Inspection on 09/12/08 for Brookland House

This inspection was carried out on 9th December 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brookland House 11/12/06

Brookland House 17/07/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Brookland House 2 Watson Place St Judes Plymouth Devon PL4 9QN The quality rating for this care home is: 1 Star/ Adequate 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: Kim Fowler Date: 0 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 35 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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 35 Information about the care home Name of care home: Address: Brookland House 2 Watson Place St Judes Plymouth Devon PL4 9QN 01752690684 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Nicholas Simon Troke, Mr Nigel Bruce Troke Name of registered manager (if applicable) Miss Vicky Anne Parker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 Learning disability Additional conditions: Date of last inspection 1 1 1 2 2 0 0 6 A bit about the care home Brookland House is a small terraced home in a residential area in the centre of Plymouth. And Westlake Care owns the Care Homes for Adults (18-65 years) Page 4 of 35 home. There is a bus stop near the home where people can take buses into the city centre or other places. The house is close to shops and the city centre. Three people with learning disabilities can live in the home and some may have behaviour that will challenge the service. The people living in the home have their own cars. Care Homes for Adults (18-65 years) Page 5 of 35 There is a courtyard at the back of the house. Fees levels are between 3313.33 pounds and 3927.33 pounds, although these may vary depending on people’s individual needs. Care Homes for Adults (18-65 years) Page 6 of 35 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: 1 Star/ Adequate. Choice of home Individual needs and choice Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 35 How we did our inspection: This is what the inspector did when they were at the care home. The inspection was carried out by one inspector who visited the home without telling anyone she was coming. She was there from 9:45am to 3:40pm on Tuesday 9th December 2008. Throughout this report the term “we” will be used as the report is written on behalf of the Commission for Social Care Inspection. We looked all around the home. We met the people living in the home and spoke to all the staff and the manager. Care Homes for Adults (18-65 years) Page 8 of 35 We looked at the care records of both people living in the home. We looked at other records that told us how the home was run. This included staff records and health and safety records. Before the inspection an Annual Quality Assurance assessment (AQAA) was completed by the manager. What the care home does well Relative surveys returned in the last inspection said, “Cant praise the home enough. Care Homes for Adults (18-65 years) Page 9 of 35 The manager of Brookland House encourages staff training and development ensuring that people who live at the home receive the best possible service. Staff supported people who needed help in a relaxed and helpful way. What has got better from the last inspection The care plans state what restriction people have and who they were agreed by. The AQAA states that re-decoration work was carried out at the home in order to freshen up the paintwork. Care Homes for Adults (18-65 years) Page 10 of 35 What the care home could do better The home must be of sound construction and kept in good repair at all times. All areas of the home must be made safe to ensure a safe environment for people to live in and all areas must be kept reasonable decorated. The home must be well-maintained safe, bright and provide sufficient heat to meet the individual needs of people living in the home. Individual bedrooms must protect the privacy and dignity of people living there. Care Homes for Adults (18-65 years) Page 11 of 35 Inspection of the premises, recorded visits and discussion with the manager by the Registered Provider would highlight urgent repair issues. All staff receiving Fire drill training would ensure that staff are prepared and trained in evacuation procedures. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Kim Fowler. CSCI Colston 33 33 Colston Avenue Bristol BS1 4UA Care Homes for Adults (18-65 years) Page 12 of 35 T: 0117 930 7110 F: 0117 930 7112 E: enquiries.southwest@csci.gsi.gov.uk 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 13 of 35 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 14 of 35 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 new admissions referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. Evidence: The Registered Manager confirmed that there had been no new admissions for a number of years and no new admissions are currently planned. The manager confirmed that the home has a pre-admission assessment document in place if needed. It was clear from the information provided by the manager that if any new admissions are referred to the home there are procedures in place to ensure a trial visit period and documents to record the person full care needs. This procedure is based on person centred planning to ensure any prospective new admissions are suitable for admission to the home. Previous inspection reports confirm that the two people currently living in the home had pre-admissions completed and undertook trial visits to the home before moving in. Care Homes for Adults (18-65 years) Page 15 of 35 Evidence: This information is important as it provides prospective admissions the assurance that not only can their health care needs but also their physical needs are managed and met by the home. This is particularly important where people are unable to express themselves verbally. These care plans give detailed instructions to all staff as well as information to new staff to ensure intimate personal care is being provided in a manner that meets with the approval of people receiving the care. The homes AQAA returned to the Commission under what they can do better states, If we were to go through the admissions process again in the future I would ensure that a Mental Capacity Assessment had been carried out to determine how much involvement the service user would be able to have in making choices about their new home and where necessary a best interests meeting would be held to determine this. Care Homes for Adults (18-65 years) Page 16 of 35 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 are encouraged and supported to make daily decisions as much as possible about their own lives to maintain their independence. Evidence: Both files of the people currently living in the home were examined and held individual care plans in place and the details held on these files are needed by staff to meet individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage people who can have restriction on their communication. Each individual plan provide staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. Each persons file held information on all aspects of individual care including, a list of all professional involved, money and how and who manages this and information on medication currently being taken. Care Homes for Adults (18-65 years) Page 17 of 35 Evidence: Both files showed that regular reviews and update were undertaken. Restrictions and limitations on freedom are detailed and have involved outside agencies in these agreements. This was a recommendation from the last full inspection. Observation showed that staff encourage each person to be as independent as possible, even though this is difficult due to the individual complex needs and at times the 2:1 staffing ratio. Both individuals have recorded information on their daily planner that showed the daily routine of the house and any activities planned for the day. This was produced in a symbol format to ensure that both people were provided information to understand what activities and tasks were planned. Individuals have a bank account in their name and signed for by the next of kin. Each person has a petty cash account and both were checked during this inspection. A clear audit trail showing income, expenditure and receipts were kept for each account. Each file held individual risk assessments for both outside and in-house activities and how each activity could be managed safely for both the staff member and the person concerned. This information is important to minimise risk for all and is updated if a new activity is undertaken. The homes AQAA states that they could do better wrote, We could improve our recording system to show when service users have made decisions and when they have chosen not be involved. Care Homes for Adults (18-65 years) Page 18 of 35 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living in Brookland House can be confident that the home will promote and provide support for them to access the local community and leisure activities as much as possible. Evidence: The manager confirmed that due to the needs of people living in the home they are unable to undertake training or educational opportunities. However the home arrange different activities within the home to ensure each person has a structured activities programme. Other social activities included local shops and swimming in a local pool. Each person has their own transport and extra staffing is provided to enable each person to go out individually and the staff arranged regular trip out based on individuals preferences. The home benefits from being a walk away from local shops and the main town centre Care Homes for Adults (18-65 years) Page 19 of 35 Evidence: with a large shopping centre is also close by. A picture collage displayed in the dining room showed some of the trips out people in the home had undertaken. The homes AQAA records under what they do well, The variety of daily activities offered to and completed by service users can be found by looking at activity assessment records. Evidence was recorded in the files examined of input from relatives and friends. The staff confirmed that several people have regular visits from family members and some people visit the families at home. The staff working in the home supports each of these home visits. Observation throughout the day was people living in the home participating in daily routines including tidying up. Information held on files is used to promote the respect, privacy and dignity of each person living in the home and the home and the grounds are assessable for both people living in the home. One relative said in a survey sent to the Commission for a previous inspection said, Cant praise the home enough. Each meal and the daily menus are recorded into individual files. These records showed a varied diet and evidence of a good variety of nutritious and wholesome meals are offered with individual likes and dislikes taken into account. Care Homes for Adults (18-65 years) Page 20 of 35 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 were observed promoting individuals independence and providing good personal support promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of both people living in the home. Evidence: All personal support is recorded into individual care plans and these are easily accessible for staff and both rooms are single. Individuals who require assistance with moving has a moving and handling plan and risk assessment to assist staff on how each person prefers to be supported. The manager confirmed that an Occupational Therapist assisted drawing up plans for one person. This ensures consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. Other professionals involved in the home include the local Learning Disability team, Care Homes for Adults (18-65 years) Page 21 of 35 Evidence: SALT, (Speech and Language Therapist), Dietician and Specialist Continence advisors. One person is currently receiving regular input from an outside professional to assist with medication changes. The medication system was checked during this inspection and found to be well recorded and documented. The home uses the blister pack system to dispense medication. The local pharmacist carries out staff training in medication and most staff has completed the Boots System training course. Other training completed by staff includes the Safe Storage and Handling of medication. Some of the staff spoken with confirmed they had completed medication training. The homes AQAA states on what they would have improved over the last 12 months, Service users are encouraged to assist with their own personal care and are helped by verbal prompts from staff. Care Homes for Adults (18-65 years) Page 22 of 35 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 people living at Brookland House can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: Neither the Commission nor the home has received any complaints, however one complaint was sent to the placing authority. This was dealt with and investigated under Safeguarding and the information on meetings and the investigation carried out were held on one-person file. This included new guidelines in place for the protection of this individual. Evidence recorded showed that the home, family and other professional were involved in the investigation and drawing up these guidelines. The home has a complaints procedure in place, however neither of the people currently living in the home are able to make a formal complaint, therefore the manager meets with family members as much as possible. The home uses a local training company to provide Safeguarding training for all staff. And the manager confirmed that she has also completed Safeguarding training. The homes AQAA states, We have taken on the issues raised in the complaint and have implemented control measures to ensure that it does not happen again. Care Homes for Adults (18-65 years) Page 23 of 35 Evidence: Any incidents using the break away guidelines are clearly recorded and all completed forms are sent to the Learning Disability team to monitor. Care Homes for Adults (18-65 years) Page 24 of 35 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Areas of Brookland House would benefit from upgrading and repairs carried out for the safety and comfort of people living in the home. Evidence: A full tour of the premises showed that some areas of the home require improvement and updating. The bedroom of one of the two people living in the home was examined and showed it required painting and decorating. The window in this room was broken and would not close securely neither was it fitted with safety glass. Taking in to consideration the person who sleeps in the room who can at times challenge the service it must be considered to be a urgent safety issue and a necessity due to the cold winter wind that blows through the unclosed window. This bedroom did not have curtains fitted to the window during the day as the person who sleeps in this bedroom pulls them down. The manager stated that the staff do put the curtains up at night. The radiator was covered with a wooden cover, however this was broken and the heating could not be individually controlled. The walls in this room had several areas were their were holes in the wall and the bedroom door also had a hole therefore not protecting the privacy for this person and the manager stated this door was not fire resistant. Care Homes for Adults (18-65 years) Page 25 of 35 Evidence: The lounge area also had a broken window that did not close properly and caused a cold winter wind to blow into the house. The lounge carpet was stained. The dinning room had a large crack in the ceiling and no curtains were fitted. The manager stated that curtains were fitted at night, however the curtains available to put up at night were not wide enough to cover this window and only held 4 hooks to secure them in place. The front door on entry to the home was old and required painting or replacing. This door did not have any security system for people to check who was calling. Taking into consideration the location of the home, near a busy main route, this could be unsafe. The manager reported that on two occasions when the door had been opened someone had pushed their way into the home. The other bedroom showed it to be comfortable and well decorated with personal items displayed. The proprietor carries out regulation 26 visits (these visits are to be carried out by the registered provider to inspect the premises and write a written report) but it was reported to the Commission that a tour of the premises is not routinely undertaken and documented. The AQAA under our plans to improve over the next 12 months records, We need to secure a more efficient maintenance programme. Care Homes for Adults (18-65 years) Page 26 of 35 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 . People living at the home are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: The staff were observed throughout the inspection responding sensitively and respectfully to each person living in the home and thus were able to use their knowledge of individuals to encourage choice and independence were possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and some of the activities sessions observed showed that the staff and the people living in the home having fun in a relaxed friendly atmosphere. The staff interviewed confirmed that there was sufficient staff on duty to meet the current needs of people living in the home. On the day of the inspection there was the manager, a new manager, who will take over from the existing manger when Vicky Parker leaves to take up post in another home the registered providers are opening, deputy manager and three care staff. The home also provides waking night staff and Care Homes for Adults (18-65 years) Page 27 of 35 Evidence: an on-call system for the management. Observation showed that the staff members on duty were aware of individuals needs and how best to support them. Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Discussions with manager and the staff showed that all staff participate in and update training course when needed. The training recorded in individuals files show that induction, adult protection, first aid, health and safety, medication, food hygiene, National Vocational Qualifications (NVQs) and courses related specifically to working with people with learning disabilities is regularly undertaken. These include course on epilepsy and the Mental Capacity Act. The homes AQAA records that in the next 12 months they will, I need to make time to complete formal supervisions regularly. Several staff members were spoken with during this inspection and all confirmed regular training was offered. These staff also felt that they were able to express their view at staff meetings held in the home. No formal supervision has been recorded since November 2007. The manager states that some were carried out in May but were not recorded. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. One staff member said, good company to provide training and will support people by arranging transport to training venues. Care Homes for Adults (18-65 years) Page 28 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The management of this home is very good and ensures that records are effectively maintained. Staff trained in Fire Evacuation procedure would ensure staff are prepared and properly trained to assist people in an emergency. Evidence: The Registered Manager, Vicky Parker has been at the home for a number of years and registered with the Commission for 2 years. Vicky Parker also holds the NVQ 4 in Care and the Registered Managers award. Vicky is due to move to a new home the company has purchased and is currently assisting the new manager to settle in post. The new manager will start the registration process with the Commission shortly. Concerns were raised about the new duty rota for the new manager as it showed that this manager would be working on several care shifts. Some staff felt this would inhibit the people living in the home to access the community on a regular bases as their would be insufficient staff to support them. Vicky Parker stated that the management duties are being designed to work on care shifts and she would still be involved in Care Homes for Adults (18-65 years) Page 29 of 35 Evidence: overseeing the running of the home. Discussions with the staff on duty confirmed that the manager is approachable and is highly thought of by all spoken with. Due to the needs of the people living in the home neither are able to complete quality assurance questionnaire. The manager has sent surveys to family members. The manager confirmed that the home and family members have a good relationship and met regularly to discuss any issues of concern. The AQAA goes onto say, We have now produced a new Company quality assurance programme. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoist ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are not being carried out by the Registered Provider under Regulation 26 visits, this is were the registered provider is not in day to day charge of the home and shall visit the home to inspect the premises and prepare a written report. The manager confirmed that staff are not receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Care Homes for Adults (18-65 years) Page 30 of 35 Are there any outstanding requirements from the last inspection? Yes  No  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 31 of 35 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 Description 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 Description Timescale for action 1 24 23 All areas of the home should 27/02/2009 be kept clean and reasonable decorated. -The bedroom of one individual should have holes in the wall repaired. -This bedroom radiator cover should be repaired. -The stained walls should be cleaned or repainted. -The lounge carpet should be stain free. This would ensure that all the people living in the home live in a pleasant environment and is hygienically safe for all. 2 24 12 The home should make 27/02/2009 suitable arrangements to ensure that the care home is conducted in a manner that respects the privacy of people living in the home. -Therefore any holes in individuals bedroom door should be secured. Page 32 of 35 Care Homes for Adults (18-65 years) -All curtains must be able to drawn and closed. All people living in the home would have their privacy maintained. 3 26 16 The home must be well 27/02/2009 maintained and made safe for the people living in the home therefore: -All windows should have curtains that fit. -All windows should be fitted with safety glass. -All windows must be able to be shut. This would ensure people live in a safe and well-maintained environment. 4 42 26 27/02/2009 Where the Registered Provider is not in day-to-day charge of the home he shall visit the care home to inspect the premises and report any repairs or maintenance issues. Inspecting the premises regularly would ensure that any repairs or maintenance issues would be recorded and undertaken to provide the people living in the home with a safe and wellmaintained environment. 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 36 Regular supervision should be carried out and recorded. Page 33 of 35 Care Homes for Adults (18-65 years) 2 42 All staff should have regular Fire Safety Training and in particular Fire drills. Care Homes for Adults (18-65 years) Page 34 of 35 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 35 of 35 - 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!