Inspection on 05/02/09 for Freehold Cottage

This inspection was carried out on 5th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Freehold Cottage 28/02/07

Freehold Cottage 07/03/06

Freehold Cottage 28/09/05

Freehold Cottage 07/12/04

Freehold Cottage 27/04/04

Freehold Cottage 16/01/04

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Freehold Cottage 452 Market Street Shawforth Rochdale Lancashire OL12 8JB     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: Marie Dickinson     Date: 0 5 0 2 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 31 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 31 Information about the care home Name of care home: Address: Freehold Cottage 452 Market Street Shawforth Rochdale Lancashire OL12 8JB 01706853384 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Kiaran Desmond Burke Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 6 The registered person may provide the following categor of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 6 Date of last inspection Brief description of the care home Freehold Cottage is registered to provide accommodation and personal care for six adults with a mental illness. The home is owned and managed by Mr Kiaran Burke. The home is a large detached cottage style building with a garden area to the rear of the house. It is situated on the Market Street and is a short distance by car and public transport. It is close to all local amenities such as shops, post office, library, pubs etc and situated on a main bus route to neighbouring towns such as Manchester, Care Homes for Adults (18-65 years) Page 4 of 31 Brief description of the care home Rochdale, Bury and Bacup. Residents accommodation is in six single bedrooms on the first floor. Ground floor living arrangements include a lounge, dining area, laundry, and kitchen. Information about the service is available from the home for potential residents in a Statement of purpose and Service User Guide. Weekly charges for personal care and accommodation is currently £492 per week. Residents are responsible for purchasing optional extras such as hairdressing, and personal items. Care Homes for Adults (18-65 years) Page 5 of 31 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 quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. A key unannounced inspection was conducted in respect of Freehold Cottage on the 5th February 2009. An annual quality assurance assessment (AQAA) was sent to us by the manager prior to this inspection. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service, such as number of staff trained, and of essential maintenance to keep the home safe being carried out. An annual service review was carried out on the Care Homes for Adults (18-65 years) Page 6 of 31 7th March 2008. The outcome of this was, the service had continued to provide good outcomes for the people who use it. There were no written comments from residents or relatives for this inspection. Discussion took place with the manager, staff, and residents during inspection. Documents including policies, procedures, and staff and residents records were looked at. The premises were inspected as part of the process. Areas that had been required to improve were looked at for progress made. The home was assessed against the National Minimum Standards for Younger Adults. What the care home does well: There was evidence that the service did understand the right of the resident to take control over their own life and make their own decisions and choices. Person centred care planning meant people using the service were cared for as they wanted and needed. Staff interviewed considered the service did well by supporting residents to live a fulfilling life. To ensure personal care and support was provided in a way, which maintained residents dignity and respected privacy and lifestyle, care plans took into account what residents wanted and what was important to them. Decision-making was encouraged and residents were given time to consider the individual choices they made. Residents also benefited from additional specialist support where needed such as healthcare, and their care needs was reviewed regularly. Risk management was good and staff had enough information to know how to help keep people safe. Staff interviewed considered they were given enough information to care for residents properly. Residents right to confidentiality were respected. Residents lifestyle was centred on them and they did not have to conform to any institutional practice such as set times for getting up or going to bed. Daily living routines were personal to them. They could go on holiday and they kept in good contact with relatives and friends. Meals provided met with residents tastes, needs, and choice. Those residents spoken to during inspection said the food was good. They said they could have what they wanted. Records showed residents were helped to plan and prepare meals for themselves. Residents who were consulted, said they knew who to talk to if they were not happy. Staff working at the home had been trained in adult protection and knew their responsibility in this area and were confident they would report bad practice if ever the need arose. The home was well maintained, clean, and tidy, and provided a homely and pleasant environment for residents, visitors, and staff. Residents were satisfied with their bedrooms and living arrangements. The numbers of staff employed, training provided, and safe recruitment practices, meant residents should be protected, and their needs properly met. Staff working in the home were considered to be very good. Staff interviewed said they loved their work and had job satisfaction and felt appreciated for their work and valued in the home. Communication was considered to be good and staff said they had the right knowledge and skills to care for residents with mental health care needs. Learning opportunities were relevant to the homes purpose. Care Homes for Adults (18-65 years) Page 8 of 31 The home was well managed and run in the best interests of the people living and working there. 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. Care Homes for Adults (18-65 years) Page 9 of 31 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 10 of 31 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 11 of 31 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. The admission process ensured peoples needs were properly assessed, and they were given an opportunity to find out if moving into the home was the right decision to make. Contracts issued, protected individuals legal rights. Evidence: There was a protocol to follow when people are being admitted. Policies and procedure show stages to assessment; agency referral, self referral, interview and interview outcome. There had been two admissions since the last key inspection. Copies of the admission assessments completed by health and social care professionals were not available for reference. However care notes showed how admissions were managed and care notes evidenced residents identified need that was linked to their plan of care. For example, domestic skills, personal care, emotional and mental well being, family and relationships and medication. Records showed people visited the home over a period of time and stayed overnight before a decision was made to stay permanent. Records showed residents were informed during this time about their rights and what they could expect living there. Care Homes for Adults (18-65 years) Page 12 of 31 Evidence: The provider and manager said that prior to meeting a potential resident, their needs were discussed with staff and health and social care professionals. This ensured all parties agreed they could support the person, as required. Contracts were given to residents. Residents were issued with a handbook that included the terms and conditions of residence and other essential information they need to know about life in the home. Care Homes for Adults (18-65 years) Page 13 of 31 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. Good care planning meant residents were able to make good decisions and choices about their lives with the right support from staff that knew how to help them. Evidence: Information received at the Commission from the manager indicated the home did well as All residents own, control, and agree their own support plan. The philosophy of the home is that each resident maximises independence and decision-making responsibility, and these aims are fundamental to support plans and risk assessments. Two care plans were looked at in detail. They contained good information and linked very well to residents needs. What was important to residents receiving care was recorded for example, to continue to enjoy good relationships and time with family. How identified needs were to be supported was clear and risk managed. The method for planning peoples care was good. Specialist help required for residents was Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: identified, and details of specialist support were recorded. Where risk assessments identified problems, risk management had been agreed and acceptable risk taking considered. Each care plan included risk assessments. Where limitations were in place, residents knew about them and had been involved in deciding how these would be managed. Residents understood how these agreements helped them. Guidance for staff in managing situations where people did not follow agreed action to minimise risk was recorded. This helped to make sure there was a consistent approach by all staff when dealing with risk. An example of a general risk found during inspection was smoking in bedrooms. Residents benefited from being involved in writing their own care plans. They had meetings with staff and other professionals involved in providing their support, such as community psychiatric nurse and social worker. Care plans had been written to combine health and social care. Information included strengths and needs, and showed who had a particular responsibility to help reach the desired outcome. In addition to this a contingency plan was written to support staff in taking the right action if a resident was not well, or presenting with difficulties. Individual plans had been reviewed, and staff worked on a one to one basis with residents as required. As a result of this, mental health needs identified in assessment and very important to residents well being, were being dealt with properly. Residents looked after their own money with the help of staff. This was recorded in their files showing how support was to be offered. For example staff may be instructed to encourage to go to the shop on his own or with available staff using public transport. To discuss item needs and amount of money needed. Discourage spending all his weekly money in one day. There are procedures in place to ensure that people using the service are informed of their rights to confidentiality. Written into individual records is an agreement for the sharing of information and confidentiality, informing them of circumstances when staff may have to share personal information. When residents are admitted to the home they are given their own handbook with information such as policies and procedures. Care Homes for Adults (18-65 years) Page 15 of 31 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. Residents were supported to be independent and given opportunity to take part in chosen activities, access community resources, and keep in touch with families and friends. The meals provided were sufficient in providing for their tastes, choices, and diet. Evidence: Observations made during inspection showed the home was managed in a manner to avoid any institutional routines. Written information received at the Commission stated, all activities, all renovations, all meals, all routines, every aspect of running the home is agreed with the residents. Records seen showed residents were helped to develop skills that included social, emotional, communication, and independent living skills, and encouraged to use community resources. Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: Records also showed how residents were supported to identify their goals, and work to achieve them. This was done through care planning, and with staff support. Part of care planning was to help people identify what their own goals were, what they want, and need to do. Short term goal planning helped people work towards meeting their needs and everyone involved knew what their role was. For example, making a meal. How this is managed however, should provide some structure for residents rather than an ad hoc arrangement. This will ensure any barrier to support residents achieve maximum independence during difficult times is identified, recorded, and planned for. Residents were supported to manage their own finances and proper records were kept and audited at regular intervals. Residents should however be encouraged and supported to deposit money in a bank. There was sufficient evidence to show residents had opportunity to develop and maintain important family relationships. Family links were encouraged and residents could have visitors at any reasonable time. Visitors to the home were made welcome and visits could be made in private. Residents views about their opportunities to take part in activities were positive. They did what they wanted to do and what they were comfortable with such as going to clubs, day centres, or just going out for shopping. Residents were able to make full use of community facilities if they wished. To get out and about residents used public transport or staff took them out in their cars. Where residents were at risk or vulnerable in the community, this had been managed properly through discussions with residents to help them make good choices and give support, for example managing money. As part of the basic contract price, residents had the option of a minimum seven-day holiday outside the home they helped to choose. Residents had their preferred name stated on their plan. They had locks on their doors and managed their own keys. They said they spent time in their bedroom when they wanted, and had agreed flexible times for going to bed and getting up. Residents planned their own menus, went shopping, and staff helped them with meal preparation and cooking. Mealtimes were flexible and residents were observed helping themselves to their own choice of lunch when it suited them. Care Homes for Adults (18-65 years) Page 17 of 31 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. Residents preferred method of support allowed them to enjoy personal care in a noninstitutional and dignified way. Their healthcare needs were sufficiently monitored which supported them maintain their general well being. Evidence: Records showed people using the service were registered with a General Practitioner and that appointments had been made and kept. Appointments had also been kept with care coordinators, consultants, and community health services as required. Healthcare was recorded and written with short term and long term planning, such as dental visits and routine medical checkups. Help with personal care was given according to need and individuals wishes. Comments from residents living in the home indicated staff treated them well. Care planning was person centred and informed staff what residents could and could not do. For example, can shower and bathe independently, and guidelines were written for staff on how support was to be given, such as prompting and assisting. Residents were encouraged to be independent and take responsibility for their personal care Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: needs as much as possible. Staff had been trained in mental health care, to ensure they provided the right approach to care for people with mental health problems. The home operated with a monitored dosage system for medication. Records of residents medication was kept, and staff responsible for administering medication had been trained. Residents were given support to self medicate following an assessment to make sure this would be safe. Care Homes for Adults (18-65 years) Page 19 of 31 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 complaints procedure supported residents to raise any issue of concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues to support residents rights, safety, and welfare being promoted. Evidence: Those residents spoken to during inspection said they had no complaints. They considered they were well looked after and had the right support from staff. Information received at the Commission for this inspection regarding the complaints stated, There is a complaint procedure in operation and residents are aware of such. A review of the procedures takes place annually. Staff spoken to said they knew what to do if residents or other people had any concern. Information was passed on well. There were no recorded complaints at the home and no complaints received at the Commission. Policies and procedures for safeguarding adults were available for staff to follow. Records showed staff training in Protection Of Vulnerable Adults (POVA) was provided and also covered in induction of new staff. Staff interviewed during inspection were clear of their responsibility and obligation to follow correct procedures in reporting under POVA should this be necessary. Staff had formal agreements to abide by the homes code of conduct and practice that included protection issues such as financial Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: protection. Care Homes for Adults (18-65 years) Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided a clean, well-maintained, comfortable environment for residents living there. Evidence: Freehold cottage is a detached property situated just off the main Road running through the town of Whitworth. It is located near to a bus route that services towns such as Rossendale Valley, Rochdale, and Bacup. A tour of the home was made and the following observations noted. The lounge for residents was homely and furnished and fitted to a good domestic standard. New double glazed windows had been fitted in the kitchen, bathroom, and bedrooms. Bedrooms seen were comfortable, personalised and furnished and fitted to residents taste. Bedroom door could be locked and residents held their own key. Staff could gain access in an emergency situation. Residents were satisfied with their accommodation. Bathrooms were clean, however one bathroom needed some improvement to repair or replace the bath panel, decorate and replace the floor covering. Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: The home was very clean, tidy, well lit, and smelt fresh. Care Homes for Adults (18-65 years) Page 23 of 31 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. The level of staffing, training provided and good recruitment practice meant residents were cared for by qualified and competent staff. Evidence: Information received at the Commission indicated there were sufficient numbers of staff employed to meet the needs of residents. Rotas seen for the previous weeks and day of inspection showed the numbers of staff on duty at any given time to cover essential duties such as keeping the home clean and give residents one to one support. One carer was on rota for sleeping in night duty. The manager said staffing levels in the home allowed for staff to meet the needs of the residents, and supported a person centred approach to care. Two new staff had been recruited. Their records showed recruitment checks to be complete and met with legislative requirements for Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) register check being applied for, prior to employment. It is important however that any verbal reference taken should be recorded and another reference sought. On appointment staff were issued with a job description and contract of terms and conditions of employment. Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: Records of induction given had covered essential training in basic principles of care, and safe working practice issues. Staff on duty said they were given training relevant to their role, and the manager met with them regularly to give them support. Training records showed care staff trained to a National Vocational Qualification in care level 2 or above. Learning opportunities were good. Staff interviewed during inspection said they loved their work and had job satisfaction within a good team. Staff felt they were appreciated for their work and valued in the home. Care Homes for Adults (18-65 years) Page 25 of 31 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 home was managed and run in the best interests of the residents. Evidence: Mr Burke registered provider has many years experience looking after people with a mental health problem. There are 2 managers to support him in his role. Their responsibilities included for example, staff employment, policies and procedures, health and safety, provisions, standards, resident welfare, appraisal and supervision of staff, and staff training. Arrangements were in place for emergency contact evenings and weekends. The manager had completed an Annual Quality Assurance Assessment for this inspection. Overall the assessment indicated the conduct and management of the home ensured it was run in the interests of the residents, respecting individuals rights and ensured residents best interests were safe guarded. The ethos was that the home, its decisions, its policies, and procedures, belong to the residents and are managed on their behalf. Residents had meetings every month. There was a business plan, an Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: Investors In People accreditation and feedback received from all stakeholders. To ensure Equality and Diversity is considered, all staff had a working knowledge of the policies and were expected to challenge discriminatory language or behaviour appropriately and sensitively. Staff interviewed during inspection said they had regular supervision and appraisals. They considered communication was good and records of staff meetings showed they were consulted about good practice issues. Insurance cover was in place to meet any loss or legal liabilities. Record keeping was generally good. Confidential records must not be taken from the home for storage purposes. These must be kept in the home and stored securely. Staff were made aware of the requirements of the Data Protection Act, and compliance was included in their terms and conditions of employment. Policies and procedures had been updated and made available for staff and residents. The health and safety of residents was safeguarded. Policies for safe working practices and staff instructions in fire safety were available. Safe working practices in the home were evidenced. Residents were risk assessed to make sure they were kept safe in the event of a fire. Routine servicing and testing of essential household services and safety equipment was carried out. Care Homes for Adults (18-65 years) Page 27 of 31 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 31 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 27 13 The bath panel must be repaired or replaced This is because the panel is loose and presents as a risk of injury to residents. 24/04/2009 2 34 19 Two written references must 27/02/2009 be received for all employees. This is to make sure the person employed is suitable. requirement to 3 41 17 Resident records must not be taken from the home for storage purposes. This will ensure confidentiality of information is protected. 27/02/2009 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 Care Homes for Adults (18-65 years) Page 29 of 31 1 2 3 11 Storage of assessment information from health and social care professionals should be kept with residents files. Short term goal planning should provide some structure for residents rather than an ad hoc arrangement. This will ensure any barrier to support residents achieve maximum independence during difficult times is identified, recorded, and planned for. Residents should be encouraged to use public services to support them in managing their money. This will support them in community living. The bathroom should be decorated and a new floor covering fitted to improve the standard. A record should be made of any verbal reference given. This will ensure that information received validates information recorded on the application form. 3 12 4 5 27 34 Care Homes for Adults (18-65 years) Page 30 of 31 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. 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