Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 02/10/08 for Hulme Hall Close

Also see our care home review for Hulme Hall Close for more information

This inspection was carried out on 2nd October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hulme Hall Close Hulme Hall Road Cheadle Hulme Stockport Cheshire SK8 6JZ 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: Jacqueline Kelly Date: 1 4 1 0 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 34 Information about the care home Name of care home: Address: Hulme Hall Close Hulme Hall Road Cheadle Hulme Stockport Cheshire SK8 6JZ 01614869783 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): louise.machin@stockport.gov.uk Stockport MBC Adult and Community Directorate Name of registered manager (if applicable) Mrs Hayley Pendleton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 15 3 1 0 0 0 care home 15 learning disability physical disability sensory impairment Additional conditions: A manager, working a minimum of 30 hours each week, must be in place at all times who has the qualifications, skills and experience necessary for managing the home and who is registered with the Commission for Social Care Inspection. No more than two places can be used as respite/emergency/short term placements. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home Hulme Hall Close is owned by Stockport Metropolitan Borough Council and is part of the Stockport Learning Disability Partnership, Adults and Communities Directorate. Ms Haley Pendleton was the registered manager. The current rate was £780.00 per week with the people who use the service contributing £61.75 The number of people who were living at the home on the day of the inspection The home had been divided into separate units with link corridors on the ground floor only. The home had a large garden to the rear of the building and hard standing to the front, which could accommodate a reasonable number of cars. was 10. The single rooms were below the National Minimum Standard of 10sq.m and did not have en-suite facility. Care Homes for Adults (18-65 years) Page 5 of 34 The home was located in the Cheadle Hulme area of Stockport. Apart from the local pub, restaurant, the shops and other amenities were not accessible other than by car. Public transport was also not readily available. Care Homes for Adults (18-65 years) Page 6 of 34 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 Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection, which included an unannounced visit to the service, which took place over two days, two weeks apart. We also looked at care and staff records. Before the inspection we asked the manager of the home to complete a form called an Annual Quality Assurance Assessment, AQAA, to tell us what they felt they did well, and what they needed to do better. We felt that time had been given to filling in the form, that it had been completed honestly and that it showed us the manager saw the service being provided the same way that we did. Due to the residents limited verbal skills and understanding it was not possible for any meaningful discussions to take place with them. However we were able to have discussions with the managers, support workers and relative. Care Homes for Adults (18-65 years) Page 8 of 34 We also received completed survey forms from relatives, support workers. Service user surveys had also been received but all had been completed with support either from a relative or a support worker. What the care home does well Family links were encouraged and relatives were welcomed at the home. One of the relatives said that the new management were welcoming and took time to talk and listen. The inspector saw the staff supporting people in a patient and understanding manner. The information pack was easy to read and understand. A copy was kept in the health and social care file. All the relatives who completed a survey said that they were given up to date information. Care Homes for Adults (18-65 years) Page 9 of 34 The consultant in learning disabilities and the local GP practice met the health care needs of the people who lived at Hulme Hall Close. The consultant was visited every six months with the people being helped to attend for their appointments by support workers or relatives. The local medical practice met the peoples general health care needs as required. Again the staff supported them. Stockport MBC staff development section offered training courses, which included safeguarding adults, health and safety, fire awareness, safe handling of medicines and food hygiene. The majority of the support workers had gained national Vocational Qualifications in Care. This meant that the staff had the necessary skills and knowledge to look after the people who used the service. The staff who completed survey forms all said that the training given was relevant to their role, helped them understand and meet individual needs and kept them up to date with new ways of working. Care Homes for Adults (18-65 years) Page 10 of 34 The support workers planned menus around the likes and dislikes of the two people who shared the flat. A complaints and concerns procedure was in place with the majority of relatives saying that they knew how and who to complaint to if it was necessary. There had been no complaints, concerns or safeguarding referrals made to us since the last inspection of January 2008. The majority of the relatives and support workers who completed a survey form were happy with the service provided. A small selection of comments received was as follows, I enjoy working for the service and will be here for many years. They are supportive, and the service encourages staff to divide work and leisure. Provides a good mix of carers to cover day to day needs through holiday, sickness of staff and the staff seem to genuinely care for the residents. Recent improvements seem to have introduced more flexibility to give the residents a better range of activity options and more time out of their rooms, which is a welcome initiative. Care Homes for Adults (18-65 years) Page 11 of 34 What has got better from the last inspection The new management had brought good leadership and listening skills to the home, which was having a beneficial effect on the lifestyle of the people who lived at Hulme Hall Close. The support workers were more involved with the people who used the service in looking for activities and were interested in accessing training to improve their skills. The health and social care files had all improved in that the information was easily found and was up to date. All the care plans had been reviewed since March 2008 and any action needed to meet the persons social or health care needs had been taken. The manager had also involved Stockport Advocacy service in reviews if there had been no immediate family. Other parents and guardians were also using advocacy services. Care Homes for Adults (18-65 years) Page 12 of 34 Activities both in the home and out in the community had improved greatly. The communal lounge area was now being used for birthday parties and special nights such as a Halloween party with live music. To which parents and relatives had also been invited. Other activities, which were new, had been a canal boat ride and a trip to Knowsly Safari Park, which everyone had enjoyed. The manager had contacted the mobile library service who had visited for the first time the day before the inspection. This had gone down well with some of the people who lived at Hulme Hall Close. The communal lounge area now had two settees, coffee table, music centre to encourage the people who lived there to socialise with each other. On the day of the inspection two people who were listening to music and dancing were using this. A new bathroom had been fitted to meet special needs. Care Homes for Adults (18-65 years) Page 13 of 34 Other areas within the home had been decorated with further improvements planned such as new carpet and new sofas. All of which improved the conditions for the people who lived and worked there. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Jacqueline Kelly CSCI Tustin Court Care Homes for Adults (18-65 years) Page 14 of 34 Portway Preston PR2 1YQ 01772 730 100 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 15 of 34 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 16 of 34 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 . Information is provided and assessments of need completed. These enable the people to know that the home can meet their individual requirements. Evidence: There had been no people admitted to the home for a number of years and there were no plans to introduce any in the future. Over the next two years people would be having a new care needs assessment completed ready for their move into the community. Assessment documentation was in place for these to be carried out. Care Homes for Adults (18-65 years) Page 17 of 34 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 Health and Social Care file contained information about the persons assessed and changing needs to help them make choices and live as independent a life as possible. Evidence: All had an individual Health and Social Care file which included risk assessments relating to them and their care plan. Learning logs and or ABC charts monitored risks. Plans were updated as necessary. All plans had been reviewed since March 2008 and action taken where necessary for individuals to receive services from other health care professionals. The manager had involved Stockport Advocacy service in reviews if there had been no immediate family. Advocacy services were also being used by parents or guardians. The content of the care plans had improved and information was easier to find. The manager was aware that further work needed to be done in producing them in a way that met the individual needs of the people. Care Homes for Adults (18-65 years) Page 18 of 34 Evidence: Wherever possible the people who used the service were included in day to day decisions and choices as far as their capabilities would allow. None of the people who lived at Hulme Hall Close was capable of managing their finances. Financial records were kept for each person for day to day expenses and food. The managers and staff were to receive training on keeping and auditing financial records. Care Homes for Adults (18-65 years) Page 19 of 34 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 are supported to access services in the community and take part in activities within the home as far as their capabilities allow. This benefits the people who live at Hulme Hall Close to help them live as fulfilling a life as possible. Evidence: The majority of the people who lived at Hulme Hall Close did not have the ability to take part in either paid or voluntary employment. All required assistance to access social and leisure services within the community. All had use of a car, which had been purchased by the individual under the mobility scheme. For the majority this meant that they could go out into the community which otherwise would not have been possible. The amount of day services and leisure activities attended differed between the individual person, however improvements had been made over the last twelve months. Care Homes for Adults (18-65 years) Page 20 of 34 Evidence: A trip on a canal boat had been organised as well as a day out to Knowsly Safari Park. Both trips had gone down well and the canal boat was to be repeated but for a longer period next time. Activities in the home had been organised in the communal lounge area for everyone to attend. These had included birthday parties and a Halloween night with live music. Parents and relatives had also been invited. The manager had contacted the mobile library service who had visited for the first time the day before the inspection. One person had been very excited about this. Each persons day to day friendships and relationships were restricted to family, support workers and carers. The small number of people who regularly attended a disco night or day service, extended their circle to include other people who could become friends but they were of a similar disability. Regular family visits were maintained for all, from once a month to two or three times a week. The daily routines were as flexible as possible taking into account times for transport to day centres and staffing schedules. There had been an improvement in the movement of people within the home. People are now able to meet in the communal lounge area and form friendships with people from the other units which had recently happened. Each unit planned the menus and shopped accordingly. The majority of the people who lived at the home required assistance to eat their meals. What people had to eat was recorded on the daily log sheet. Where possible the support workers were being encouraged to involve people in the cooking and preparing of meals. Care Homes for Adults (18-65 years) Page 21 of 34 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 . Each persons personal support and health care needs were assessed and provided for by a staff team that was experienced and trained. This ensured that the people who lived at Hulme Hall Close were respected and kept well. Evidence: Residents received personal support and care from a staff group which were experienced and trained. Bureau staff were used to supplement the staffing in times of staff shortages through holidays, sickness or staff vacancies. Agency staff were also used when there was no alternative but these occasions were kept to a minimum. Each flat housed two people both of whom had their own bedroom, which provided them with privacy for personal care. There was also a lounge dining room, kitchen and bathroom in each flat. One of the bathrooms had recently been relocated into another room in the flat to allow for a hoist. The personal support was provided as flexibly as possible. Those people who had reguar activities such as day care their routines were based around these and transport needs. The residents who were seen during the visit were dressed appropriately and were clean and tidy. Care Homes for Adults (18-65 years) Page 22 of 34 Evidence: Health Action Plans had been introduced since the last inspection of January 2008. These gave people information about the persons health care needs and requirements. They also included minutes of meetings and reviews where health care issues had been discussed. People visited the consultant for learning disabilities every six months. During these visits medication was reviewed and changed if necessary. The local Health Centre was used for day to day needs, they also reviewed medication each year. Other services had been obtained, such as dentist, opticians and podiatrist as was necessary. The support workers at the home made sure that the people attended their appointments. Medication was kept in a locked cupboard within each of the flats and a record was kept. New medication files had been introduced which contained information that would assist the support worker in carrying out the administration of medication. Support workers had also received training on safe handling of medicines. Care Homes for Adults (18-65 years) Page 23 of 34 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 people who lived at Hulme Hall Close were protected from abuse through staff training, record keeping, policies and procedures. Evidence: The Tenants Rights and Responsibilities information pack, had been produced in an assessable format and outlined how people could complain. All complaints, comments and compliments were recorded in each flat. The complaints had an explanation of what action had been taken. A central complaints log was kept in the office to ensure that they were responded to and tracked. There had been no complaints or safeguarding adult referrals made directly to us. The home had received two complaints both of which had been recorded and dealt with in a satisfactory manner. Both had been resolved. One comment received indicated that the relatives had not known the procedures for making a complaint however they did now. Other relatives or guardians who completed a survey form said that they knew who to complain to and said always or usually the service had responded appropriately about concerns raised. The manager felt that reporting of complaints could be improved by staff spending time each week ensuring that the people who lived at Hulme Hall Close understood Care Homes for Adults (18-65 years) Page 24 of 34 Evidence: how they could complain and the use of advocates for those who could not verbally communicate. The manager also said that plans were in place for new policies and procedures relating to challenging behavior and restrictive practices to be implemented and discussed in team meetings and staff supervision. Staff had attended the alerter training course for Safe Guarding Adults. Care Homes for Adults (18-65 years) Page 25 of 34 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The interior of Hulme Hall Close was clean and free from unpleasant odours. The recently improved communal area was beneficial to the people as it allowed them to socialise and enjoy activities with others who lived at the home. Evidence: The home was originally purpose built to house twenty one children with a learning disability and was set in the grounds of another building which was a supported tenancy for eight people. The site was owned and administered by Stockport MBC. The number of residents had over the years reduced to ten whose ages ranged from late twenties to late forties. The home was not situated on a main bus route nor did it have easy access to train station, shops or other amenities. The bedrooms did not meet the national minimum standard of 10sq.m. However those care homes that did not provide this amount of space before the 1st April 2002 were able to continue using the rooms. The flats were individual to the people who lived in them and made the best use of the space. There were individual and communal laundry facilities available. Cleaning staff were employed Monday to Friday for the communal areas. The home was clean and Care Homes for Adults (18-65 years) Page 26 of 34 Evidence: free from odours. The communal lounge area had been decorated and furniture introduced and arranged so that it was now a usable area where people could meet, listen to music, look at magazines and generally socialise. Photographs were displayed around, of activities and places people have visited over the summer months. Some flats had been decorated recently and the people who lived there had been asked about colour schemes. The flats which had not been decorated were to be completed soon. A new carpet, a new three piece suite were to be purchased. New curtains had been bought for lounges which gave the residents greater privacy. A new bath room had been installed in one of the flats due to the changing needs of the individual who lived there. Care Homes for Adults (18-65 years) Page 27 of 34 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people who live at Hulme Hall Close were cared for by a qualified and skilled workforce who had the knowledge and ability to meet their changing needs and requirements. Evidence: Twenty of the twenty eight staff employed at Hulme Hall Close had a National Vocational Qualification Level 2 or above in care. The qualification provided support workers with the skills needed to meet the needs of the people who lived at the home. The recruitment of staff was done using Stockport MBC procedures. The Human Resources section at Stockport Town Hall kept all personnel records. The manager had access through the computor to start date, dates when references and Criminal Record Bureau checks were received and National Insurance numbers. No documents or other information was available at the home. At the previous inspection in January 2008 a form which confirmed what was held by the Human Resources section which would be held on the workers file at Hulme Hall Close was given to the manager. The manager said that this was being looked into by the managers at Human Resources. The staff development section of the Local Authority organised training on all mandatory subjects such as, health and safety, moving and handling, fire safety, first aid, food hygiene, safe handling of medicines and safe guarding adults. These courses Care Homes for Adults (18-65 years) Page 28 of 34 Evidence: provided ongoing training which ensured that the people who lived at the home could expect to have their needs met by a workforce that had up to date training and knowledge in all types of care practice. Care Homes for Adults (18-65 years) Page 29 of 34 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people who lived at Hulme Hall Close benefited from the management and leadership of the home which provided an open and welcoming atmosphere. Evidence: The manager had been in place since January 2008. She was qualified, experienced and competent to run the home. The manager was also now registered with us as required under the Care Standards Act 2000. Quality monitoring was ongoing. The quality manager from Stockport Learning Disability Services visited at least once a month and produced a report on her findings. Any areas for improvement were discussed with the manager and action taken as necessary. The manager said that she planned to conduct a survey with relatives at the end of her first twelve month period which was January 2009. Meetings with relatives, advocates and people who used the service were ongoing throughout the year. The meetings consisted of both formal and informal discussions about the general care needs of the people and the proposals for the new homes that were being built over the next two Care Homes for Adults (18-65 years) Page 30 of 34 Evidence: years. The manager ensured as far as possible that the health and safety of the residents and staff were promoted and protected through compliance with legislation. Training and policies and procedures were also in place for staff to attend and familiarise themselves with. Care Homes for Adults (18-65 years) Page 31 of 34 Are there any outstanding requirements from the last inspection? Yes  No  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 32 of 34 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 Description 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 Description 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 33 of 34 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 © (2008) 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 34 of 34 - 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!