Inspection on 03/11/08 for Hilton Road

This inspection was carried out on 3rd November 2008.

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

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

Other inspections for this house

Hilton Road 14/11/07

Hilton Road 18/09/06

Hilton Road 23/08/05

Hilton Road 27/02/05

Hilton Road 14/10/04

Hilton Road 27/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hilton Road Hilton House 92 Hilton Road Lanesfield Wolverhampton West Midlands WV14 6DR     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: Becky Harrison     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. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (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: Hilton Road 92 Hilton Road Hilton House Lanesfield Wolverhampton West Midlands WV14 6DR 01902820069 01902651616 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Balvir Sahota Type of registration: Number of places registered: Arcare (West Midlands) Ltd care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Hilton House is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and care for up to three adults with a learning disability. The home is one of four services owned and managed by Arcare (West Midlands) Limited. The property is semi-detached and situated in a residential area of Lanesfield; approximately 3 miles from Wolverhampton City Centre and is accessible to local amenities, transport and relevant support services. Accommodation is provided over two floors offering single bedrooms and shared areas to include a lounge, dining room and kitchen. Accommodation is provided over two floors; people have a single bedroom and have access to communal areas to include a lounge, dining room and kitchen. A small paved garden is provided at the rear of the property. 3 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 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: One inspector carried out the unannounced inspection over 5 and a half hours. A range of evidence was used to make judgements about this service to include the Annual Quality Assurance Assessment completed by the manager, surveys received and discussions held with two people who use the service, two members of staff, the registered manager and the development manager for the organisation. We did a tour of the home, reviewed the homes quality assurance processes and sampled a number of records to include complaints and protection, staff training, recruitment and health and safety records. Two people who live at the home were case tracked this involves establishing Care Homes for Adults (18-65 years) Page 6 of 29 individuals experience of using this service by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We reviewed all of the key standards for care homes for younger adults and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. The range of fees charged range from 421.48 - 610.00 Pounds per person per week. The reader may wish to obtain more information about fees direct from the care service. What the care home does well: What has improved since the last inspection? The last key inspection of this service was undertaken on 14th November 2007. The one requirement and four recommendations that were made are considered met. Since the last inspection outcomes for people living at Hilton House have much improved and it is considered that the service is now performing well. Support plans are much improved, person centred and focus on individuals strengths and personal preferences. People living at the home can now be confident that they receive the support they need because they have contributed with the development of their plan and attended formal reviews with people important to them. Staff have changed their approach to risk taking. Risks are now managed more positively, which has enabled the people living at the home to lead the life they want and to develop their daily living skills. For example one person is now supported to do some baking and discussions held with her clearly evidence that she enjoys this activity. The home has a new registered manager who leads her team with confidence. Many changes have been implemented in the best interests of the three people living at the home. Discussions with her evidence that she is committed to continued improvement. Many improvements have been made to the environment providing people with a comfortable, homely place to live. Most rooms have been redecorated and new soft furnishings and furniture purchased. People have been involved in choosing colour schemes and furnishings and have very much enjoyed improving their home with the support of the staff. People living at the home are now supported by a trained team of staff who have attended training specific to the needs of the people they support to include learning disability, diabetes, dementia, falls prevention and training in safe working practices to include health and safety, medication, infection control, food hygiene and fire. Care Homes for Adults (18-65 years) Page 8 of 29 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the home currently has no vacancies information about the service is readily available to help people make an informed choice about whether the service is appropriate to their needs. Individuals would only be admitted following a needs assessment to ensure the service is appropriate for them. Evidence: Information about the service is readily available in the Statement of Purpose and Service User Guide, which have updated to reflect the change in registered manager and the fees charged. Both documents provide people with information to help them understand the services that Hilton House provides. There have been no new admissions to the home for three years, however the home has appropriate procedures in place and demonstrated that they obtain the necessary information to ensure they are able to meet the needs of prospective service uses prior to admission. Care Homes for Adults (18-65 years) Page 11 of 29 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. People using the service now have a detailed support plan, which informs staff about their individual needs and how they prefer these to be met. Individuals are able to make decisions, 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 remain independent. This is because the staff have appropriate information on which to base decisions. Evidence: People living at Hilton House can now be confident that the staff supporting them have sufficient information about them to ensure their needs are met. New support plans have been developed and the two sampled were detailed, person centred and evidence that people are involved in planning their care and support. Person centred plans have been developed with each individual and one person was happy to share her plan with Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: us, which had been developed in a pictorial format and included a range of information important to her and included her goals and inspirations. A member of staff spoken with considered that support plans are much improved and now contain detailed information to effectively support individuals using the service and she demonstrated a good understanding of the needs of the people she supports. We received a survey completed on behalf of one resident stating My relatives requests and needs are attended to promptly and effectively. Peoples preferred communication styles are documented in their support plan and the manager is looking to produce information in a more user-friendly format to aid communication, such as signs, symbols and easy read formats. Two people who use the service indicated that they are provided with greater opportunities to make decisions and are offered more choices for example activities, preferred routines and meals. One person stated Its better than ever, I make my own choices, attend meetings and go out more. People have access to advocacy services and one person was assigned an advocate to represent his best interests following a complaint made against the home, which has since been resolved. Risks are now managed more positively, which has enabled the people living at the home to lead the life they want and to develop their daily living skills. For example one person is now supported to do some baking and discussions held with her clearly evidence that she enjoys this activity. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Hilton House are enabled to keep in contact with family and friends and are provided with greater opportunities to develop and maintain their social and recreational interests so that they can lead their life in a chosen way. People receive a healthy, varied diet according to their assessed requirements and choice. Evidence: Two people we spoke with told us about the activities that they do during the week and how much these have improved. One person said Ive been to the cinema, ten pin bowling, Black Country Museum, shopping and arranged my birthday party at the pub. Another person told us I go to the day centre in the week and go home every weekend. We do lots of different things here now, I like living here. People have been Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: supported to develop a pictorial activity file to plan and record activities. Likes and dislikes are also detailed in peoples own support plans. One person we case tracked is now attending a specialist centre for people with a visual impairment once a week. It was reported that he is very much enjoying accessing this facility. People living at Hilton House are supported to maintain contact with their family and friends and all contact is recorded, as evidenced on the files examined for the two people we case tracked. One person said My brother comes to see me every week and takes me out. Another person said I go home every weekend to see my family. Peoples rights are clearly stated in the Service User Guide and include the right to privacy and dignity. Preferences in relation to choices, routines, likes and dislikes were documented on the support plans examined, which also include peoples goals and aspirations. Discussions held and records seen evidence that people are provided with greater opportunities to develop their daily living skills for example making drinks, baking and shopping. Where people resist to assist in certain tasks this is now clearing recorded. The two people we spoke with told us that they can choose the meals they want and that they enjoy the food. One person showed us the four week menu and stated Staff ask me what I want to eat, I like the food here, its beautiful. We also go out to McDonalds and the pub. Allergies and special dietary requirements are recorded in peoples support plans. Discussions held and observations made evidence that people now shop at different supermarkets and are no longer restricted to purchase supermarkets own branded goods. 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. People receive personal support based on their assessed needs and in the way they prefer and want. The management of medication has improved providing greater protection to people who require help with their medication, supporting their continued good health. Evidence: The personal care needs of the people living at Hilton House are now clearly recorded in their support plans. This helps staff understand how individuals prefer their personal care needs to be met. The two people we spoke with told us that they are happy with the support that they receive. Records clearly evidence that people are supported to access healthcare facilities and details of the health professionals are retained on file. Since the last inspection much work has been undertaken to ensure staff are more familiar with the healthcare needs of the people they support. A health resource pack has been developed in conjunction with professionals based in the local team. The pack provides an excellent source of information to both the staff and people using the service to include diabetes, epilepsy, Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: down syndrome, womens health and mens health. Each individual has a health record and all appointments and outcomes are clearly recorded. Any concerns are quickly referred ensuring peoples health needs are met. People in receipt of medication can be confident that they are better protected by the improved procedures in place for the management of their medication. The manager demonstrated a clear understanding of how people are supported with the management of their medication and improvements have been implemented following our last inspection. Medication procedures appeared satisfactory at the time of this inspection and a new policy and procedure for the receipt, storage and administration of medication has been implemented. All staff have received training in the safe handling of medicines and the monitored dosage system. The manager has developed details on the medication that individuals are prescribed, how its to be administered and the possible side effects. There have been no medication errors since our last inspection and two people we spoke with indicated they are happy with how their medication is managed. 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. If people have concerns with their care, they or people close to them, know how to complain. Their concern would be looked into and action taken to put things right. The service safeguards people from abuse by ensuring staff are trained in adult protection and action taken to follow up any allegations. Evidence: People who use the service and their representatives have access to a complaints procedure, which is readily available. The manager is looking to produce this in a format appropriate to the people living at Hilton House. Surveys received and discussions held with two people evidence they have an understanding of who to speak to if they were not happy with the service provided. We have not received any concerns or complaints about the service since our last inspection. The home has received two complaints and records seen evidence that these were dealt with appropriately and within the required timescales. The manager has successfully supported one person to make a formal complaint against another service demonstrating that she is committed to empowering people within her service. The service has a copy of the local Multi-Agency Adult Protection Policy and the manager confirmed all of the existing staff have received training in adult protection. No referrals have been made under safeguarding adult procedures since our last Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: inspection. A member of staff spoken with had a clear understanding of adult protection and whistle blowing procedures and considered people living at the home are safeguarded. Two staff have received training on the management of actual and potential aggression (MAPA) and the remainder are due to attend the training at the next available date, however they have received other training in managing behaviours to support their lone working. All staff are due to attend training on the Mental Capacity Act shortly to ensure they are familiar with the new legislation. The management of peoples finances has improved. The home now has a written policy and procedure in place and support plans now detail how people are supported to manage their finances. Records of all transactions are appropriately maintained, checked regularly and are signed by two members of staff. 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. Many improvements have been made to Hilton House to provide people with a homely, clean and comfortable place to live where they feel safe and secure. Evidence: People are now provided with a comfortable and homely place to live. Many improvements have been made in consultation with the people living at the home to include redecoration of a number of rooms, refitted kitchen, new floor coverings, replacement furniture and soft furnishings such as pictures, photographs and ornaments. The home has a maintenance plan in place and the self assessment identifies the need to replace the bathroom suite within the next twelve months and redecorate a further bedroom. Discussions held with two people clearly evidence that they are happy with the improvements made with them. One person said I chose the colours that I wanted for my bedroom, my curtains and bedding. I love it. Another person said I like living here. People are provided with a single room. One person with mobility difficulties is accommodated on the ground floor and has access to an ensuite shower room. A ramp is also available to the front of the property to aid mobility. People living at Hilton House are provided with a clean home, free from offensive odours. Products hazardous to health are appropriately stored and data assessments Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: available. All staff have received training on infection control procedures and support the people using the service to maintain a clean home. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff work positively with the people they support and receive excellent training opportunities to equip them with the skills and knowledge to meet the individual needs of the people living at the home. Evidence: On arrival at the service the manager was supporting one person waiting for his transport to take him to his day service and another person who remained at home until mid morning when she was taken out by another member of the staff for lunch and to visit a friend in a nearby home. The development manager was also at the home. Observations made clearly evidence that staff have developed positive working relationships with the people using the service. It was reported that three out of four support staff have obtained a care qualification known as NVQ at level 2 and one member of staff is working towards this qualification. Staff with NVQ level 2 are now working towards their level 3 award. It was reported the home is fully staffed and that existing staff have worked at the home for a number of years. People we spoke with told us they feel there is sufficient staff on duty to support the needs of the people who use the service. The usual staffing ratio is one member of staff to support up to three people, although additional Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: staffing is made available when required. No new staff have been recruited since the last inspection therefore we did not assess the homes recruitment procedures on this occasion. Given the shortfalls identified at the providers other establishments the manager is aware of her responsibility to ensure recruitment procedures are robust should she need to recruit new staff in the future. Feedback received from two staff was extremely positive about the improvements that have been made to improve the quality of life for the three people living at the home. One member of staff stated The environment is much improved in consultation with service users, we have excellent training opportunities and people are now encouraged to lead more independent lives. Discussions with staff and training certificates seen evidence that staff are now in receipt of service specific and mandatory training to include learning disability qualification, diabetes, dementia care, health acting planning, medication, first aid, food hygiene, health and safety, adult protection. The manager has developed an annual training needs assessment for her team, which identifies a need for training in health action planning and the mental capacity act. Staff are in receipt of formal supervision at the required frequency which helps monitor their practice and identify their training and development needs. Staff meetings take place monthly and minutes of recent meetings held evidence that the needs of people living at the home are discussed, outcomes of reviews, improvements to the home, risk management and the implementation of the health resource pack. 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. People have confidence in the service because it is run and managed effectively in the best interests of the people living and working at the home. Peoples opinions are now central to how the service develops and reviews their practice, as the service has appropriate ways of making sure they get things right. The environment is safe for people and staff because the necessary health and safety practices are carried out in order to safeguard people. Evidence: People living at Hilton House benefit from a service, which is effectively managed. The home has a new registered manager in place that is experienced and is knowledgeable of the individual support needs of the people who use the service. Discussions with the manager clearly evidence her commitment to improve the service in the best interests of people living at the home and she demonstrates a clear vision for the service. Staff were extremely positive and reported positive changes made since the new manager Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: was appointed. We received a very positive response to how the service is managed and comments received include: Staff are more motivated and have confidence in the manager I could not ask for a better manager, Bally is approachable and has good leadership skills, she is approachable and service user focused The views of people who use the service are taken into account through feedback gained in satisfaction surveys that are distributed to people living at the home, their relatives and day services. This helps assess how the service is currently performing and evaluate outcomes for people and aid future planning. Monthly visits required by Regulation 26 are now undertaken and the manager has also developed a detailed annual development plan for the service. The Annual Quality Assurance Assessment (AQAA) forwarded to CSCI reflects both the strengths and areas of improvement for the service. The home has received a compliment from a professional stating I am very impressed with how the care manager of this home strives to be enthusiastic, motivated and pro active in providing the highest possible of care for her service users Record keeping is much improved for example support plans, risk assessments, staff files and health and safety records. The manager is aiming to make information more available to the people using the service through the use of easy read and pictorial formats. Health and safety procedures have improved. Maintenance checks are undertaken in the home to ensure that the equipment is safe and in full working order. Service certificates are now readily available in addition to risk assessments and other safety records required. Both the Environmental Health Officer and Fire Officer have visited since our last inspection and the minor deficiencies identified have been actioned. Staff are in receipt of training in safe working practices for example first aid, food hygiene, infection control and health and safety to ensure people are protected. 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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