Inspection on 27/11/08 for Cornerways

This inspection was carried out on 27th November 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cornerways 13/12/06

Cornerways 09/02/06

Cornerways 28/07/05

Cornerways 05/01/05

Cornerways 09/07/04

Cornerways 03/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cornerways 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY     The quality rating for this care home is:   one star adequate 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: Sue Kinch     Date: 2 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Cornerways 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY 01425613297 01425614595 info@glyn-residential.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Glyn Residential Ltd Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability - LD Physical disability - PD Date of last inspection Brief description of the care home Cornerways, 2 Dudley Avenue is a care home offering accommodation and personal care to three younger adults with learning or physical disabilities. The home is located in a village in the New Forest and there are local shops and a pub within easy reach of the service. All three bedrooms are single rooms. One bedroom is provided with an en suite toilet. The other two bedrooms have external access by means of a French door or patio door. Communal space includes a small kitchen/diner but the home does not Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 3 3 Brief description of the care home have a lounge/sitting room. It is established practice that ,unless personal arrangements out of the home have been planned, the people living in the home go to Glyn Residential at 6 Dudley Avenue, every day where they can interact with others and use facilities such as the computers. They also have access to a mini-bus and this is wheelchair accessible. Care Homes for Adults (18-65 years) Page 5 of 30 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection included a review of the information we hold about the home and of any new information we have received since our last inspection. We received an assessment of the home from the previous manager in an Annual Quality Assurance Assessment document that we required to be completed by March 2008. We used this, together with two surveys completed by people living in the home and two relatives to produce our Annual Service Review in April 2008 and have taken that information into account for this inspection. During the evening visit to the home we met with a representative of the registered provider, the temporary manager, a staff member and the three people living in the home. The visit took place for four hours during which time the home was viewed. A sample Care Homes for Adults (18-65 years) Page 6 of 30 of various policies and records were also considered. In March we were told that the lowest fees for the home were 410 pounds and 900 pounds for the highest. 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 30 Care Homes for Adults (18-65 years) Page 9 of 30 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 30 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. Arrangements are in place to ensure that people considering moving into the home have their needs assessed but the information available should be updated to assist in re- assuring that their needs will be met. Evidence: There has not been an admission to the home for several years and at the time of our visit there was no vacancy. The manager said that there is a process of admission which would usually be started by an approach by social services and an assessment would be obtained. The process would include introductory visits and overnight stays and an assessment by the home including obtaining information from other people as appropriate. There is a service users guide and statement of purpose in the home although some attention is needed to ensure that the service provided is fully and clearly reflected in it. It, for example, should include staffing arrangements for continuity of care and how staff are deployed through out the day. Since the home was opened the people living Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: in the home have gone to another care home on most days between 10am and 6pm. How they are to be supported when their needs are different should be clearly reflected in the statement of purpose. When in conversation with a person living in the home they confirmed that they have a service users guide and this was visible in that persons room with a copy of the contract and a leaflet about protection from abuse. Care Homes for Adults (18-65 years) Page 12 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are encouraged to be involved in decisions about their lives but choices are restricted by the routine of having to be at another care home during the day time unless they are engaged in activities away from the home. Risks are assessed but people would benefit from wider consultations with relevant health or care professionals in this process. Evidence: People living in the home said that they are involved in the planning of their care. One care plan was viewed and discussed with a person living in the home and we found that the person knew about the aspects of the care plan discussed. The person also said that they received the care they needed from staff. We found that equipment identified as needed in the care plan was available. This was also noted in other rooms seen with the people living in the home. Another person confirmed full knowledge of what was in the care plan, that staff knew about care needed, and that person felt supported. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: We noted that care plans are in place for each person and sampled two of them. A sample of key issues for individuals noted by us through observation and discussion, such as mobility,personal care,equipment, epilepsy and diet have been recorded. The manager said that she has reviewed the care plan recording and is changing the format.The records also include action plans for the people living in the home. However we did note that care plans did not contain enough details about how people are support with their finances and the member of staff on duty was not aware of support needed.The manager agreed to address this. We noted from observation of records and discussion with the manager that there are reviews for people which include them and these are organised with social services where possible or held by the home. We noted from discussion with the manager and observation of files that care plans were mostly up to date and are reviewed with evidence of this in October and November 2008. The care plans include risk assessments and action needed to minimise risks are identified. The risk assessments are reviewed. Areas covered include epilepsy, mobility, bedrails assistance at night and health (and other areas). A conversation was held with the manager about the lack of clear evidence of consultation with people living in the home or other professionals, where necessary, about some risk assessments and the effectiveness of control measures. A discussion was held with the manager to ensure that higher risk matters are regularly reviewed with other professionals. She agreed to do this. From individual and general conversations with people living in the home,the staff and the manager there is evidence that people are able to make some decisions and choices about their lives. They discussed plans for some social events, individual reviews and have just started having resident meetings at the home. However,there are limits to choice by the arrangement for people to go daily to another registered home unless they have individual plans for that day. In a group discussion all people commented or gestured favourably on this arrangement and like various aspects of it. The management, however, said that they could not engage in full person centred planning to incorporate the options of staying at home more with current funding arrangements. Following discussion about risk assessment and promoting independence they agreed that independent use of the home could be risk assessed for one person if it was wanted. It was recommended that any such assessment includes relevant professionals. Care Homes for Adults (18-65 years) Page 14 of 30 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. People,living in the home are involved in the planning of their day and a range of activities but choice and decision-making is provided within the routine of spending most days at another care home owned by the company. People would benefit from more adaptations to to the environment to enable more independence. Evidence: People living in the home are supported to develop their own interests and this was noted from group and individual conversations. People spoke about use of computers, needlework, doing charity work, wheelchair dancing and carriage riding. All people go to another care home each day unless they have other arrangements and for some people the latter includes part time attendance at a day centre. In the last year there has been some reduction in the availability of other day services and alternatives have not yet been found. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: In a group discussion including a member of staff we were told about some of the trips that people have enjoyed and are planning. They spoke about an annual trip to a pop concert which they had all planned and one person had been involved in the booking. They said they were planning to go the the theatre for a Christmas pantomime. They also spoke about holidays which they had had. These are in other registered home settings rather than a full choice of holiday. Contact with family members is supported and two people spoke of regular contact and involvement including breaks away from the home with them. Another person is supported in communication with the use of a pictorial book and on the day of our visit a lap top had been purchased to aid regular communication with relatives. Food is provided for people living in the home. The the kitchen facilities have not been adapted for maximising the independence of people with disabilities although such development having taken place had been referred to in the AQAA by the previous manager. Breakfast is provided at the home but a record of this is not held there. The manager agreed to set this up. Other meals are provided at the other home and records of these meals were also not available at the home. There was no evidence that there was a choice of having other meals in this home. People are able to have a say in the food provided at mealtimes in the other home and on the day of our visit one person said that supper had been lovely. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assisted with health and personal support based on their needs and wishes but this would be enhanced by some risk assessments being reviewed with health or care professionals. Evidence: In the sample of care plans and risk assessments we noted that physical and health needs and care routines are recorded with action plans to meet those needs. We discussed some of the support with people living in the home. One commented on being treated with dignity by the staff. Another said that staff are good at what they do. We noted during our visit that the staff member advocated for one of the people living in the home to ensure that their needs were met when they preferred it. The member of staff was able to clearly describe the support needed and showed a caring approach to the person. We noted that some of the risk assessments included individual health and safety Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: matters, as referred to in the section on individual needs and choices, but needed to be reviewed with health or care professionals. In the records held by the home we noted that there were records of appointments for meeting health needs including physiotherapy, speech and language therapy,dentistry and chiropody within the last year. We noted in discussion and observation of records that staff are provided with relevant training such as in moving and handling and medication. A member of staff confirmed to have received the training during induction. One of the people living in the home spoken with on the matter was aware that staff had received, moving and handling and first aid training and said that staff know how to use the equipment. The manager said that a specific piece of refresher training was planned to take place for staff from the continence nurse. Medication was observed by us as it was administered. This was completed within national guidance and was recorded after being administered. Records reflected the drugs given. Medication was securely held. Care Homes for Adults (18-65 years) Page 18 of 30 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 provides opportunities for the people living in the home to raise concerns and has the procedures in place to safeguard people. Evidence: In the AQAA the manager said that the home had not received any complaints since the previous inspection. At this inspection the temporary manager said that there had not been any recent complaints and that a new log book had been established. This had no complaints recorded in it although had only just been introduced. In the AQAA it stated that the home had procedures in place for people to raise concerns. The manager showed that the home had minutes of a recent house meeting in which people were consulted. She said that these would continue.( It was noted that the minutes included some personal issues and advice was given to ensure that personal matters are only recorded in personal files.) People living in the home are encouraged to express their views. One person said that they felt able to talk to the staff and thought that staff try and sort things out if needed. Safety was briefly discussed with one person living in the home and that person said that they feel safe in the home. They also had information about the risks of abuse in Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: the home and a service user guide that they could access. Adult protection and the safety of people living in the home was discussed with a member of staff who showed an awareness of the potential risks and of action to take if they had had any concerns.That person said that they had received some initial training in adult protection as part of their induction in supervision. We were unable to check aspects of money management as the member of staff on duty was not aware of arrangements. The manger agreed to address this and ensure adequate information is in care plans. Care Homes for Adults (18-65 years) Page 20 of 30 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. People living in the home have a clean well maintained and hygienic environment but would benefit from a review of adaptations for people with disabilities in the kitchen. Evidence: The home was registered without a lounge and the people living in the home said they moved in knowing this and that they would be going to another registered care home within the group for daytime activities. This happens seven days a week unless people are away or other individual plans are made. The home has plans for providing more shared space than the kitchen/diner but say they are unable to implement this without additional funding. The small kitchen/diner is not adapted for people with physical disabilities (no low sinks or worktops) and the space is not organised well for wheelchair users. For example access to the fridge is not possible without staff support to move chairs and a table and people are not able to reach sinks. The manager said that there had been a system in place in the home for reporting maintenance issues but that this was being improved upon by the introduction of a new recording system about to be used. The environment is clean and decorated adequately with a plan for further decoration Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: reported by the manager. People living in the home said that they have been involved in decisions about colour schemes for their rooms. Infection control was discussed and the manager said that staff had been doing a distance learning course with a local college and four people had just completed the unit 5. One of the staff confirmed involvement in this training. Temperatures for disinfection were discussed with the manager who agreed to check the temperature needed. Care Homes for Adults (18-65 years) Page 22 of 30 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 in the home are increasingly provided with a consistent staff group recruited through good recruitment practices and trained to meet their needs. Evidence: Staff in the organisation work across the homes. At the time of our Annual Service Review one relative commented that they thought the home would benefit from its own staff. However from talking to staff and people living in the home generally it is now planned for regular staff to be in the home at a ratio of one staff to three people. The staff member on duty while we were visiting regularly works in the home and had an empathetic and supportive rapport with the people living there. She said there was enough time to meet peoples needs. There is a set rota but details of who worked and when are not recorded in the home. The manager said that they are held at another home in the organisation but agreed to arrange for them to be held at this home. The rota indicated that there was a member of staff in the home in the morning until 10 am and then from 6 pm with someone sleeping in at night. From further discussion with the management and people living in the home there was evidence of some other activities that took place from the home during the day time and it was advised that this was all documented in the staff Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: records. As commented on earlier in this report there are usually no staff in the day time when people are out of the home but the management and people living in the home said that staff can be provided if someone is ill. As records of hours provided are not recorded we could not check records for this. Induction was discussed with the manager who said that any future induction training in the home would be based on the common induction standards using a new package that the company had now obtained. A member of staff confirmed that they had received induction training including medication, moving and handling, infection control and adult protection. The person was planned to have first aid training and further moving and handling training. The person confirmed that they had received some supervision and this was noted in the new recording system in the quality assurance records. Training was discussed with the manager who said that all other staff had completed first aid training and recently some medication training. Further training was planned or ongoing. Records are held and being updated. Recruitment was discussed and a sample of recruitment records were viewed. We found that Criminal record bureau checks are made before people start work and references are obtained. Care Homes for Adults (18-65 years) Page 24 of 30 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 people living in the home would benefit from a manager registered in respect of the home to ensure that the quality assurance system is fully effective and identifies and rectifies any risks to health and safety. Evidence: The home does not have a registered manager although we were informed in March 2008 that the registered manager of another home within Glyn Residential Services would be temporarily managing Cornerways whilst recruitment took place. There has not been a registered manager for the home since March 2008 and in July and August 2008 we wrote to responsible person asking for detailed information about the proposed changes for management of the home which we were told about in a telephone call. We have not received this information. The details required by the Commission were explained again to the temporary manager at the inspection visit. Current management arrangements are not clear. We were told in the AQAA that hours previously worked by the manager were mostly covered by staff. Although the Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: manager was able to give us information about aspects of the management of the home, we noted that the time spent at the home by the current manager is not indicated on the homes rota or recorded when completed. We received a Annual Quality Assurance Assessment from the home in March 2008 before our Annual Quality Review. In this review we noted that although we were given some of the information needed it was brief and did not give a full evaluation of the service or progress or tell us how people living in the home have influenced the service. At this inspection visit we were told by the manager that a new quality assurance system had been purchased and we were shown files that were to be used for this purpose. This is the first quality assurance system to be used in the home. We noted that some recording had begun from October 2008 but more work was needed for the system to be fully implemented. The regulation 26 visits to the home by a Representative of the Registered Person has been taking place. However we noted that the temporary manager had been involved in this process and it was explained that the visits must be completed by a representative of the Responsible Person who does not have direct management responsibility for the home. A conversation was held with the people who live in the home and they agree that they are involved in some decisions about their lives as illustrated in the lifestyle section above. However, until recently there have not been house meetings in the home. The manager was asked about how people living in the home were consulted other than in their personal reviews and she said that a questionnaire was being developed as part of the new quality assurance package and that once they had been adapted would be used. The manager in the AQAA reported that there are a range of health and safety procedures in the home. During our visit we looked at a sample of checks for equipment and servicing and noted that these are being routinely checked with plans for improvement such as testing for carbon monoxide, and increasing the number of fire bell sounders in the home. We noted that the radiator in the bathroom was very hot to the touch. A member of staff did not see this as a high risk as people living in the home do not tend to use the sink in the bathroom and people use the bathroom with staff help. The person was not Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: aware of the risk assessment file which could not be found. Subsequently in a telephone conversation with the manager she said that there was a risk assessment file in the home but could not confirm if it included an assessment of that radiator. She agreed to check and take any action needed. Day to day records for people are in a book taken to the other home in the day and in separate books in the home. These are the manager said normally locked away and it was advised that these were kept in a cupboard separate to the medication. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 37 8 The Registered Person must appoint a manager and arrange for the person to submit an application for registration. The home has not had a registered manager since March 2008 and although has had a temporary manager needs to decide on permanent arrangements in the home. 16/01/2009 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 29 It is recommended that a review of adaptations takes place in the kitchen based on individual needs to ensure that independence can be maximised. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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. 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