Inspection on 19/02/09 for Broadview (Anchor House)

This inspection was carried out on 19th February 2009.

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

Broadview (Anchor House) 19/02/07

Broadview (Anchor House) 15/11/05

Broadview (Anchor House) 29/06/05

Broadview (Anchor House) 29/03/05

Broadview (Anchor House) 09/02/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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: Broadview (Anchor House) 245 Brompton Farm Road Frindsbury Extra Rochester Kent ME2 3NW     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: Sandra Crosby     Date: 1 9 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 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: Broadview (Anchor House) 245 Brompton Farm Road Frindsbury Extra Rochester Kent ME2 3NW 01634717295 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): barbara@anchorsupport.org Mr George Patrick Parkinson,Mrs Marian Parkinson Name of registered manager (if applicable) Mrs Barbara Buxton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 3. 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 Broadview is a care home providing care and accommodation for 3 younger adults who have a learning disability and some additional needs. The home is owned by Mr George and Mrs Marion Parkinson and Barbara Buxton is the registered manager. The home is part of a local organisation that also provides a small domiciliary service and supported living accommodation to younger adults. Care Homes for Adults (18-65 years) Page 4 of 29 care home 3 Over 65 0 3 Brief description of the care home The home is situated in the outskirts of Frindsbury/Strood town centres. It is on a bus route and has access to local facilities; shops, a park and a pub are all within easy walking distance. The property is a small but spacious detached bungalow and all service users have their own bedroom and access to ample communal space. There is a well-tended garden to rear of the property that is accessible to wheelchair users. Parking is to the rear of the home and is accessed via a private road. The home displays inspection reports and information about their service and ensures service users and their relatives have access to this. Fees range from £750.00 - £1,900 per week. 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 peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means that people who use this service experience excellent, quality outcomes. This report contains the findings of the homes key inspection and takes account of information obtained from various sources since the last inspection of 19 February 2007, including an Annual Service Review dated 26 February 2008 and a visit to the home. The key inspection visit was unannounced and carried out on Thursday 19 February 2009 between 10.00 and 14.00 hours. During the inspection the inspector spoke with the two support staff on duty and one service user. The Registered Manager who was Care Homes for Adults (18-65 years) Page 6 of 29 attending a training day on the day of the inspection visit was telephoned by a member of staff to inform her that an inspection visit to the home was taking place. Various records were seen and an accompanied tour of some areas of the home was made. Information contained in the completed Annual Quality Assurance Assessment (AQAA), was comprehensive and information gained and observations made at the time of the inspection visit has been used when completing this report. The aim of the visit was to carry out an inspection against the key standards of the National Minimum Standards for Younger Adults in accordance with the Inspecting for Better Lives (IBL) process. Judgements have been made for each outcome area in this report and these have been made using the Key Lines of Regulatory Assessment (KLORA), which is guidance used to ensure that a fair and proportionate judgement is made in each outcome area. More information about KLORAs can be found on the Commission for Social Care Inspections (CSCI) website. The findings of this inspection were discussed with the Registered Manager during a telephone call on the 04 March 2009, and overall indicate that this home provides sustained good quality outcomes provision for the service users and in line with CSCI ratings agenda this service has achieved an excellent 3* rating. 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 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. Service users can be confident that a comprehensive assessment of their needs is undertaken and that the home will support each individual in meeting these needs. Evidence: The Statement of Purpose and Service User Guide for the service was not viewed at this visit, however a Customer Handbook was seen that provided pictorial information in relation to Equal Opportunities, Being a Woman, Your Skin Colour, Your Religion, Your Health and Disability and How to Communicate. The Registered Manager during a telephone conversation confirmed that the Service User Guide had recently been reviewed and updated. The completed AQAA documentation states there has been no new admissions to the home since December 2006, and indicates that the service has an admission assessment that involves both the new service user and their family friends or advocates as part of the process. The service users who are already living in the home have time to meet prospective service users and interactions can be observed during Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: this time. Records of the pre-assessment process were available and seen at the last inspection visit and these were supported by a complete assessment provided from the Local Authority. The assessment process includes individual needs in all areas as stated in Standard 2 of the National Minimum Standards together with the support that will be required in this area. The assessment process also identifies as to what an individual can manage for themselves and possible potential for development. This was seen to be an ongoing process, whereby regular reviews were being carried out to monitor any changing needs as the service user became more familiar with the home. Records demonstrated that the home is continually monitoring individual needs to ensure that they can meet any ongoing changes. There is a small staff group in place and they have undergone appropriate training in order to ensure that they have the skills to deliver good care and support. Observations throughout the visit showed that staff interacted well with service users. All three service users in the home have different levels of communication and staff were observed speaking and interacting with people in a manner that recognised individual diverse needs. 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. Service users benefit from comprehensive care plans that are aimed at supporting them in meeting individual needs and preferences. Staff support service users in making decisions and act upon the choices that are made. Evidence: All service users in the home have a full and comprehensive plan of care in place. These are known as life books and service users are fully involved in this process. Personal files were viewed and they were seen to contain detailed information on individual service users. It was evident that these have as far as possible been prepared with the service user. These Life Books are set out in sections with detailed information contained in each. The first section relates to individual skills, covering a wide range of daily living and personal skills and assessed abilities. It also sets out the potential for development through ongoing support. There is a descriptive daily care plan in place for regular Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: personal care routines that identify how to fully support the individual. Importantly these take into account the preferences of the service user and are reviewed regularly and amended as further preferences are identified. There were detailed descriptions of guidance on how to care for the service user, and clear evidence of making informed decisions. It was evident that the care plans are tailored to each individual and where there are limited communication skills, the set routines and guidelines within these care plans are more in-depth, and for service users who have a greater degree of dependency they are less complex therefore taking into account individual needs. There are mainly comprehensive risk assessments in place, however it was discussed for example that further written instruction to staff is required in relation to, at what point in time in the duration of an epileptic fit do the staff call for professional healthcare assistance. It was evident that the home had considered the various risks, as there was some detail within the actual care plan format. Telephone discussion with the Registered Manager following the inspection visit indicated that action had been taken, and an appointment was booked with the service users doctor to discuss this issue and amend the risk assessment. Records are now stored more securely and they are stored within a locked cabinet. Service users have access to their own records and there is a confidentiality policy in place. Service users are offered a key to access their own records should they so wish. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from living in a home, that promotes individual choice and ensures that their quality of life is maintained. Service users are supported in accessing a range of activities or life choices in accordance with their needs. Meals and mealtimes benefit service users by being flexible and tailored to meet individual diverse and varied needs. Evidence: There are three service users in the home, one of whom is reasonably independent, whilst the remaining service users have more complex needs. The home is committed to enabling people to develop their communication, social and emotional living skills as well as promoting their independency in managing as much of their lives as they are able. Individuals daily lives are about them and any activities that they wish to Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: participate in are of their own choice. During the visit staff were observed promoting individual choices and listening to their preferences. The completed AQAA documentation states in relation to activities that all three service users had a holiday to Blackpool, and this was the first time for a long time that one of the service users was enabled to go, as the hotel was fully equipped to meet all her needs. Staff spoken with confirmed that a further holiday to Blackpool was planned. Information in the completed AQAA documentation states that the service has managed to access adult education classes for two of the three service users and also found a reliable wheelchair taxi, and staff spoken with confirmed this. The friends who lunch club is proving to be very enjoyable for the service users in the home and the people who visit, and staff confirmed that this group of people getting together has increased and that the service users and staff enjoy this activity. A person provides regular activity sessions and all service users enjoy these sessions. Where possible and abilities allow, service users are promoted in assisting with general household duties including shopping, cooking and doing their own washing. The involvement of family, friends and advocates is promoted and families are invited to attend reviews. Visitors are welcome at any time. The home also maintains close contact in order to ensure families are aware of any changing needs or concerns with regards to individuals, and this in done in agreement with individuals. During telephone discussion with the Registered Manager she talked about a recent birthday party for one of the service users that had taken place at the home. Although there are only three people, all service users are very individual in needs and preferences with regards to eating. The home has allowed for this in that all meals and mealtimes are very flexible and service users are individually catered for. One service user has a swallow reflex problem and is fed via a peg feed and there is a risk assessment in place for recognising when this service user is able to try small amounts of specially prepared foods and records are maintained. This allows the service user the opportunity to enjoy food on occasions. Staff have had training with regards to the peg feed and also specialised training in recognising any swallow reflex difficulties. The two staff members spoken with confirmed that they had completed this training. There are no pre-planned menus as such, due to the varying needs of individual people, but discussions indicated that individuals take part in the planning of the shopping and can then choose what they prefer to eat on any given day. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect, and autonomy over their chosen way of life. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Care Homes for Adults (18-65 years) Page 17 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. The home places a high value in supporting service users with their personal care needs and individuals benefit from this. Healthcare needs are mainly well met. The systems and structures for supporting people with their medication promote their safety and welfare. Evidence: The three service users in the home have varied dependent needs in regards to their personal care varying from needing prompting to full support. Care plans all showed how to support individuals in accordance with these needs and detailed how this should be delivered. These plans also identified as to how promote the inclusion of each person and where possible allow for as much independence or supporting of increasing their skills as possible. The approach was person centred and outcomes were clearly recorded. Healthcare needs are well met with clear records seen within the care plan structure of involvement from various health professionals including doctor, dentist, optician and specialist nurses. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Medication is well managed with good records being maintained. There are individual records kept in each service users file and the relevant information leaflets for each individual prescribed medication are in place. The home keeps a record of medication received into the home. Good examples of protocols regarding medication that needed to be taken as and when were also seen. The home has also good procedures in place for monitoring any illness and end of life issues and this has been dealt with in a sensitive and caring manner that recognises the capabilities and understanding of the service user and takes into account theirs and/or their families wishes. Care Homes for Adults (18-65 years) Page 19 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. The home has a clear and effective complaints system in place and service users are protected by robust adult protection policies and procedures. Evidence: The completed AQAA documentation states that there are copies of the complaints procedure at the home. This is available for service users, family or friends, and is also on audiotape and in picture format. The service follows the Kent and Medways adult protection policies and the Registered Manager is a trainer for Adult Protection and attends updates when required. The completed AQAA documentation also states that no complaints have been received in the last twelve months, and the staff spoken with confirmed that families would speak with the Registered Manager if they had any concerns. The home ensures that all staff are fully checked through the Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) system prior to working with service users. The completed AQAA documentation states that the Registered Manager is able to deliver Mental Capacity training to staff at the home. The home places a high emphasis on ensuring the safety and well being of those living in the home. 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. Service users, benefit from living in a well-maintained and homely environment that offers privacy and comfort. Evidence: This is a small well-maintained bungalow situated on the outskirts of Strood. Overall the environment is comfortable and mainly suits the needs of the service users living in the home. One service user has a specially adapted wheelchair to suit her needs and this means that doors are only just at an adequate width. The home is aware of this and is currently looking at the appropriate adaptations for this. Access via the front of the property is not disabled friendly, but there is full disabled access from the rear of the property via a small private road. The home does not promote the use of the front of the property. The completed AQAA documentation states that all bedrooms are decorated to individual tastes and decorating is carried out when required. Two of the service users have specialised lounge chairs that meet their needs. All equipment in the home is kept in good condition and serviced when required. Hot water temperatures are recorded daily as are fridge and freezer temperatures. Bedrooms were individual and personalised, and it was evident through this and the communal living space that this Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: is very much the home of the people who are living in it and all service users were observed to be relaxed and comfortable in the home. All staff attend infection control training and keep up high standards of cleanliness and housekeeping, and the staff on duty confirmed this. 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. Service users can be confident that their care and support needs are met by trained and competent staff, who respect their preferences and choices. Evidence: It was reported at the last inspection visit that full staff details are held securely within the managers office, and a sample of records was viewed. There isnt a key worker system in place, but there is a small staff team who all work closely with the service users and support them in meeting their needs. The home carries out pre-employment checks on all prospective staff members with an application form being completed, two references and an enhanced Criminal records Bureau (CRB) check carried out. Staff spoken with confirmed that all checks are carried out prior to recruitment. There is a full structured induction workbook in place. The induction process also contains key policies and procedures and there is a workbook that accompanies this programme, and one staff member confirmed that they had completed their workbook. There is an ongoing training programme in place and the home fully supports staff in Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: ensuring that they are trained in the mandatory areas required plus additional specialist training in meeting the specific needs of the service users in the home. This specialist training includes stoma care, epilepsy, using a peg feed and equality and diversity training. The completed AQAA documentation states that four of the eight staff have NVQ Level 2 or above, and one member of staff spoken with confirmed that she started the NVQ Level 2 last month. Observations throughout the visit showed that staff related well with service users and interacted well responding on a one-to-one basis with each service user as needed. Staff confirmed that they felt well supported and that they had plenty of training opportunities. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. 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. Service users benefit from a manager who is clearly committed to safeguarding and promoting individuals independence, rights and choices and is assisted by a stable staff team who offer a good quality of support to the service users. Service users can mainly be confident that their health, safety and welfare is promoted by the philosophies of the home and quality assurance processes support this. Evidence: There is a registered manager in place who has worked at the home for a number of years. She has the appropriate NVQ qualifications and is also trained as a trainer in areas such as Adult Protection and equality and diversity. She regularly undertakes ongoing training to update her skills. The home is well managed and is run in the best interests of the service users. The atmosphere within the home was relaxed and everybody interacted well together and service users are able to participate in the daily running. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: There is a quality assurance process that includes seeking the views of the service users, families, health professionals and commissioners of the service. Individual views are listened to and acted upon. There are regular monthly health and safety audit checks ensuring that all equipment is regularly serviced and maintained safely. Staff are fully supported through the training programme and ongoing supervision. A declaration has been made in the AQAA documentation that the service meets the requirements of the fire regulations and that maintenance of all equipment is up to date. Policies and procedures are included in the handbook and induction booklet, with a full set available in the office. An issue discussed in relation to the health and safety of service users and staff indicated that before there were two staff on duty in the morning the one night carer bathed one of the service users. Although the carer had means on her person of getting assistance, due to the health difficulties of the service user the carer would be unable to leave the service user in the bathroom. Therefore the carer would be unable to provide assistance to the other two service users should this be needed. This issue was discussed in a telephone conversation with the Registered Manager, and she agreed to take immediate action in relation to this issue and confirmed that procedures would be immediately changed. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (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 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!