager and deputy manager provide regular recorded supervision,and separate key worker supervision is given for the discussion of key working issues. Staff spoken with felt very well supported A staff member saidthere is loads of support, senior managers are very approachable-great staff and management team. 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. The home is run in the best interests of service users and staff and has an open friendly and inclusive atmosphere. The views of service users and other interested parties are sought and the home takes internal quality assurance seriously. Evidence: The manager of Briar House is very experienced in working with the service user group and holds the Registered Managers Award,they are in the process of applying to become the registered manager of the home.The manager is committed to providing a high quality of service and support to service users and staff and her role is complimented by the skills of the deputy manager.The home has an open,inclusive, welcoming and family atmosphere. Staff feel well supported and guided and this ensures that they offer a good service and take pride in their work. A range of internal quality assurance tools are used. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The views of service users are gained at regular house meetings that are minuted in written and pictorial form,service users are also encouraged to offer views on a one to one basis.Quality assurance questionnaires are sent annually to relatives and outside professionals. The forms and collated responses of the most recent survey included a large number of excellent comments about the home. Regulation 26 visits take place monthly and during the visit the general manager arrived to undertake an unannounced six monthly audit. Policies and procedures for the safe and efficient running of the home are in place and accessible to staff and there is a business plan for the coming year has been drawn up. During the visit staff were observed to follow safe working practices and records seen were completed to a good standard. The AQAA(annual quality assurance assessment)form completed by the manager was sent iin within the timescale given by the Commission for its return,it contains good quality information. Four requirements were made at the last key inspection and they have all been fully met. 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 1 5 It is recommended that service users or their representative sign their contract with the service. 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!