Inspection on 14/01/09 for Camberley Cottage

This inspection was carried out on 14th January 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camberley Cottage 29/01/08

Similar services:

Southfields

Thorndene

Sutton Lodge Nursing Home

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Magenta

Seabourne House

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Dovedale Court

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Camberley Cottage 1 Coolarne Rise Camberley Surrey GU15 1NA     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: Mavis Clahar     Date: 1 4 0 1 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. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Camberley Cottage 1 Coolarne Rise Camberley Surrey GU15 1NA 01276686898 02392251331 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Brenda Smith Type of registration: Number of places registered: Dolphin Homes Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: The maximum number of service users to be accommodated is 6. 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 categories: Learning disability (LD) Physical disability (PD) Sensory impairment (SI) Date of last inspection Brief description of the care home Camberley Cottage is owned by Dolphin Homes. It is a newly built home for up to 6 people with learning disability, physical disability or sensory impairment. It has been suitably adapted for access and has a lift to the first floor. It is located in a residential road in Camberley with access to buses and local facilities. 6 6 6 Over 65 0 0 0 Care Homes for Adults (18-65 years) Page 4 of 29 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: 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: The last Key Inspection for this service waas completed on 29th January 2008. Fees charged at this home are nine hundred to fifteen hundred pounds per week. This unannounced site visit, which forms part of the homes key inspection to be undertaken by the Commission for Social Care Inspection (CSCI) was undertaken by Mrs Mavis Clahar on the 14th January 2009 and lasted for six hours and thirty minutes; commencing at 09:35 hours and concluding at 16:07. The CSCI Inspecting for Better Lives (IBL) involves an Annual Quality Assurance Assessment (AQAA) to be completed by the service, which includes information from a Care Homes for Adults (18-65 years) Page 6 of 29 variety of sources. This initially helps us to prioritise the order of the inspection and identify areas that require more attention during the inspection process. This document was received by CSCI (us) and is referred to throughout the report. CSCI (we) received completed questionnaires from care staff and from visiting professionals to the home and we spoke at length with three service users and their responces and views are incorporated into the report. The registered manager for the home was on a training day and so the Team Leader and the Director of Care assisted on this inspection site visit. The majority of the service users spoken to at the home on the day of the inspection were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from observation by the inspector, speaking with a number of service users, and speaking with care staff. Further information was gathered from records kept at the home, and from the pre inspection questionnaires and data sent to CSCI from the home. The first part of the inspection was spent discussing the inspection process with the Team Leader and later with the Director of Care; (the Director of Care joined the inspection process later) followed by a partial tour of the home which included time spent in discussion with service users and care workers . The registered manager is aware of the Laws regarding equality and diversity, and this was reflected in the staff mix. All service users at the home are Caucasian and reflects the population of the area in which the home is situated. All records sampled were mostly up to date with care plans being signed by the service users or by relatives. Four requirements and one recommendation of good practice were made on this inspection. For further information please see under Requirements and recommendation headings at the end of this report. The final part of the inspection was spent giving feedback to the Director of Care about the findings of the visit. The inspector would like to thank the care staff and visiting professionals who completed the pre inspection questionnaire, service users who took time out of their busy day to speak with the inspector and for making the visit so productive and pleasant on the day. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admissions to the home are not made until a full needs assessment has been undertaken to ensure the home can meet the needs of the service user. The assessment is conducted professionally and sensitively and involves the service user and their family or representative. Where the assessment is undertaken by social services, the home obtains a copy and a copy of the care plans also. Evidence: Review of service users files demonstrated that the home has established a good process of assessing service users needs. This has been enhanced by the joint development of service users care plans with service users. The home uses the Person centred approach to care. It was noted that no two service users assessment of needs were identical. We were told the service users and their relatives or representatives and social services are involved in their assessment and so are able to make decision with support about their care and leisure pursuits. The signatures of service user or Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: relatives and representative on the care plans and also on the records of review meetings for the service user evidenced this.The Service User Guide and the Statement of Purpose have both been reviewed, and are now in a format, which is suitable for people diagnosed with Learning disability. Current and prospective service users are now able to make informed choices about the suitability of the home and its ability to meet their needs. The Statement of purpose now contains information about fees the home charges and how these are to be paid. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are involved in the review of their care, and agreed changes are documented in their care plans, thereby ensuring all care workers have access to this new information.The home encourages service users to make decisions about their daily lives, and to take risks as part of their independent lifestyles, with assistance from the key worker when necessary. Evidence: Random review of service users files demonstrated that service users assessed needs are documented in the care plans and the reviews demonstrated that changing needs are recorded. Two service users files were reviewed and it was seen that their aspirations and goals were documented with outcomes for each. Three service users were present during the visit and each one introduced them self to the inspector. We are of the opinion that the service users are aware of their likes and dislikes, their goals and aspirations as they were able to discuss quite openly with the inspector different aspects of their week day pursuits. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: It is obvious from the information contained in the care plans that the service users were involved in planning their changing needs, and achieving their personal goals. One service user has demonstrated an interest in keeping fit, and is being actively supported by the staff team in achieving this goal by attending the local gym. Care workers spoken to say the assessment of needs is carried out consistently, and that the service users and their families are very involved. Full review of care needs is carried out on a yearly basis with the service user, the care manager and the relatives and all present are required to sign the agreed care plans. It was apparent that service users made decisions about their lives. Review of randomly selected service users files during tracking revealed that service users can and have changed their minds about a decision they had made and have decided to do something different on the day. In discussion with the Director of Care, we were told the homes documentation on service users choices is based on Respect, Independence, Community participation and Community presence. We observed that service users spoke quite openly to us in front of care staff about the home and we formed the opinion that service users were very confident and empowered to voice their opinions. The staff should be congratulated. In discussion with care workers the inspector was told service users are involved in the care of their home. They told us lunch menus are not really planned, as they are able to have what they want, but dinner menus are planned on Mondays for the week following which they do the food shopping. One service user told us there is not enough food bought for the week. One service user eats a lot and so the food is finished before Monday when they do the food shopping. Review of the homes minutes revealed this complaints was made by two different service users and has not been rectified to the service users appreciation. A requirement was made for the home to ensure sufficient food is in the house to meet the nutritional needs of the service users. The Team Leader told us service users are out of the home every day of the week doing their chosen activities. Household duties are planned around the service users personal activities and their free time. Review of the service users documents revealed service users are encouraged and supported to take risks to enhance their lifestyles supported by suitable risk assessments in place. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a strong commitment to enabling service users to develop their skills, including social, emotional, educational, cultural communication and independent living skills. Service users are encouraged and supported to identify their goals, and aspirations and work to achieve them. Service users are able to make choices in accordance with their abilities and are provided with balanced diet in pleasant surroundings and in an unhurried way. Evidence: The observed interactions between care workers and service user was relaxed and friendly creating a warm and friendly homely feeling. Service users are encouraged to live a full life and to partake in age related activities such as going to the pub, having meals out attending college of further education, sports, shopping and going to the cinema and the gym. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Their religious beliefs are documented and acknowledged. In discussion with service users we were told their spiritual needs are being met by the home in agreement with the service users. Review of service users records and in discussion with care workers it was documented that Service users are encouraged to make friends outside of the home and to keep in touch with their friends and families as they wish. Service users are enabled to entertain their guest in the privacy of their bedroom if they so wish. On the day of the visit there were no visitors to the home. Records also indicated and supported by the AQAA that service users attend college of further education, enjoy suitable work experiences for two days of the week. The Director of Care told us the home is run on the basis that it is a family home where each member is allocated tasks within their capabilities and sometimes tasks are allocated that will stretch the service user, who is always supported and enabled by their key worker and service users achievements are always acknowledged. Completed risk assessments were observed for service users where it is assessed as necessary to the development of the service user. We were told care workers aided by the service users provide catering service for all at the home. The inspector did not sample the mid-day meal but the service users indicated it was delicious, and the amount was right. The inspector noted a good amount of dry, frozen and fresh food in the home. We observed able Service users are enabled to make drinks as they wish with assistance from their key worker if needed. The Team Leader told us that at their weekly menu-planning meeting they discuss the advantages of healthy diet and aid the service users in making healthy choices. They discuss the meals for the week with each service user encouraged to make at least one choice of main or evening meal. The service users on a weekly basis do food shopping supported by staff. Care Homes for Adults (18-65 years) Page 15 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. Carers understand the principles of giving personal care and support and are responsive to varied and individual requirements of the service users. They recognise that the delivery of personal care is highly flexible, consistent and reliable ensuring that service users receive personal care and support in the way they prefer; and that their emotional and health needs are met.None of the service users at this home are assessed as capable to self-administer their medication. Staff trained to do so administers medication, thereby service users are being protected by the homes policies and procedures on administration of medication. Evidence: Discussions with the Director of Care, Team Leader, three service users and care worker, indicated each service user received the agreed personal care and support as directed in the care plans. Physical and emotional needs identified in the care plans are also met. The care plans are reviewed on a regular basis, visits to the doctor dentist, and dietitian are carried out on an as required basis. Daily care notes are documented dated and signed by the key worker or other care worker as necessary. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: We were told service users are offered and encouraged to use their right to choose what to do, when to do it, what clothes they buy and wear. The AQAA informs service users are actively encouraged to be involved in making choices in the way the home is run. Review of randomly selected service user files revealed that no service user at the home is risk assessed as capable to self-administer their medication. A review of the medication records demonstrated that medication is being administered within the homes policy and guidelines of administration of medicines. We observed medicines are being stored correctly and records of all medication received, administered and returned are kept and are available for review. . Care Homes for Adults (18-65 years) Page 17 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 operates in a manner that supports service users to air their views and concerns, which are acted upon before they can become complaints. Robust safeguarding policies are in place to protect the service users from abuse neglect and self-harm. Evidence: CSCI has not received any complaints about this home since the last inspection, and the Annual Quality Assurance Assessment (AQAA) revealed no complaints made to the home since the last inspection. However, we found documented in the minutes of the residents meetings on two separate occasions two complaints made by service users regarding insufficient food in the home. A requirement was issued to ensure complaints are documented with their outcomes and a record kept by the home. Included in the service users personal folders is the homes complaints policy and service users guide, developed in pictorial and widget symbol format. We were told usually issues raised by service users are dealt with instantly before they can become complaints. Random sample of care workers files and in discussion with the Director of care and care worker it was evidenced that care workers are being trained to recognise and report any act or suspicion of abuse to service users. The Director of Care supported this by the production of the staff training record. The Home is in possession of a copy Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: of the Surrey Multi-agency Protection of Vulnerable Adults Scheme dated 2008. In discussion with Care workers they were knowledgeable about whistle blowing and Safeguarding Adults procedures within the home. Care Homes for Adults (18-65 years) Page 19 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. The physical layout of the home enables service users to live in a safe, wellmaintained and comfortable environment, which encourages independence. Evidence: The home has a well-maintained environment, and service users are encouraged and enabled to personalise their bedrooms. The home presents as a safe place to live with bedrooms that meet the National Minimum Standards for Younger People. The management has a good infection control policy; they seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the homes policy and procedures to reduce the risks of infection. It was noted in care workers file that they attend regular training sessions on Health and Safety issues. Care workers spoken to were knowledgeable about suitable storage and disposal of waste, and the need to keep all dangerous substances in a locked cupboard to prevent risk of harm to service users. The home presents as comfortable with large kitchen come breakfast and dining room and a separate large living room. We were told the home has plans in place to extend the home by erecting a conservatory to provide a proper dining area for the service users. We observed all the chairs in the dining area were heavily stained. A Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: requirement was made to have these chairs cleaned or replaced. All service users have their own bedroom with en-suite facilities. There is a large garden, which is laid mainly to lawn with garden furniture strategically placed for the use of the service users. The atmosphere in the home on the day of the visit was friendly and relaxed with service users volunteering to talk with us about life at the home and the care they receive. Care Homes for Adults (18-65 years) Page 21 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. Care workers in the home are trained, skilled and in sufficient numbers to support the service users who live at the home, and to support the smooth running of the home.The homes recruitment policy needs adjustments. However, the training given to care workers ensure suitably trained and qualified staff meets service users needs. Evidence: Review of service users care plans indicated their named key worker supports service users. Review of care workers training files indicated the manager encourages and enables carers to undertake external qualifications beyond the basic requirements to enable staff to assist the service users achieve the agreed care and social needs identified. In discussion with the Director of Care we were told the company of which the home is part of, employs their own trainer, who identifies and fulfil the identified training needs of the care workers. The home is also updating their training based on the Learning Disability Framework Awards as a sound introduction to care practises for staff caring for service users with learning disabilities. The home keeps an up to date training matrix, which enable management to see at a glance that training has been accessed in a timely fashion. Review of the staff rota indicated that adequate numbers and skill mix of care workers Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: are on duty over any twenty-four hour period to meet the needs of the service users. Two awake carers plus one sleep over carer covers night duty, and three carers plus the manager covers day duty. In discussion with care workers it was verified that normally the home provided training and regular updates for them. A requirement was made for the home to update and improve their application form to include the requirements contained in Schedule 2 (6) of The Care Homes Regulations 2001 (amended) and to be in line with their recruitment policy and procedure, based on their equal opportunities policy that has the needs of the service users at its core. Care workers were very pleased to inform us of their strength in caring for service users at this home based on each service users assessed equality and diversity needs. It was noted that all members of staff were recorded as having had an application to the Criminal Record Bureau (CRB). Review of staff files demonstrated Schedule 2 of the Care Homes Regulations 2001 (Amended) was not always being fully practised by the home. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective equality and diversity and quality assurance systems to ensure service users views are obtained and acted upon.The manager ensures that care workers follow the policies and procedures to maintain the health, safety and welfare of the service users. Evidence: The manager, who was on a training day was not available for the inspection. The first couple of hours of the visit the Team Leader participated with the inspection until the arrival of the Director of Care who participated with the rest of the inspection visit. There is a strong ethos of being open and transparent in all aspects of the running of the home. The home is service user focused and the manager leads and supports a strong staff team who have been trained to a high standard. It was difficult to measure how confident service users were that their views underpin all self-monitoring, review and development by the home due to their learning Disabilities. However, they Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: answered questions when asked and they appear to be very confident with a stranger in their home, and spoke at length about their chosen activities. We were told that residents and staff meetings were held, and that service users and care workers opinions were listened to and acted upon. Service users are encouraged and supported to make choices even when these choices might involve some degree of risks, for which appropriate risk assessments are completed. One service user expressed a wish to learn to drive and the home will be looking into this for the service user. Each service user is registered with the local GP practise, which they access as required. Chiropody service and dental service is also accessed as required. Service users have access to the wider primary health care services and the Director of Care told us the registered manager is aware of whom to contact if the need arises. The manager ensures that at all times the health, welfare and safety of the service user and care staff are promoted and protected by having suitable numbers of trained care workers on duty at all times to meet the assessed needs of the service users. Care Homes for Adults (18-65 years) Page 25 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 26 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 1 7 12 The home must take into consideration the needs of the service users in providing more food in the home. To maintain and protect the health and welfare of the service users in the home. 23/02/2009 2 22 17 The home must ensure all complaints received are suitably documented with their outcomes as required under Care Homes Regulation 2001 (amended) Schedule 4 (11 To ensure the health and welfare of the service users and to demonstrate the management of the home is open and fair. 23/02/2009 3 24 16 The soiled dining room chairs must be cleaned or replaced. 23/04/2009 Care Homes for Adults (18-65 years) Page 27 of 29 To ensure service users are provided with suitable furniture. 4 34 19 Ensure all staff employed by 23/03/2009 the home since July 2004 give a complete work history as per Care Homes Regulation 2001 (amended) Schedule 2. To ensure the health and welfare of the service users are maintained. 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 37 It is recommended that the manager collates the completed questionnaires and then distribute the information to the participants who completed the questionnaires. 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!