Inspection on 18/11/08 for Elsie Millin Court

This inspection was carried out on 18th November 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Elsie Millin Court May Close Swindon Wiltshire SN2 1AW     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: Paul Chapman     Date: 1 8 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 29 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 29 Information about the care home Name of care home: Address: Elsie Millin Court May Close Swindon Wiltshire SN2 1AW 01793481373 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Oxfordshire Learning Disability NHS Trust care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: For the purposes of this registration, Elsie Millin Court consists of the top floor of the building known as Elsie Millin Court, the recreational room measuring approximately 21 square metres located on the middle floor of the premises, and the laundry and utility room on the ground floor of the premises and: all stairwells, lifts and passageways between the entrance of the building, the laundry area on the ground floor, the recreational room on the middle floor and the top floor of the building including any egress. The maximum number of service users who may be accommodated is 7. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary needs on admission to the home are within the following category: Learning disability - (Code LD) Date of last inspection Brief description of the care home Elsie Millin Court is a respite unit situated with easy access of the centre of Swindon. The service is registered to a service for up to 7 people with learning disabilities. At present the service is situated over 3 floors and provides people with a homely, comfortable service that is led by people needs. Whilst people are staying in the Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 7 Brief description of the care home service they will have their own bedroom and access to a range of communal areas including a kitchen, loung/diner and a games room. The respite unit is staffed by a committed team that are well trained to enable them to meet peoples needs. The service has a Statement of Purpose and a Service Users Guide. The cost per day to use this service is 15 pounds. 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 site visit element of this inspection process was completed unannounced on Tuesday the 18th November 2008. The registered manager was on duty throughout the site visit. Before completing the site visit the manager completed the CSCI AQAA (Annual Quality Assurance Assessment). The AQAA asks the manager to tell us about the service they deliver, how it has improved and what the planned improvements are for the next 12 months. In addition to this it also provides us with information about staffing. policies and training. As part of the site visit we discussed the information contained in this document. In addition to the information supplied in the AQAA we received completed questionniares from 2 staff and people that use the service, as well as 1 health professional. Care Homes for Adults (18-65 years) Page 6 of 29 We completed a tour of the premises with the manager. On the day of the site visit 1 person was staying in the unit, but they were out attending day services. We spoke to 4 staff during the day. We examined records for 2 people that use the service, looking at their needs assessments, care plans and risk management. In addtion to looking at these records we examined records for staff training and recruitment. 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. People admitted to the service for respite care are thoroughly assessed by the manager and her staff team before they enter the service and minimises the risk of peoples needs not being met whilst they are staying in the service. Evidence: At the time of this site visit one person was residing in the home. They initially started using the respite service in 2006 and a needs assessment was completed at this point. This assessment had been reviewed with the person and their social worker in July 2008. The respite service does not regularly accept emergency admissions and the manager explained the process completed to ensure the persons needs were met. This showed that even where an emergency admission to the service is required an assessment is completed. Since the new provider has taken over the management of the service a new admissions procedure has been introduced, examination of this procedure shows it to be thorough. To ensure a consistent approach to each admission the service has a checklist of activities and paperwork required. The manager is currently writing procedures to go with this to enable all staff to manage an admission Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: process. 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. Peoples care plans provide staff with a good level of detail that enables them to meet peoples care needs. Agreed goals should be reviewed to ensure that they are achievable within the resources available. People that use the service are empowered to have choices whilst they are staying there. On the whole the risk assessments in place minimise potential risks to people that use the service, there are potential risks that require assessment. Evidence: A pen picture is in place for each person using the service. Each person admitted to the service has a Continuity guide. This will be written by the person themselves, their parent/carer or by staff. The guide explains how a persons needs are met at home. The guide identifies the persons needs around personal care, communication, health, medication, behaviour, risks, Independence, religious/cultural needs and work and leisure. We examined the guide for the person currently residing Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: in the service and 1 other person. Both documents provided a good level of detail to enable staff to meet peoples needs consistently. A recommendation we would make is to develop the use of pictures to support peoples continuity guides. This will make the documents easier to understand for people with communication difficulties. For people that use the service regularly staff complete an annual review of skills to identify whether peoples skills have deteriorated, or improved. The assessment covers practical skills, personal care, mobility, behaviour and social abilities. Informal reviews are completed annually with parents or family. These are done in peoples homes or a venue of their choice. We looked at the care plan for the person currently residing in the home. This showed that the staff needed to provide them with a minimal amount of support as they were very able. We looked at 1 other persons care plan whose needs are greater. This showed a greater level of detail to enable staff to meet their needs consistently. The care plan showed that there were 2 agreed goals - Road safety and personal hygiene. We discussed this with the manager, we questioned the ability of the person being able to achieve these goals as they only receive respite care in the service for 1 weekend every month. We suggested the goals should be to maintain the persons safety in the community, and maintain their skill with personal care. Rather than learn new skills. We were concerned that the person may never be able to achieve these goals due to the limited amount of time they spend in the service. In addition to this we were unable to find any guidelines for staff to follow when supporting the person achieve these goals. It becomes a recommendation of this report that this care plan is reviewed. People that use the service are given choices. The manager stated that the style in which the service is decorated is chosen by the people that use it. Records examined by us showed that people are supported to have meetings every couple of months and this gives people staying in then unit the opportunity to voice their opinions and say what they would like to happen. A standing agenda item is equality and cultural needs. Meetings dont always happen as people are asked whether they want to have them. 1 example was 2 people being offered the chance to met and saying no as they felt there was little point and Liverpool are playing on the TV. Other standing items include the new build (the service will be moving to a purpose built building) and people have been given the opportunity to discuss this. Due to the views of people using the service the new building will have a lift rather than a stair lift. The last meeting was held on 23/09/08 and people brought up the issue of cars outside the unit speeding. This was brought to the attention of senior management and as a result the road traffic signs have been changed. Minutes of the meetings showed that people are offered the opportunity to chair the meeting. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: People are encouraged to be involved in day-to-day responsibilities around the home. These include cooking each day, and at the weekends people will be encouraged to clean the home. We examined a sample of risk assessments for people using the service. This showed that assessments had been completed for showering, bathing and safety in the kitchen. These had been reviewed in June 2008. It is recommended that the manager completes a risk assessment for people using the services vehicle. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lead active lifestyles while they are staying in the respite unit and staff support them to maintain the activities and hobbies they normally complete. People are able to choose what they like to eat and there is a wide range of choices available. Evidence: The home try and maintain the activities that people come into the service with. People continue to attend day services, college and social clubs etc. The home try to strike a balance between what parents may say people should do and what people actually want to do. The service has a missing persons procedure. This had been reviewed in June 2008. Each person admitted to the service has an emergency details sheet that would be used if they were missing. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Staff complete opportunity records for each person that details their activities. Examining these completed records shows that the following activities are available or completed regularly. Was saw records that showed people went to the local pub, swimming, walking, cinema, played board games in house, bowling, shopping, car boot sales, played pool and playing on a playstation. Records showed that if someone staying in the service attends church then staff will support them to continue attending. Friends are able to visit by prior arrangement, but are asked not to come at tea time. Most people go out to visit friends whilst staying at the service. The manager stated where possible they try to get groups of friends into the service together. Being a respite establishment parents and relatives do not tend to visit unless they are at there to collect people. Looking at the records for food showed that people have a range of choices. The manager explained that people staying in the service are asked each day what they would like to eat and there are always a range of ingredients available. Staff record in peoples records what they actually eat. Records showed that staff monitor expiry dates on food, and the food probe is used regularly to test cooked meats. Care Homes for Adults (18-65 years) Page 16 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. Staff support people with their medical needs where it is required, but in the majority of cases these needs are met by parents and carers before people enter the unit. Care plans in place ensure that peoples personal care needs are met. The units medication administration practices minimise the potential risks to people staying in the unit. Evidence: We examined a sample of documents relating to peoples medical needs. Where a person has epilepsy guidelines are in place to minimise risks while they are bathing. The manager stated that they support people to start their health action plans and put people in contact with the health action plan co-ordinator. These documents will then remain at home with the persons carer or parents. The majority of people attend medical appointments before or after staying in the unit but where required staff will support people to attend appointments. These appointments are then recorded in the daily notes. The care plans we sampled showed that where people require support with their personal care needs guidelines provide staff with sufficient detail to enable them to Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: meet peoples needs consistently. These guidelines are regularly reviewed. At the time of this site visit the 1 person staying in the service was self- administering antibiotics. All of the staff are trained in medication administration. The service has a medication policy and this is in the process of being reviewed by the new service provider. All medication is kept is a secure cupboard. Medication is checked by staff on entering the unit. Any medication errors are brought to the attention of the GP. We were able to examine records of all medication being checked when entering the home, being given back at end of residence and disposed of where necessary. The manager is implementing a policy where parents/carers will have to sign to confirm that a person can self-medicate. Care Homes for Adults (18-65 years) Page 18 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. People are empowered to make complaints if they are unhappy with the service and the complaints procedure minimises the risk of peoples concerns not being addressed properly. Through training, policies and procedures people are safeguarded and are not put at unnecessary risks. Evidence: The service has a complaints procedure produced in an easy read format. A copy of the complaints procedure was seen on the notice board in the unit. There have been 4 complaints made since the previous inspection was completed. 1 complaint is outstanding but is in the process of being addressed. We examined the complaints and compliments log kept by the manager. The complaints were seen to be dealt with correctly and efficiently. There were also some nice compliments about how helpful staff have been in supporting people. The service provider expect that all staff will complete annual safeguarding adults training. Records showed that all but 2 of the current staff team have completed safeguarding training since July 2007. A sample of financial records were examined and showed detailed records of income and expenditure for people when they are staying in the unit. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: The service has a safeguarding adults policy. Examining this policy showed that it had been updated in November 2007. The service provider has a physical intervention policy, at present there is no one that requires this intervention. On the day of this site visit staff were receiving training in breakaway techniques. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The unit provides people with comfortable and clean accommodation that has been adapted throughout the years in an attempt to best meet peoples needs. Evidence: We completed a tour of the premises with the registered manager. This respite unit is spread over 3 floors. On the ground floor is the units laundry facilities which comprises of 2 industrial specification washing and drying machines. The main living accommodation is on the 2nd floor and there is a lift available for people to use if required. The registered manager explained it has been confirmed that the building of the new respite unit will start in January 2009, and that it will be completed by September 2009. The new unit is to be built on the same site as the existing unit. Looking around the current unit the manager and her staff team have done a good job of making the best of the facilities available to them. All of the bedrooms we saw were decorated to a good standard and the manager explained that people that use the unit were given the chance to choose the colours of some of them. This was confirmed by staff when we spoke to them. The manager explained that two of the bedrooms have been decorated to enable people with dementia to find them more easily with the doors painted the same colours as the bedroom, this is a good practice recognising Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: measures to make simplify peoples stays in the unit. All of the bathing facilities were seen and shown to be in good working order. Communal facilities include a lounge/diner, quiet room and a games room. All of these areas were decorated to a good standard and provided people with a range of facilities including TVs, stereo, games and a pool table.People using the unit are able to bring in personal belongings like games consoles, etc. Whilst looking around the accommodation we noticed that the sofa in the quiet room was ripped. The manager stated that they had asked for a new one. It becomes a recommendation of this inspection report that a new sofa is purchased. Overall the accommodation provided is comfortable, clean and tidy but the move to the purpose built unit will provide future users with accommodation to more appropriate to their needs. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are available in sufficient numbers to meet the needs of the people who use the service. Staff are provided with the appropriate training to meet the needs of people using the service. People using the service are not put at unnecessary risks through the services recruitment procedures. People using the service benefit from a stable, committed staff team that have a good understanding of needs. Evidence: A completed CSCI questionnaire from another professional involved with the service made comments about there sometimes being insufficient staffing to meet everyones wishes. We received 2 completed questionnaires from people that use the service, both of which raised no concerns about the staffing saying that they were able to do activities when they wished to. We spoke to 4 members of the staff team whilst we completed the site visit. All of the comments received were in agreement that it was a good team and that there were always sufficient staff available. They did agree that dependant on the needs of people using the unit sometimes it was difficult to meet everyones needs but this does not happen regularly. We looked at staff training records. Certificates were available to provide evidence of all completed training. We saw certificates showing since the previous inspection that Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: the majority of the team had completed training in the Mental Capacity Act, moving and handling, infection control and medication administration. Speaking with staff they confirmed that training is provided to meet their needs and those of the people they provide the service for. From the AQAA received by the CSCI showed there are 7 permanent staff that make up the staff team and of those 6 staff have completed social care NVQs (National Vocational Qualifications), while the other member of staff is currently completing theirs. Since the previous inspection was completed there has been 1 new member of staff recruited to the team. We examined the records to support this process which showed that all of the documents required by these regulations were present, except the application form. The manager stated that they thought this may still be with the service providers HR department. The manager should be mindful of this with any future recruitment. People that use the service are involved in the interviews for new staff. The manager stated that they have worked with people to explain the interview process and their role in it. This is seen as good practice by the CSCI. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed and people using the service benefit from an experienced, committed and well trained staff team. Quality monitoring completed by the manager enables them to gather opinions about the service and address shortfalls, or concerns identified. Health and safety procedures, and checks completed by the staff team minimise unnecessary risks to people that use the service. Evidence: The manager of this service has been in post for a number of years and is registered with the CSCI. Speaking with staff they commented that it was a good place to work, and a good team to work in. Since the previous inspection the manager has sent questionnaires to people using the service asking for comments. Comments received showed that people were really positive about the service and it was from these comments that the manager started to include people in the interview process of new staff. In addition to questionnaires being sent to people using the service the manager also sent questionnaires to other Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: professionals involved in the service. We saw the 2 replies received which were both positive about the service. This was confirmed by the questionnaires we received as part of our inspection process. Comments we received included; people are treated as adults and are encouraged to respect themselves, the unit takes a person centred approach. The AQAA states that all policies and procedures are updated as required. Staff complete health and safety audits monthly, these are completed with people staying in the unit at the time. These audits are comprehensive and include a tour around the building looking at potential hazards.Records showed that these had been completed over many months and that where required corrective action was taken by the service provider. Portable Appliance Testing (PAT) was completed in April 2008. The unit has a Fire safety policy and a Fire safety risk assessment that was reviewed in March 2008. Records showed that alarms are tested, equipment checked and training provided as required.Whenever a person is admitted to the service staff go through the fire safety information with them, they also do this with agency staff. The service provider is required to complete monthly visits to the service under Regulation 26. Records show these visits are completed regularly. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Care plans and continuity guides should be developed with the use of pictures to support people with communication difficulties. Care plans should be reviewed to ensure that the identified goals are realistic. 2 6 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 © (2008) Commission for Social Care Inspection (CSCI). 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