Inspection on 09/02/09 for Heatherdene

This inspection was carried out on 9th February 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

Heatherdene 21/02/07

Heatherdene 06/02/06

Heatherdene 11/07/05

Heatherdene 26/01/05

Heatherdene 10/06/04

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: Heatherdene 13-14 Southfields Road Eastbourne East Sussex BN21 1BU     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: Lucy Green     Date: 0 9 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Heatherdene 13-14 Southfields Road Eastbourne East Sussex BN21 1BU 01323642715 01323731646 enquiry@heatherdene.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Heatherdene Limited Name of registered manager (if applicable) Mrs Terry Blandford Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 23 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - MD Date of last inspection Brief description of the care home Heatherdene is registered to provide residential care to 23 who have mental health problems. People are admitted to the home aged eighteen and above, with no upper age limit on admission. Most of the current residents are under 65 years and therefore within the younger adult category. The home is a three storey detached property in an attractive residential area close to Eastbourne town centre. The home is close to local transport links, shops and the towns facilities. There are twenty-three single bedrooms in the home, eight of which have en-suite facilities. There are a number of Care Homes for Adults (18-65 years) Page 4 of 29 care home 23 Over 65 0 23 Brief description of the care home communal areas, some of which provide areas to smoke in. The home is well maintained throughout. There is a large secluded garden at the rear of the property. There is parking at the front of the building and a ramp to enable disabled access. Further information, including the range of fees can be found in the homes Statement of Purpose and Service User Guide, copies of which can be obtained directly from the Provider. 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 reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term service user to describe those living in care home settings. For the purpose of this report, those living at Heatherdene are referred to as residents. This report reflects a key inspection based on the collation of information received since the last inspection, a review of the homes Annual Quality Assurance Assessment and an unannounced site visit which lasted six hours and fifteen minutes on Monday 9 February 2009 between the hours of 9:55am and 4:10pm. The Inspector was accompanied by two Experts by Experience for part of this inspection. An expert by experience is a person who, because of their shared experience of using services, Care Homes for Adults (18-65 years) Page 6 of 29 and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The findings and views of the Experts by Experience are also incorporated in this report. The site visit included a partial tour of the premises and an examination of some care, medication and staffing records. The Inspector observed the interaction between staff and residents as they planned activities and observed the serving of the lunchtime meal. The Experts by Experience had lunch at the home and met individually with four residents in the afternoon. Throughout the inspection process, the Inspector met and spoke with fourteen of the twenty one people currently living at the home. Time was also spent individually with the Registered Manager and Deputy Manager and two support workers were interviewed in private. Surveys were also sent to residents prior to the inspection and six were returned. What the care home does well: What has improved since the last inspection? What they could do better: This inspection has not generated any requirements or recommendations. The home has systems in place to self monitor and improve and the CSCI is therefore confident that the internal mechanisms in place are sufficiently robust to identify its own areas for improvement. Suggestions for improvement were discussed with the Registered Manager and include the purchasing of appropriate storage for controlled medication so that this is available should any such medication be prescribed to residents in the future. Care Homes for Adults (18-65 years) Page 8 of 29 It would also be useful to evidence wider promotion of individual outcomes on the journey to recovery with individualised goals within care plans that are monitored through the review process. 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 9 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 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents benefit from an admission process that ensures their individual needs and expectations are comprehensively assessed prior to moving into the home. Evidence: The Inspector viewed the pre admission assessment information in place for two individuals who have recently moved to Heatherdene and the initial assessment for one person who is currently undertaking a trial period with the home. There was documentary evidence that in each of these cases, the Registered Manager had conducted a comprehensive assessment of needs for these people prior to admission. The home had also obtained reports from other relevant professionals, including clinical psychologists and the Mental health Tribunal. A review of the subsequent care plans in place for the two individuals now living at Heatherdene provided evidence that the information gathered at the assessment stage has been used to develop a plan of care that outlines their needs and expectations. Feedback from these two residents confirmed that they had settled in well and that Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: they were happy living at the home. Prospective residents are encouraged to visit the home prior to admission to assess the suitability of the placement. At the time of the inspection, one person was visiting the home as part of a trial period. This person told the Inspector that they had been visiting Heatherdene over the last four months and had had the opportunity to stay overnight. The Inspector was able to establish from the documentation in place and discussion with all relevant parties that the information gathered at the assessment stage is used to inform a comprehensive care plan which evidences that the home can fully meet individual needs and expectations. There is no provision for intermediate care at Heatherdene and therefore Standard 6 is not applicable. Care Homes for Adults (18-65 years) Page 12 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. The system of care planning provides staff with a good foundation to support residents in a way that both enables and protects them. In order to further improve outcomes plans of care should be more strategically used to record life goals and evidence the journey to recovery. Evidence: Through discussion with management and staff and observation of their interaction with residents, it was demonstrated that they have positive relationships with the people they support and a good understanding of their needs. The four care plans viewed were found to comprehensively outline care needs in a transparent and accessible way. Full care reviews are also regularly conducted (minimum six monthly) and minutes from these meetings were viewed and found to be multi disciplinary in their approach. There was documentary evidence that residents are involved in care planning at the time of assessment and review, but the Experts by Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Experience highlighted that greater emphasis could be placed on how the home promotes the journey towards recovery and independent living. The Inspector discussed this issue with the Registered Manager who was able to describe the success stories of the service and how many people have moved on from Heatherdene to either supported or independent living. It was therefore suggested that the home look at ways of evidencing this practice and ensuring that reviews document strategic goals that can be monitored both in respect of the short and long term. The home has a positive approach to risk taking and residents are supported to take risks to maximise choice and independence. Risk assessments were found to be in place for all of the residents case tracked. Evidence gathered from documentation and observation of staff supporting residents during the inspection, highlighted that the home provides a service where residents are encouraged and supported to lead independent lives. It was noted that where rights have to be limited for the well being of residents these are fully agreed with residents and documented in care plans. 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. Residents have opportunities to access the local community and to participate in social and other meaningful activities. Residents are supported to maintain relationships with other people and receive a range of food they like. Evidence: Residents at Heatherdene are free to spend their time how they choose. It was observed that residents have their own key to the front door and are free to come and go as they wish. The Inspector spoke with fourteen residents, all of which confirmed that they had sufficient opportunity to go out and that they were able to spend their time as they chose. Several residents talked about their voluntary work at the local Bourne Centre and another resident stated that they had part time job at a nearby charity shop. The Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: location of the home enables easy access to the town centre and during the course of the inspection, many of the residents popped out for shopping or a coffee. Two residents talked to the Inspector about a planned holiday in March which they are clearly looking forward to. Similarly the feedback gathered by the Experts by Experience was positive. The Experts asked a general opening question of How do you find living at Heatherdene? and residents stated that it was good with access to community facilities and freedom to carry out individual activities, mainly with the access of support if needed. The Experts by Experience identified that residents have varied activities and interests with comments made around going for coffee, trips and taking part in other supports within the local community. This is supported by the quote, We went to Howletts Zoo, it was one of the best days out. The home has a positive approach to enabling residents to maintain contact and relationships with families and friends. Conversation with residents confirmed that they are able to invite their visitors into the home. One resident told the Inspector that they have a friend to visit most days. Meals are prepared according to a menu that is drawn up in consultation with residents to reflect the meals they wish to have, whilst encouraging people to try different things and maintain a balanced diet. Each meal provides a choice of three options. The Inspector observed the lunchtime meal where most residents were enjoying scrambled eggs on toast or sandwiches. The two Experts by Experience had lunch at the home when they arrived and were offered a choice of foods. There are cooking facilities for residents use and staff and residents confirmed that support with cooking is available for those who wish. It was evident that some residents regularly use this facility, whilst others do not use it at all. Whilst recognising the choice element here, it would be good if the home how often residents are encouraged to cook and promote independent living skills through the review process. 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. Residents benefit from the provision of flexible and respectful personal and healthcare support and are enabled by the systems in place to manage medication. Evidence: The majority of residents at Heatherdene largely manage their own personal care. For those that do require support however, this is provided sensitively with dignity and respect. One resident told the Experts by Experience that I find it difficult to have a bath and the staff help me with this. The home enables residents to make their own choices about how much or how little support they would like in respect of managing their own health and personal care needs. Care plans were found to provide guidance for staff as to the support they should provide to each individual. It was evident that some people choose to take full responsibility for their own personal and health care needs and that this choice is respected. Staff are available to support residents to attend make and attend appointments if Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: they choose. The records relating to healthcare appointments are currently stored separately to the care plans and it was suggested to the Registered Manager that it would make sense for all information to be stored within the care plan. Residents who spoke with the Experts by Experience stated that they had been supported to register with the appropriate healthcare professionals within the first two weeks of moving to Heatherdene. Medication systems were assessed by way of a review of records, storage and discussion with the Deputy Manager. The medication policy was not inspected on this occasion. The home has a large amount of medication to manage and staff understand the importance of ensuring the right person receives the right medication, at the right time. Six residents are currently responsible for the administration of their own medication. Risk assessments for self medication have been completed in respect of these individuals and lockable facilities are available in their bedrooms. The storage of medication was found to be satisfactory. The home does not currently hold any controlled medication, but it in line with legislative changes, it is now required that all care homes have the appropriate storage facility in case such medication is prescribed in the future. As such a timescale of three months has been set for the home to acquire this facility. 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. The home has systems in place to listen to residents views and safeguard them from harm. Evidence: The home has a complaints procedure in place and a review of the complaints log identified that the home has satisfactorily resolved three complaints in the last twelve months. The Commission has received one complaint about the home since the last inspection and this was passed back to the Provider to investigate and was appropriately handled and the issue resolved. The home seeks to obtain feedback about the service from a variety of stakeholders and this is evidenced by residents meetings and stakeholder questionnaires. The residents spoken with and the surveys returned prior to the inspection confirmed that the residents knew what to do if they wished to raise a concern. The home has a number of systems in place to protect residents from abuse. New staff are employed subject to robust recruitment procedures and the necessary checks being undertaken. There are appropriate systems for supporting residents with their finances. The training files viewed for three staff identified they had received training in the safeguarding of vulnerable adults. The Registered Manager and her staff have demonstrated that they know how to safeguard people from harm and demonstrated a Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: good knowledge of the procedures in place should they believe people are at risk. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a safe and comfortable environment that meets their needs and is fit for the stated purpose of the home. Evidence: The Inspector undertook a partial tour of the home, which included the communal areas and some bedrooms. Heatherdene is a spacious property that provides residents with a clean and comfortable environment that provides individual rooms and sufficient communal space to meet their needs. Resident accommodation is laid out over three floors and provides individual bedrooms which residents are able to personalise as they wish and all have a lockable facility for their valuables. Each resident has a key to their bedroom as well as the front door if they wish. Nine of the twenty three rooms have ensuite bathrooms, some with baths and the others with a toilet and washbasin. There are three communal bathrooms and three shower facilities. Communal areas comprise of a large lounge, dining room, small lounge with computer Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: facilities and a separate smoking room. There is also a resident food preparation area where residents are able to cook meals and snacks independently if they wish. There is a well maintained garden to the rear of the home, which provides secluded areas of seating and is accessible for residents. The home was found to be clean, tidy and hygienic at the time of the inspection. Feedback from residents confirmed that the home is always well kept. There is evidence of an ongoing programme of maintenance and redecoration. 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. Residents benefit from a dedicated and competent team of staff and are protected by the recruitment procedures. Evidence: At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. The fourteen residents spoken with all spoke highly of the staff team and comments such as I feel safe as I can always talk to the staff and I get on well with staff and enjoy going for drinks with them were made to the Inspector. The Registered Manager and staff confirmed that staffing levels are flexible according to activities, appointments and well being of residents. The Registered Manager stated that there would always be at least three staff on duty during the day, but that this number was usually higher. On the day of the inspection there were seven staff on duty. The Registered Manager works in a supernumerary capacity. At night there are two waking carers and a senior person on call. Discussion with residents, staff and management provided feedback that staffing levels are currently adequate for the needs of the residents. The majority of the residents are Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: self caring and many are out for at least part of the day. Discussion with the Registered Manager and examination of four staff files identified that staff training is ongoing. There was documentary evidence that new staff members complete an induction programme in line with Skills for Care. Staff files also provided evidence of a robust system of recruitment being in place, with all the correct documentation and checks being in situ. Staff confirmed that they have access to the relevant mandatory training including; fire safety, first aid, safeguarding adults and moving and handling. Staff have also recently completed a course in conflict management. The Registered Manager has recently provided training to most of the staff team in understanding mental health and plans to deliver this training to the rest of the team in the near future. Ten staff have attended training in respect of the Mental Capacity Act and the remainder of the team are booked to attend this course. A workshop on the Deprivation of Liberty Safeguards has also been scheduled. According to the Annual Quality Assurance Assessment submitted by the home, more than fifty percent of the current staff team have completed a National Vocational Qualification in Care to at least level 2. 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. Residents benefit from the home being run by an experienced and dedicated Registered Manager who ensures that the home is run safely. The organisation has systems in place to self audit and monitor. Evidence: Heatherdene is managed by an experienced and competent Registered manager who has worked at Heatherdene for almost twenty years. She has undertaken the National Vocational Qualification Level 4 in Care, the Registered Managers Award, an MBA in Business Administration, and is also completing a diploma in psychiatric studies. During the inspection, it was again observed that the Manager has a good relationship with both staff and residents and it was apparent that both found her approachable and supportive. The home has a system of quality monitoring in place with the Area Manager conducting visits in accordance with Regulation 26. It was noted that whilst the Area Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Manager has a high visibility in the home, these formal visits have not been conducted every month. In addition to Area Manager input, the organisations Quality Assurance Manager also conducts periodic audits. Annual satisfaction surveys are sent out to stakeholders to co incide with residents reviews and it would be good to see evidence of the results of these, along with service user surveys collated. There was evidence of service user meetings taking place and the minutes of these identified discussions about menus, activities and holidays. The AQAA provides evidence that the home has various robust systems in place to ensure the Health and Safety of the home are maintained. The Inspector did not have cause to question the way health and safety is maintained and therefore records in respect of health and safety were not fully inspected on this occasion. 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 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. 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