Inspection on 30/01/09 for Fairview House

This inspection was carried out on 30th January 2009.

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

Fairview House 09/01/08

Fairview House 18/08/06

Fairview House 01/02/06

Fairview House 06/09/05

Fairview House 26/05/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fairview House Gypsy Lane Warminster Wiltshire BA12 9AR     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: Susie Stratton     Date: 3 0 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 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 28 Information about the care home Name of care home: Address: Fairview House Gypsy Lane Warminster Wiltshire BA12 9AR 01985847680 F/P01985847680 fairviewhouse@rethink.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Rethink care home 10 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 10 Fairview House is registered to provide care for ten adults with mental health problems. It is located in a residential area in the town of Warminster, Wiltshire, and has a local shop within walking distance. The home is domestic in character and offers comfortable single room accommodation. All communal rooms are light and airy, and furnishings are of good quality. A separate room is provided for people who wish to smoke. There is a large, secluded garden at the back of the house, with far reaching views over the local countryside and several seating areas as well as a paved patio. There are car parking spaces at the front of the house. The fee range is 750 pounds to 1650 pounds a week, depending on assessed need. Copies of the service users guide are readily available. Care Homes for Adults (18-65 years) Page 4 of 28 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: As part of this inspection, the homes file was reviewed and information provided since the previous inspection considered. We also received an annual quality assurance assessment from the home. This was their own assessment of how they were performing. It also gave us information about what has happened during the last year. We looked at the quality assurance assessment, reviewed the previous inspection report and all the other information that we have received about the home since the last inspection. This helped us to decide what we should focus on during the visit to the home. The site visit of Fairview took place on Friday 30th January 2009 between 9:45am and 2:40pm. One regulatory inspector performed the inspection, but this person is referred Care Homes for Adults (18-65 years) Page 5 of 28 to as we throughout the report, as the report is made on behalf of the Commission for Social Care Inspection (CSCI). The inspection was unannounced. The prospective manager was on duty during the inspection. The people cared for in the home are referred to as service users throughout this report, as this is how they are referred to in the home and by the provider. During the site visits, we met with five service users and five carers. We toured all of the home and observed care provided at different times of day. We reviewed care provision and documentation in detail for three service users, one of whom had been admitted since the last inspection. We sat and had lunch with a service user and a carer. We sat with a service user in the sitting room and a service user showed us their bedroom. We reviewed systems for storage of medicines and observed medicines being given to two residents. A range of records were reviewed, including staff training records, staff employment records, service users financial records and complaints records. 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 7 of 28 Care Homes for Adults (18-65 years) Page 8 of 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users will be supported by the homes pre-admission process, so that they can be assured that Fairview will be able to meet their individual needs. Evidence: Fairview House has a careful pre-admission assessment process. This involves meeting with the prospective service user and their supporters, as well as receiving assessments from people involved in the persons care. All service users have a contract and a copy is retained on their file. The provider has revised the information given to people and it now complies with our standards and regulations. Staff we spoke with confirmed that prospective service users are supported in visiting the home before deciding to be admitted. Generally they will come for brief visits at first, these visits are gradually extended to over-night visits and weekend visits so that the service user, staff and other service users can get to know them before admission and decide if Fairview can meet the persons needs. Staff also assess if the prospective service user will fit in with the other service users cared for in the home. This was Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: supported by records. We met with one service user who had been admitted since the last inspection. They did not wish to talk about their admission process, however discussions with staff indicated that they understood this persons needs in depth. They reported on how the person had adapted to living in Fairview, gradually becoming used to a less institutional environment. Staff spoken with reported on how they were supporting the person and showed a detailed understanding of how stressful a change of living environment can be to a person. Care Homes for Adults (18-65 years) Page 11 of 28 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 supported by the home to become as independent as possible, within their own individual needs and capabilities. Evidence: The prospective manager has fully revised the care planning system since she came in post. All service users now have very detailed assessments, including risk assessments, and care plans. Assessments and care plans are regularly reviewed and up-dated when indicated. Staff reported that residents are fully involved in drawing up and revising care plans. Plans inspected had been signed by the service user. Risk assessments were highly individualised. Staff were very clear on service users rights to take risks and understood that this may involve making mistakes, if that was what they wished. For example one persons risk assessment included a detailed assessment of the risks for the person in handling their own money and the supports staff were to give to the person to enable them to manage their own money safely. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Where a person had a history of self-harm, including suicide attempts, there were detailed assessments about this. Such assessments were written in a clear style and did not include any judgemental language. Where a person had a history of institutionalisation, there were clear plans to support the service user in developing their independence skills. For example, one service user was being supported in preparing their own drinks and snacks. Care plans were broken down into what was needed, why this was needed, when it was to take place, the steps to be taken, supports needed and review dates. We met with one person who was being progressively supported in going out of the home. We observed several carers asking the person if they would like to come shopping that day, in accordance with their care plan and when the person declined, carers were supportive and understanding of how the person reported they were feeling that day. Care Homes for Adults (18-65 years) Page 13 of 28 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. Service users are supported in developing lifestyles which are fulfilling to themselves, both within and outside the home. Evidence: The ethos of Fairview is to support people in their personal development. Service users are encouraged to learn and use practical life skills. For example one person was supported in going into the town independently to shop for themselves. By doing this they had needed to become aware of a range of factors, including an awareness of the risks presented by traffic and how to conduct themselves in public, for example in a cafe. We observed another service user being supported by a carer in making themselves a cup of tea. Service users are encouraged to use local community services such as hairdressers, Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: pubs and the library. Where appropriate, service users are supported in voluntary work, for example a local country park. Service users are also supported in continuing relationships with significant people in their lives. One service user was staying with their family at the time of the inspection. Clear records were maintained when indicated. For example one persons records showed the supports given to family members by staff in the home, to enable people to understand the service users current situation and response to the home environment. Service users are encouraged to continue leisure interests. One service user showed us the paintings that they had created in an art class. Fairviews daily routines related to what the service users wished to do. Service users can get up and go to bed when they want. For example one service user had decided to spend the morning in bed, because they felt tired. Staff were observed to check if the service user wanted any support and then to leave them to do what they wished. Another service user reported to us if Im sick I go to bed and that this was their own decision. All service users have a key to their own bedroom and to the house, so that they could come and go as they wanted to. Staff were observed to spend time with residents individually, supporting them as they wished. For example one service user came up to a carer and asked them to come and sit with them while they watched television. Service users choose what they ate, with staff support. Staff have recently been trained in the principals of nutrition and health eating. The main meal is generally in the evening, with staff and service users cooking. The home buys food in, using local suppliers and supermarkets, with service users assisting with shopping when they wish. Lunchtime tends to be a smaller meal and service users eat at times that suit them. We sat with a carer and a service user at lunchtime. The service user had decided what they would like to eat and had prepared the snack themselves. A range of foods are always available, including fresh fruit, so that service users can help themselves when they want to. Where service users needed additional support with their meals, there were care plans in place and, where indicated, the amount of food they ate was documented. One service user was observed not to wish to eat a lunchtime meal. This was noted by staff who prompted them to eat but also respected the persons wishes not to eat at that time. Care Homes for Adults (18-65 years) Page 15 of 28 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. Service users receive appropriate personal and healthcare support. Evidence: Service users are supported by the staff in the home. All service users have a named key worker who works with them in developing their care plan. Service users spoken with all knew who their key worker was and all care staff showed a detailed knowledge of the needs of their service users. Only some of the residents needed support with their personal care and this mainly related to helping people with developing independence skills in their personal hygiene. Residents buy their own clothes and are responsible for performing their own laundry, with support from carers as needed. All service users had clear care plans relating to their mental health needs. These were clear and non-judgemental in tone. Service users are all supported in taking responsibility for managing their own healthcare needs. Service users attend their own GPs surgery when they need to. Records are maintained of when service users have visited healthcare professionals, including the community psychiatric nurse, dentist or optician. Staff showed a detailed understanding of how different residents mental Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: health care needs affected them and of interventions to take to meet the persons individual needs. Where a resident experienced general health needs, for example epilepsy, there were clear protocols for management of the condition. One resident who was considered in detail, had a potentially complex medical need. They had a clear protocol about the actions staff needed to take if they needed attention and staff spoken with knew of the actions to take in accordance with these protocols. Fairview has safe and secure systems for managing service users medication. At present none of the service users self-medicate. The manager reported that selfmedication would always be supported when indicated. One resident was applying their own topical cream themselves, supported by staff and full records were maintained. Service users attend the medicines room to receive their medication. Only carers who have been trained in medicines management administer medication. We observed medication being given to two residents and observed that medicines were given out in a safe manner by staff. During the inspection a carer was carefully checking in medicines received from the pharmacist. At present no service users are prescribed Controlled Drugs or drugs which need to be kept in a refrigerator. Facilities would be available if such drugs were prescribed. Some service users were prescribed medication which could affect their daily lives. For example night sedation or aperients. Some service users had care plans relating to the use such medication, for example one resident had a care plan relating to a prescription for painkillers. However this was not the case for all prescribed medication and as good practice such care plans should be drawn up for all medicines which can affect daily lives, so that relevant prescribers can be informed of the service users response to the medication. The instructions on one prescribed medication stated that it was to be taken as directed. The home are advised that as they could be giving this persons medication to them, that they should approach the prescriber to ask them state when and how often the medicine was to be given. Care Homes for Adults (18-65 years) Page 17 of 28 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. Service users will have their complaints and concerns responded to and will be safeguarded from risk of abuse. Evidence: Fairview has a complaints procedure, which is available to all service users. Brochures on how to make a complaint are freely available in the home for people to pick up, so that service users relatives can be informed if needed. We have not received any complaints about the service since the last inspection. We looked at complaints records and observed that Fairview responds to complaints made to them, including verbal complaints made by service users. Responses to service users are written in a supportive style and reassure service users that the provider takes complaints seriously and are happy to support the person during the investigation process. Records seen were clear and showed that the home investigates complaints in accordance with their policies and procedures. The prospective manager reported that she has ensured that all staff have received recent training in safeguarding adults. We have not received any safeguarding referrals about this home since the last inspection. The manager knew how to work within the local safeguarding procedures. All staff spoken with showed a very clear understanding of their role in safeguarding adults. Where relevant, service users care plans make reference to their vulnerability and how they are to be safeguarded from Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: harm. Clear records of incidents are maintained, for example a service user shouting at another service user. One service user described to us a past incident of anger by another service user shown to the premises. They described the incident without suggestion of fear, understanding that staff were in a position to protect them and to support the other service user. Staff reported that they felt supported if a service user used threatening or other complex behaviours towards them. The provider has a clear procedure to support staff if they have been the subject of complex behaviours from residents, including time-out, supervision and an external counselling service. Service users are encouraged to take responsibility for their own finances. All people have a named person who supports them in this. All service users have secure facilities in their room and the home has a safe. There are clear risk assessments about residents managing their own moneys. The home maintains full records of when they handle and store residents moneys on their behalf. Moneys are checked by staff on a daily basis and during monthly visits from the provider. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users will be supported by a homely, clean, well maintained environment. Evidence: Fairview was purpose built several years ago. The home itself is situated at the end of a cul-de-sac on a housing estate of similar houses. Accommodation is provided over two floors. All service users have their own bedrooms. Toilet and bathroom facilities are available opposite bedrooms. There is a kitchen/dining room and a large lounge. A smoking room is also available. There is a large grassed garden area to the rear and side of the house. The prospective manager reported that when she came in post she discussed with service users and staff the facilities that needed up-grading and that the provider was working through the areas that needed attention. The sitting room and some bedrooms have already been redecorated. Among the other areas to be addressed include the bathrooms and toilets. The prospective manager reported that new furniture has been provided in a range of areas, including chairs for the sitting room and new beds for residents. None of the current service users have a disability. The prospective manager reported that the owner would provide equipment needed if a service user was assessed as Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: having disability needs. She reported that the home employed a maintenance man, who attended to small matters such as light bulbs and loose door handles and that they used external contractors for larger items. All of the home looked well maintained. The home was clean throughout. Some service users clean their own rooms, others are supported in this. One service user told us which day they liked to clean their room on and this was supported by their records. There is a laundry room in the home and residents are supported in laundering their own items. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users will be supported by a staff team who have been safely recruited, who are supported in their roles and where training is regarded as a key area to ensure that service users needs are met. Evidence: We reviewed files relating to employment of staff. These showed that all staff provide proof of identify and an employment history, that police checks are performed, two satisfactory references are obtained and staff confirm their health status. All staff are interviewed for their role. Historically service users have not been involved in the interview process for new applicants and the prospective manager reported that this is an area that she wishes to progress. All staff have clear job descriptions. New employees are given a detailed induction programme and are regularly supervised, until their employment is confirmed. All newly appointed staff work at least four weeks supernumerary when they commence their role. We met with one newly employed member of staff who reported on the supports they had received since they came in post. They reported that they enjoyed their role. This person showed a detailed knowledge of all the service users in the home. Additionally they showed a clear understanding of how different service users Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: mental health needs affected them on an individual basis. The prospective manager reported that since she came in post, she had reviewed staff training records. In her review, she identified a range of areas which needed development, so that service users could be fully supported by the staff. She has discussed areas for development with the providers training manager and has developed an action plan to ensure that outstanding areas will be addressed. Staff are supported in undertaking National Vocational Qualifications. All staff receive regular supervision and an annual appraisal. Regular staff meetings are held and these are minuted. All of the staff spoken with reported that they felt supported in their roles and knew who to approach if they felt they needed more support. One carer reported on how helpful they found handovers between shifts in informing them of matters that they needed to know about service users. They also reported that they found shift handover records and care plans useful documents to refer to if they needed to refer back to matters or needed more detailed information. Care Homes for Adults (18-65 years) Page 23 of 28 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. Service users will be supported by a prospective manager, who is qualified to undertake her role, by a provider who regularly reviews quality of care provision and who ensures that the principals of health and safety are up-held. Evidence: Fairview does not currently have a registered manager in post. A person has been appointed into the role and she is in the process of applying to us to be the registered manager. This person is experienced in the provision of mental health care and has managerial experience. She reports that since she came in post, she has been able to improve a range of areas in the home, particularly in relation to care planning, plans for staff development and improvements to the home environment. Fairviews owner, Rethink is a national provider of mental health services. The home is visited regularly by a manager from Rethink and this person makes a report on service provision. If matters are identified, this is documented, together with actions to be taken to address them. All visits take place on an unannounced basis, however they do Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: not take place at weekends or outside normal working hours and it is advised that they should, to ensure that service provision remains the same outside the normal working week. The home produced a detailed annual quality assessment audit and submitted it to us in the autumn. This indicated areas where matters had been addressed and developments were planned. A satisfaction survey of relevant people, including service users is undertaken regularly. The results of the most recent survey were displayed in the entrance area for anyone to look at. The providers regularly undertake health and safety audits. Checks on the fire safety systems take place and the prospective manager has ensured that all staff have been trained in fire safety. All people in the home, including service users, take part in fire drills. Service users have plans in relation to risks to them presented by fire safety, for example not responding to a fire alarm, together with plans to ensure the persons safety. Following the prospective managers audit of staff training needs, staff are in the process of being trained in first aid. Plans are currently in place for staff to be trained in infection control. Relevant equipment and supplies were available, to ensure that the home has appropriate standards of hygiene. Care Homes for Adults (18-65 years) Page 25 of 28 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 28 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 2 20 20 Service users should have care plans drawn up for all medicines which could affect their daily lives. Where a medicines instruction states that it is to be given as directed, the prescriber should be requested to give specific instructions as to when the medicine is to be given, and how often. Some monthly visits by the provider should take place outside the normal working week, to assess service provision at such times. 3 39 Care Homes for Adults (18-65 years) Page 27 of 28 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. 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