Inspection on 03/11/08 for Helen Ley Court

This inspection was carried out on 3rd November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Helen Ley Court 16/11/06

Helen Ley Court 15/11/05

Helen Ley Court 16/06/05

Helen Ley Court 09/03/05

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: Helen Ley Court Bericote Road Blackdown Leamington Spa Warwickshire CV32 6QP     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: Yvette Delaney     Date: 0 3 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 30 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 30 Information about the care home Name of care home: Address: Helen Ley Court Bericote Road Blackdown Leamington Spa Warwickshire CV32 6QP 01926313550 01926888972 cstevens@helenley.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Multiple Sclerosis Society Name of registered manager (if applicable) Carol Stevens Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: Date of last inspection Brief description of the care home Helen Ley Court is a purpose-built home for 10 residents with physical disabilities who have Multiple Sclerosis. The building is owned by the MS Society, who are responsible for the management and upkeep of the home. Residents are accommodated in self-contained apartments with en-suite bathroom and small kitchenette. There is a shared lounge/dining room that can be partitioned off to make two separate areas. There are extensive gardens for the Centre and a private courtyard for the residents of Helen Ley Court. The home is situated on a country road between Leamington Spa and Kenilworth, amid fields and sports grounds. Fees for accommodation in the home range from 588 pounds to 723 pounds. 10 Over 65 0 care home 10 Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home Additional costs for hairdressing, toiletries, papers and magazines, continence aids, some activities and transport have to be met by residents. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: This was a Key unannounced inspection which addresses all essential aspects of operating a care home. This type of inspection seeks to establish evidence showing continued safety and positive outcomes for residents. The inspection focused on assessing the main Key Standards. As part of the inspection process the inspector reviewed information about the home that is held on file by us, such as notifications of accidents, allegations and incidents. Questionnaires were completed and returned by five people, three relatives and two members of staff, giving their views of the service. An annual quality assurance assessment (AQAA) was completed by the manager and collected by us at the time of the inspection. Information provided in the annual assessment by the home manager has been used Care Homes for Adults (18-65 years) Page 6 of 30 to inform this report. The inspection included meeting most people living at the home and case tracking the needs of two people. This involves establishing an individuals experience of living in the home, meeting or observing them, discussing their care with staff and relatives (where possible), looking at their care files and focusing on the outcomes for the resident. Tracking peoples care helps us to understand the day-to-day life of people who use the service. Discussions took place with some of the people that live at the home in addition to care staff and the home manager. A number of records, such as care plans, complaints records, staff training records and fire safety and other health and safety records were also sampled for information as part of this inspection. What the care home does well: What has improved since the last inspection? What they could do better: The home has worked to make improvements in the services they provide. At this inspection two requirements were made related to safeguarding people living in the home. Staff must know what action to take if they witness or suspect someone in the home is being abused. This will help to make sure that people living in the home are protected from the risk of abuse. Full and satisfactory information must be obtained on all employees to ensure that robust recruitment procedures are always followed. Appropriate and relevant references must be requested for all staff (including agency staff) being considered for permanent employment in the home. This will ensure that people living in the home are protected from the risk of harm. Care Homes for Adults (18-65 years) Page 8 of 30 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 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standard 1, 2, 3 and 4 were assessed at this inspection. Information about the home has been updated, which makes sure people have current details about the services they have to offer. People receive a comprehensive assessment of their care needs and visit the home before making the decision to move in. This will support people to make an informed decision about whether to move into the home. Evidence: The statement of purpose for the home has been updated. The document provides detailed information about services provided by the home. The files of two people who live in the home were examined these show that a comprehensive assessment of their needs had been carried out. The assessment process starts with the manager contacting the person requiring care and their carer to arrange a home visit. The assessment also identifies any additional services, aids or equipment that may be required to help meet peoples needs if they move into the home. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: Assessments show that visits and short stays at Helen Ley Court are offered to help people decide whether the home is suitable for them. One resident and their relative was able to tell us that they spent a number of days over several occasions visiting the home before deciding to move in. This visit gives the opportunity for the perspective service user, their carer, other residents and staff to get to know each other and identify and assess care needs in the care home environment. Assessing the home in this way helps both parties to be sure that the home can meet the persons needs and provide the support required to ensure their safety whilst living in the home. Additional information is also taken from the care management assessment. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 6,7 and 9 were assessed at this inspection. Individuals are involved in decisions being made about their lives and play an active role in planning the care and support they receive. Evidence: Two care files were examined by us these show that residents are involved in planning their day and setting their own personal goals. Care plans are written in a way that is Person Centred and shows the individuality of each person for example one care plan read stated: Support X (Resident) to chose his meals. Offer low calorie options as X is keen to lose some weight. Residents and their carer are involved in developing their care plans where possible. Residents spoken with during the case tracking process showed that they were capable of contributing to their plan of care. Relatives spoken with told us in their Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: questionnaire that staff at the home: Allows X (Resident) to make choices and treats him with respect and dignity. Other residents commented: I was asked how much I can do for myself and if I feel there is anything I want help with. The staff observed how I did things for myself to make sure I was safe. Care plans identified the level of risk related to each persons needs and their goals. The level of risk identified includes areas such as activities the resident wanted to be involved in, trips out into the community and the type of transport that was needed. To help minimise the level of risk, care plans showed how many staff were needed to assist the resident and the type of aids and equipment needed. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 12, 13, 15, 16 and 17 were assessed at this inspection. Opportunities are available in the home to ensure that people experience a daily life, which offers a positive and varied lifestyle. Evidence: The age group of people living in the home is varied. Observation of residents in the dining room and lounge showed that they got on well. People knew each other by name and were busy in conversation. People told us that they took part in the activities organised by the neighbouring home Helen Ley House. An ongoing weekly programme is developed by the home and people from Helen Ley Court are actively encouraged to join in. This allows permanent Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: residents at Helen Ley Court to meet and socialise with other people with similar disabilities who are able to keep them up to date with what is going on in the community. On the day of inspection one resident was supported to go to the park. Although the resident said that outside was cold she was appropriately dressed and told us that she had enjoyed her trip out. If residents had past interests that they wanted to pursue, support is given to help them maintain individual hobbies and any enduring learning they wish to take part in. People living in the home are encouraged to maintain contact with families and friends. Family members told us that staff are always helpful and help them to keep in touch with their relative. A family member was able to confirm that they are made welcome and are happy with the service the home offers. One resident felt that: The home offers a lot of different activities for stimulation if we want to take part we also get physio. Some residents sat around a large table at lunchtime, others chose to have their meals in their own bedrooms. The meal offered was appetising and residents said that they usually enjoyed the food they received. Comments made told us that The food is better now. There is one main kitchen that serves lunch for both Helen Ley Court and Helen Ley House. Helen Ley Court has a smaller kitchen from which they prepare and serve breakfast, supper, drinks and snacks. This helps to provide residents with further choices in the food they eat based on their individual likes. The home has access to a speech therapist who assesses individual residents and advises on whether residents are able to swallow their food easily without choking or if some support is needed. Specialist foods can be provided for example liquid foods are thickened which make the foods easier for people to swallow and help prevent them choking. Interactions between residents and staff were good throughout the day. Staff treated residents with kindness, respect and understanding of their individual needs. When the manager showed us around the home she knocked on each door so that we did not enter peoples bedrooms without consent. Residents spoken with said that staff always knocked on the door before entering. This shows that the privacy of individual residents is respected. Residents told us that they go to bed and get up when they wish. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 18, 19 and 20 were assessed at this inspection. The health and personal care that people receive is based on their individual needs. Evidence: The manager is in the process of updating all individual care plans to reflect the changing needs and personal goals of people living in the home. Residents are involved in developing their plan of care and the ongoing review of their care needs. The health and personal care needs are identified and included in residents agreed plans of care. The level of support required by each person is identified and risk assessments linked to their care needs are completed. The outcome of assessments are used to support a residents plan of care. Examples seen include details of safety measures to be followed for people taking their own medication. People living in the home are supported to access health professionals within the community setting this includes doctors, dentists and optician. District nurses visit the Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: home to support ongoing health care needs of individual residents. If at all possible residents are supported to maintain access to their own GP and any other health professionals involved in their care. Residents are able to attend planned hospital and clinic appointments and arrangements are made for those who have been in the home for a longer term to receive health checks. Medication is appropriately stored and safely administered thus ensuring residents are safe from the risk of harm. Those residents who are able to are supported to administer and control their own medication following a risk assessment. A policy and procedure is available to support the safe administration of medicines. It was highlighted at the last inspection that a resident who was continuing to administer their own medicines was not being careful about storing their medicines safely. The procedures for self administration of medicines in the home had been reviewed. Medicines kept by residents were observed to be stored safely Medication records were examined these were complete showing that residents had received their medication as prescribed. Following the outcome of the last inspection the home is recording the quantity of medicines received into the home onto individual residents Medication Administration Record (MAR) chart. This will confirm the medicines received in the home from the pharmacist each month and provide information to support auditing the management of medicine practices carried out in the home. Senior care staff administer medicines after taking a recognised course in safe handling and administration of medication. Conversations with care staff showed that they knew the residents, were aware of the likes and dislikes and how to meet their care needs. Care staff talked about the care the resident received, especially in relation to moving and handling for example transfer from wheelchair to bed and what support a resident needed at meal times. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 22 and 23 were assessed. People living in this home are confident that their concerns will be listened to and acted upon in an objective and timely manner. Care staff working in the home are not clear on the action they should take in the event of suspicion of abuse, which will not make sure that residents are protected from the risk of harm. Evidence: Residents and relatives were seen to have a good relationship with the manager and staff working in the home. We observed that residents had easy access to the manager at all times on the day of the inspection. The manager was always available to talk to residents and relatives. Relatives and residents spoken with said that if they had any concerns they could speak to any of the staff. Residents told us that the Manager was approachable and they can talk to her about anything. A relative wrote in their questionnaire I would be confident to call or email Carol (Manager) if I had any worries. Examples of this interaction were seen at the inspection when residents came to the managers office to talk to her. Residents told us that Staff were very understanding and always listened. The home has a complaint procedure which is accessible to residents, their family and Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: staff. One complaint has been received by the home since the last inspection, which was appropriately managed. The Commission has not received any complaints about the home to date. Policies and procedures available provide staff with clear guidance to follow to safeguard residents from the risk of harm or potential abuse. Staff training records show that staff have received up-to-date training in the identification and awareness and action to be taken in the event of an alleged abuse. People who live in the home have access to information on what they should do if they feel they are being abused, bullied or harassed. Time was taken to talk with staff working in the home. Staff were asked questions on the action they would take if they suspected or saw a resident being abused. One member of staff was clear on the action they would take. The other member of staff took some time to show that they understood their role and responsibility when handling suspected abuse. This was discussed with the manager who was able to tell us that staff undertake ongoing update of adult protection procedures. Plans are also to address adult protection through the supervision process. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 24 and 30 were assessed. The environment in which residents live provides a homely, private, comfortable and safe home, which meets their needs, individual lifestyle and level of independence. Evidence: At the last inspection visit the home had just been redecorated and refurbished. The home presents a homely environment, which although not modern meets the needs of residents. The manager told us that further major refurbishment planned will make sure that residents have an improved purpose built environment and their bedrooms adapted to review and provide aids and equipment that will make their living environment easier to use. A number of the bedrooms were viewed with the permission of residents. The bedrooms of residents followed through the case tracking process showed that they were furnished to provide a homely and personal room for them to live in. Each bedroom is designed to provide a bedsit type living environment with a small living area and kitchenette. The main lounge area is designed to provide an open plan area. There is a large dining room leading to a lounge area. The decor is light and airy with the minimum of Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: furniture suitable to meet the needs of residents. People were seen to move arround the home with ease and looked comfortable in their environment. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 32, 34 and 35 were assessed. People living in the home benefit from having staff that are qualified and competent to deliver their care. This will promote safety, consistency and continuity of care for residents. Evidence: Discussions with residents showed that they were clear about who the individual staff are in the home. On the day of the inspection there was sufficient staff on duty to provide appropriate care for residents living in the home. Examination of four weeks duty rota show that staffing levels had been maintained. Observations during the inspection visit showed that staff are competent, effective and discreet when supporting residents in their care. Residents were relaxed with staff. Staff spoken with were happy in their individual roles. Comments received from a family member about the care their relative received told us. staff in the home include: Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: This is the best place for my X (resident) this is the happiest X has been. Staff files examined and conversations with two members of staff and the manager provided evidence of training attended. A recently appointed member of staff who had been working in the home for nearly six months was able to explain their induction period and the topics that were covered. The number of staff that have completed the National Vocation Qualification (NVQ) level 2 or above in care remains above 70 percent. Training and courses completed include dementia care, moving and handling, infection control, food safety and fire training. Staff have also attended protection of vulnerable adults training. The files for two staff were examined one recently appointed care staff and one for a member of staff that had worked in the home for some years. Information contained within the files showed that recruitment procedures for new staff to the home were good. However one of the staff files showed that these robust practices were not always followed through when staff that had previously worked in the home through the agency were recruited to work permanently in the home. Appropriate checks had taken place for staff who were new to the home, which include Criminal Record Bureau checks, (CRB), examining past employment history and obtaining two appropriate references. Appropriate references were not always sort for agency staff and a full application form was not always completed. This was discussed with the manager who said that the member of staff had been used consistently in the home. The importance of robust recruitment practice makes sure that residents are continuously protected from the risk of harm. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 37, 39, 41 and 42 were assessed. Management and operation of the home promotes the safety of residents, which supports and increases their self-worth and quality of life. Evidence: Observations, conversations with residents and staff showed that the home is well managed. There are clear lines of management and residents are aware of the responsibilities of each member of staff. Through the course of the inspection and during discussion, the manager and staff were able to demonstrate that they have good knowledge of the residents and services offered by the home. The manager involved residents through meetings, general conversations on improvements that could be made in the running of the home. Information in the completed AQAA told us that maintenance and servicing of Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: equipment used in the home had been carried out. All records seen as part of this inspection visit relating to health and safety and safe practices include fire equipment checks these were up to date and fire alarms had been checked. PAT testing on electrical equipment used in the home was up to date. Staff have received up to date training in Fire Safety, Basic Food Hygiene, Moving and Handling and Infection Control. Observation of the environment while looking around the home, care practices and discussion with residents and staff evidence that the premises were safe and secure. Residents were seen to move around the home safely and easily. As discussed under the Environment section of this report there are plans to improve the environment further, which will provide additional aids and improvements to the environment specifically addressing the needs of people with Multiple Sclerosis. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 34 19 Full and satisfactory 16/01/2009 information must be obtained on all employees to ensure that robust recruitment procedures are in place. Appropriate and relevant references must be requested for all staff being considered for employment in the home. This will ensure that people living in the home are protected from the risk of harm. 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 23 Supervision of staff should include checking their knowledge and understanding of the protection of adults from abuse. This will make sure that people living in te home are protected from the risk of harm. The recruitment process would benefit from a checklist which gives clear guidance on the type and standard of Page 28 of 30 2 34 Care Homes for Adults (18-65 years) information needed about all potential recruits. This should include agency staff, regardless of whether they have been previously used in the home. This will make sure that recruitment practices protects residents from the potential risk of harm. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (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. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!