Inspection on 16/02/09 for Broadstreet House

This inspection was carried out on 16th February 2009.

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

Broadstreet House 21/02/07

Broadstreet House 10/01/06

Broadstreet House 30/08/05

Broadstreet House 18/01/05

Broadstreet House 22/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Broadstreet House Broad Street Lyminge Folkestone Kent CT18 8DZ     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 6 0 2 2 0 0 9 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: Broadstreet House Broad Street Lyminge Folkestone Kent CT18 8DZ 01303862448 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): bsh@rditmail.co.uk Family Investment (Three) Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 16 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 16 The maximum number of service users who can be accommodated is: 16 The registered person may provide the following category 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 category: Learning disability - LD Date of last inspection Brief description of the care home Broadstreet House provides accommodation for up to 16 people with a learning disability. The home is a part Georgian and part Victorian large, detached property set in extensive well-maintained gardens. The village of Lyminge is within walking distance. The home is owned by the Family Investment (Three) Limited. The families of the residents buy shares in the company. Families play an active role in the conduct of and care provided in the home. Residents are encouraged to lead as independent a life as Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home possible and take part in a range of meaningful activities. The day centre (Fifth Trust Work), Elham Valley vineyards, pottery and teashop form an integral and significant part of the lives of the residents. The home covers two floors. All rooms are single, six of which have en-suite facilities. Residents have lots of space in which to live. There is a lounge, quiet lounge, garden room, games room and dining room. There is ample car parking to the front and side of the property. The current fee range per week is £391.00 to £474.00. Copies of the homes statement of purpose, service users guide and our previous inspection reports can be obtained from the home. 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 a key inspection of the service, which means that we reviewed all the information we have received since the last inspection of 21st February 2007, including a visit to the home. An unannounced visit took place on 16th February 2009 between 10.30 hours and 15.30 hours. The visit included talking to people living in the home, the temporary home manager, staff and observing the home routines and staff practices. We looked at some records, looked round communal areas of the home and saw one bedroom. The temporary home manager sent us some information prior to the visit, in the form of the homes annual quality assurance assessment (AQAA). This gave us the Care Homes for Adults (18-65 years) Page 6 of 28 information we asked for and has been used in the overall assessment of the service. Information from the last inspection and that received since then has also been considered. At the time of the visit there were 16 people living at the home and their weekly fees were in the range of 391.00 to 474.00 pounds per week. The atmosphere in the home was welcoming and relaxed. The person who was the registered manager at the time of our last inspection and had been at the home since it opened, has left. There is a temporary manager in place and the home is running well. What the care home does well: What has improved since the last inspection? What they could do better: They have told us that they feel they do most things well, but recognise there is always room for improvement and they endeavour to do whatever they can to enhance the service they provide. We saw that what they have told us is right. There are some things they need to look at to develop their service and the temporary manager made a commitment they would be addressed. The Statement of Purpose needs to be reviewed at least once a year and more frequently if things change. It currently needs updating to take account of the changes Care Homes for Adults (18-65 years) Page 8 of 28 in the management of the home and other staff changes. At our previous inspections the manager had agreed that the Service Users Guide should be written in an easy read version that residents can understand. Due to the change in management no progress has been made with this, but the temporary home manager said she would make this a goal for the forthcoming year. We also discussed that the complaints procedure could be written in an easy read format and a copy kept on display on the residents notice board, so that they do not have to ask to see it. We discussed that care plans could be developed to show more person centred aspects and to make sure that they are being regularly monitored and reviewed. This is necessary so that all the information staff need to know about the individual is available for them to read. We also talked about the way that residents daily records are kept and the temporary manager said she would look into this. It is important that everything about a person is kept in their own care plan file, so that things do not get missed at review times. Medication procedures are good, but an added safety measure would be for the manager, or a senior staff member, to carry out regular audits as part of the homes quality monitoring processes. At our last inspection we recommended that the home quality assurance system be formalised by doing a written report. This has not yet been done and is something that the new manager will need to think about. One of the directors visits the home each month and should write a report on the conduct of the home. Reports of the visits have lapsed and need to be recommenced. 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. People moving into the home are given information about it, but would benefit more if it was written in an easy read format. They can be assured that their individual needs and aspirations are assessed and will be met by the home. Evidence: People can learn about the home from the service users guide that tells them all about Broadstreet House and what they should expect if they decide to move in. At our last two inspection visits we have talked about making the guide easier for people to understand by adding pictures, photographs and symbols. This is something that has not yet happened, but is because the manager left last year and the new person that was going to be the manager also left. The temporary home manager knows this needs to be done and spoke of her commitment to do this. We know that people have all the information they need, because previous inspections have shown us that prospective residents and their parents are invited to visit the home several times before moving in. This gives them the opportunity to talk to staff Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: and other residents and find out about everything they need to know. There is also a more detailed document called the statement of purpose that people like care managers and relatives might want to read. This currently needs updating to show the changes in management. There have been no new residents admitted since our last inspection, but we know that they make sure that new people have a thorough assessment before they move in. This is how they find out about peoples needs and wishes so that staff can help the person settle in and support them in what they want to achieve. We spoke to the temporary manager about the admission process and looked at two peoples care plan files. This confirmed that the good standards evident at previous inspections are being maintained. 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. People living in the home benefit from having their own individual plan of care, showing their assessed needs and wishes. They are encouraged to make their own decisions and choices, enabled to take reasonable risks and supported to develop their life experiences. Evidence: People living in the home each have their own individual care plan that tells staff about them and what support they need. At our last inspection visit we saw that care plans were well written. This time, we looked at two care plans and saw that they cover a wide range of needs and aspirations. They contain assessments of daily living needs that give information for staff so that they know what to do. Care plans provide lots of useful information about the person, including things like the support needed with personal care and how any specific medical conditions are to be managed. They also show how social needs are being met. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Because of the changes in the management of the home within the past year, the temporary manager indicated that some of the care plans have not been regularly reviewed and updated. We discussed that the care plan files could be further developed to show some of the more person centred aspects that we learnt from talking with residents and staff. Care plans are reviewed and updated annually, but regular monitoring and reviewing is currently not being documented in an organised way. There is no monthly summarising of how a person has been, or recording of any changes that have occurred. Such records could be used to inform care plan reviews and would bring all the information together, making sure that important things are not missed. We spent time with a group of residents and staff, and saw that contributions from each individual resident are valued. Residents were being encouraged to make their own decisions, for example, about their working week and deciding what they want to do in their spare time. They are involved in choosing meal options and shopping for food items. We saw records of residents meetings, which showed their involvement in making choices, airing their views and making decisions. People are encouraged to be as independent as possible. Risk assessments are completed where an activity might be considered risky, for example, travelling, swimming and helping in the kitchen. We talked to a staff member about certain risky situations and their responses show that they know what to do to keep people safe. 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 excellent 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 enabled to live fulfilling lifestyles, both within the home and in the wider community. They are supported to experience activities that enrich their lives, to maintain contacts with families and friends and enjoy a balanced and healthy diet. Evidence: Each resident has their own weekly routine structured around their work and day centre activities. These have been decided according to their personal abilities and choices. During the week, they take part in a variety of activities either at Elham Valley Vineyard, or the day centre at Barham. The programme offers art and craft, woodwork, media studies and IT, working in the grounds and with animals, horticulture and growing plants, creative design, music and drama, pottery, assistance with wine production, working in the teashop and cooking for fun. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: One day a week, residents stay at home and practice their independent living skills. On the day of inspection, six residents were having an at home day and were doing things such as cleaning their rooms, doing their ironing, or helping in the kitchen. The temporary manager told us that as a result of listening to people, they have changed some daily routines and altered working rotas, so that residents can have a different at home day during the week with different people. Weekends are more relaxed and they can choose what they want to do. Residents spoke to us about some of their leisure activities and things they like doing, for example, going to pop concerts, shows or pantomimes, bus trips to nearby towns, shopping, going to stay with parents and relatives, helping at Age Concern, bowling, snooker, table tennis and meals out. The home has a minibus and people carrier. We saw records of activities that showed other things like trips to pubs, swimming, in house craft sessions, attendance at church for Remembrance Sunday and dinner out at a local cricket club. Residents can choose where they want to go and spend their holidays and times away from the home. The Friends of Broadstreet organise fund raising events and contribute towards the cost of holidays. In the past year they have changed the way they organise peoples holidays, as some do not wish to be away from the home overnight. Those residents prefer to have days out and a series of trips were arranged to places they had chosen for example, the Hampton Court Flower Show, Whipsnade Zoo, Farnborough Air Show, the Doctor Who Exhibition and a river boat cruise at Windsor. A recommendation was made at the last inspection to look at options for residents to make telephone calls in private. As a result of this they have set up a procedure whereby if a person wishes to make or receive a call in private, they close the doors at either side of the small corridor where the phone is situated. Other people can get around the area via a different route and have learnt to respect privacy if the doors are closed. We discussed that another option might be to provide a telephone with a mobile handset that residents could take to their own rooms to use in private. People are involved in choosing and preparing the food they eat. On the day of our visit one resident had gone out shopping with the cook to buy food and then they were helping to prepare the evening meal. Meals are enjoyed together in the dining room. People were seen chatting together over the dining tables and there was lots of laughter. 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. People living in the home benefit from being supported with their personal care in a way that they prefer and they can be assured that they will receive good health care. They can be confident that practices in place for managing their medications will protect them. Evidence: The two care plans that we looked at contained lots of details about those peoples health care and the personal support they need. Records seen and discussion with the temporary manager and one staff member indicate that residents health care needs are closely monitored and followed up where necessary. Staff know how residents like to receive any personal support that they need. They make sure that residents are supported in private with respect for their dignity. We saw that residents are encouraged to dress smartly in the way that they prefer. Staff monitor peoples health and support them to attend medical appointments with doctors, dentists, opticians and a chiropodist, to name but a few. They keep a watchful Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: eye on peoples weight as an indicator of changes in health. They have accessed the services of a dietician where a weight problem and nutritional need was identified. We saw in the records that people are encouraged to access Well Woman and Well Man Clinics and have received input from specialist nurses to improve their quality of life. We looked at the way peoples medications are managed and found things to be in order. Staff are properly trained in giving out medicines. They have acted to address a recommendation made at the last inspection and made changes to the way that peoples medications are managed to make it more safe. They have changed to a blister pack monitored dosage system provided by a local pharmacist. This is better than the previous method whereby staff were putting the medications into daily dose containers. Medications are safely stored and staff keep good records showing the medicines that they have given to residents. We discussed that regular audits would be a good way of monitoring that things are as they should be and are an added measure to make sure that any errors are quickly picked up. 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. 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: The aim of home is to have a good rapport with relatives so that any concerns are dealt with straight away and do not develop into a formal complaint. The service users guide states that the home will support residents in making a complaint, that they will be listened to and the management will act on any issues raised. It encourages residents to discuss concerns with staff and we saw this happening. Residents are also able to raise concerns and complaints at the regular residents meetings, which are well documented and we saw that this happens too. The complaints procedure is explained in the service users guide. It does not include the address of the commission, but the guide does state that a copy of our last report is available in the office. We spoke to the temporary manager about compiling a complaints procedure in easy read format, to include contact details for the commission and also the telephone number of the organisations head office. This could then be put on the residents notice board, so that it is there for people to see without having to ask for those details. 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 excellent 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 spacious, comfortable, clean, and very homely environment. Broadstreet House is a real home for the people living there and suits their individual and collective needs. Evidence: The temporary manager showed us around the communal areas of the ground floor and one resident showed us their bedroom. We spoke to some of the residents who told us that they like their home very much. We saw that Broadstreet House is very spacious, with lots of different areas for residents to use, giving them choices about where to spend their time. There is an attractive lounge with comfortable seating, another lounge known as the music room, a dining room, a games room and a quiet lounge. Bedrooms are all singles and very much the residents own space. Bathing and toilet areas are clean, well equipped and attractively decorated. The large garden is well maintained and there are tables and benches for people to sit and enjoy their surroundings, weather permitting. Residents had made a snowman recently that although it had started to melt away, still provided a talking point. They employ a full time gardener and part time maintenance person who keep the home and grounds well maintained. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: There is a spacious well equipped kitchen, where residents can get involved in food preparation. The temporary manager indicated that they have a planned maintenance and improvement programme for the environment and they have plans to refurbish the kitchen next. They have an emergency box in case of a power cut, or similar emergency, but again, we learnt that they have plans to purchase a small generator, as an added safety measure. We saw that the home was clean, bright and airy. Radiators are all of the low surface temperature type to reduce the risk of burns. The AQAA indicates that environmental risk assessments are carried out and regular health and safety checks completed. The standard of cleanliness within the home is very good. Residents are encouraged and supported to clean their own rooms and shared living spaces. The AQAA indicates that they have a policy on infection control, staff are provided with training and know how to reduce the spread of infection. There is a well equipped laundry room. 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 have a good understanding of the residents and positive relationships have formed. Residents benefit from the well trained, enthusiastic and supportive staff team and can be assured that the homes recruitment practices will protect them. Evidence: There continues to be a stable staff team that know the residents well. There have been some changes in the past twelve months and new staff have settled in well. We saw this for ourselves and noted good interactions between residents and staff. We spoke to a new staff member about their experience when they first started work at the home. They described a thorough recruitment and induction process. They spoke about a recent a residents meeting when they had thanked residents for accepting them into their home and making their job rewarding. They went on to say, Its been a pleasure to work with them (residents) and they are a pleasure to take out. The AQAA indicates that a good proportion of staff have achieved their National Vocational Qualification (NVQ) in care level 2 or above and the rest are currently working towards it. We saw the staff training matrix and staff records that show a Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: commitment to staff training. Staff are 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 good recruitment procedures are being followed. Pre employment checks are made to safeguard people living in the home, for example, references and criminal records bureau (CRB) checks. A thorough induction training process is followed and records are kept. Staff say they like working at the home and feel well supported by the management team. 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 managed in a way that promotes residents best interests and protects their health, safety and welfare. Evidence: There has been a change of management at the home during the past year. The previous registered manager, who had been running the home since it opened, left in March 2008. A new manager started in April 2008 but her probationary period was unsuccessful and she left in September. The current temporary home manager has been in post since October 2008. She has worked at the home for many years and has her NVQ level 3 in care. The previous registered manager had set up good management systems and the home has consistently been run well. Our visit has confirmed that the high standards evident at previous inspections have been maintained. The home has consistently sustained good standards and some outcomes for residents are excellent. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: There are some quality monitoring processes in place, including, regular residents meetings, staff meetings and monthly visits by one of the directors. Residents are able to air their views and are consulted about things that happen in the home and affect their lives. Parents are shareholders and they have regular meetings and an annual general meeting. Residents views are recorded in the residents meeting minutes, but at the last inspection a recommendation was made to formalise the process by bringing all these elements together within a quality assurance report. This has not yet been done due to the change in management. The monthly visit reports that the legislation requires to be done by a representative of the organisation have lapsed over the past year and only two copies were available at the home, the last of which was dated August 2008. The temporary manager confirmed that the visits do take place each month, but they have not been recorded. This is something that is important, as it is a mechanism to show that standards are monitored and can identify things that require action to be taken. The AQAA indicates that the homes equipment is being maintained. The staff training matrix indicates that training on safe working practices takes place. Updates have been booked to take place within the next few months. Regular health and safety checks are carried out. 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 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!