Inspection on 10/03/09 for Ingleby House

This inspection was carried out on 10th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ingleby House 02/04/08

Similar services:

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

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

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ingleby House Leicester Road Bedworth Warwickshire CV12 8BU     The quality rating for this care home is:   one star adequate 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: Julie Preston     Date: 1 0 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 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.cqc.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: Ingleby House Leicester Road Bedworth Warwickshire CV12 8BU 02476319909 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ingleby House Ltd care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 6 The maximum number of service users to be accommodated is 6. The registered person may provide the following category of service only: Care home only to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning Disability (LD) 6 Date of last inspection Brief description of the care home Ingleby House is situated on a main road near to Bedworth Town centre, close to places of worship, shops, pubs, cafes and public transport services. The home provides care for up to six people with a learning disability. Each person has their own bedroom with either en suite facilities or use of a private bathroom. Shared space consists of a large dining room, lounge, kitchen, utility room and sensory area on the ground floor with an additional smaller lounge on the first floor. There is a large, well-maintained garden with space for people to house their caged pets. The cost of living at the home ranges from 1475 to 1050 per week. People make a contribution to the cost of their care based on the amount they receive in welfare benefit. There are no extra charges made. Information is shared with people at house meetings which take place each month. Care Homes for Adults (18-65 years) Page 4 of 30 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The visit to this home took place over one day. People who live there and the staff team did not know that we were coming. We were assisted during our visit by an Expert By Experience, referred to in this report as an ExByEx. This person is an expert as he has a learning disability. The ExByEx spent time talking to people about what it is like to live at Ingleby House and talked to the staff that support them. He looked around some areas of the home and gathered information about the way peoples independence is promoted and the opportunities they have to take part in activities they enjoy. The ExByExs comments are included in this report. Care Homes for Adults (18-65 years) Page 6 of 30 During our visit we case tracked two people. Case tracking means that we meet and talk to people and the staff that support them, look at records about their care, the way their medicines are looked after and look at the home they live in to make sure that it meets their needs. Case tracking helps us understand the experiences of people who live in the home. Notifications that the home send us about events that may affect the well being of people who live there were also looked at as well as information about complaints. This helps us understand how people are being listened to and how their health and safety is protected. We spoke to three members of staff and the manager about the support they give to people and looked at records that explain how to help people stay safe and well. All of the people who live in the home made comments about the staff team and told us about the activities they take part in as part of their daily routines. We also spoke to a visitor who was present during our visit. We looked around the home to make sure that it was clean, warm and a pleasant place for people to live. A range of records including health and safety, staff training and recruitment and policies and procedures were sampled so that we could form an opinion about the arrangements in place to promote peoples well being and protect them from possible harm. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get Care Homes for Adults (18-65 years) Page 8 of 30 printed copies from enquiries@cqc.org.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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to information about the home so that they can make an informed choice about whether or not to move in. Peoples care needs are not always fully assessed prior to a service being offered which could lead to individuals needs not being met. Evidence: The home has a statement of purpose and service user guide. These documents provide people with information about the services and facilities provided at the home to enable people to make an informed choice about whether or not to move in. Both documents were looked at during our visit. The service user guide had been reviewed to make it more accessible to people who live in the home. Photographs had been used as well as large print and plain language to describe the environment and house rules such as smoking areas and arrangements for receiving visitors. The service user guide is also available on a compact disc. It was evident that staff have given consideration to presenting information in different formats so that people could Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: understand it. A visitor told us that she had received a copy of the guide on behalf of her relative before the person moved into the home. There have been new people move into the home since our last visit. We looked at the records for one of the people to establish that their needs had been assessed before a service was offered to them. The records showed that an assessment had been carried out both by staff at the home and a social worker. The assessment that we looked at did not contain any details about the individuals health care needs. We were told that the person had specific needs with regard to their physical and mental health, however the records did not reflect this. The person had visited the home on several occasions before moving in. A staff member told us that this helped the person get to know the other people who live there and get used to the routines in the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems of care planning and risk assessment in place, which should ensure that peoples needs are understood and met. People receive good support to make choices and decisions about their lifestyles. Evidence: We looked at care plans and risk assessments for two people who live in the home. These records give information about the type of support that people need to carry on with their day to day lives. The records were clearly written and explained how the person should be supported with regard to personal and health care, spiritual and cultural needs, communication, mobility, social and leisure needs and day to day living. There was evidence that the records had been reviewed on a regular basis so that they remained relevant to peoples current needs. The three members of staff that we Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: spoke to demonstrated knowledge of each persons individual needs, which indicates that care records had been read and understood. Each plan of care contained information about the individuals personal lifestyle goals. Daily records that we looked at showed that people were being supported to achieve their goals. For example one person had begun a college course and another had begun learning to cook. Two people told us that they were included in drawing up their care plans and had copies in their bedrooms. This demonstrates that people are involved in identifying the support they need in their day to day lives. People told the ExByEx that their independence was promoted. Some people had learned to cook, others were looking for part time work and one person had found a job. During our visit we saw people making choices and decisions such as where to go shopping and what to cook for the evening meal. One person told us that they had house meetings each month to discuss issues about the running of the home. The records that we looked at showed that people had been included in planning activities, menus and organising household chores so that they had opportunities to maintain and develop their independence. People who live at the home need assistance to manage their money. We looked at two sets of financial records at this visit. Both were accurate and we saw that the records had been checked each week to make sure that no mistakes had been made when recording what people had spent. A member of staff told us that as well as weekly checks, the records were checked at each shift change so that any errors could be investigated promptly. No errors had been reported since our last visit, which indicates that peoples money is being well looked after. The ExByEx talked to two people who said that they managed their own money and enjoyed this responsibility. 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 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 in the home experience a meaningful lifestyle that promotes their independence and reflects their personal choices. Evidence: We looked at activity plans and daily records for two people to see if they had regular opportunities to do things that they enjoy. Each person had a record of the activities they like and those that they dont like. People told the ExByEx that they had a copy of their activity plan in their bedroom so that they knew what they would be doing for the day. The daily records that we looked at showed that people take part in a range of activities both at home and in the local community, either in small groups or on their own, with the support of staff. Activities included going food and clothes shopping, meals out in pubs and restaurants, part time work, cake making and attendance at college. This should contribute towards people having a meaningful lifestyle. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: The home supports people to keep in touch with their friends and families. Care plans that we looked at described how people should be supported to maintain this contact. One person told the ExByEx that she had regular contact with a relative who lived locally and explained that this was very important to her. A relative told us that she was always made to feel welcome at the home and that the visiting arrangements were very flexible. We looked at menus and the records of food that people eat to make sure that a varied and healthy diet is offered that meets peoples needs and preferences. People told us that they had a choice of meal and day and that they went shopping for food each week. Meal times at the home are flexible as people have their own routines that determine the time that they eat. One person told us that she got her food when she wanted it and planned her own lunch menu. The evening meal is planned in advance and there are alternatives available as people choose. The home are able to cater for people who require specific diets for healthcare reasons. One person told us that they were learning to cook their own food so that they could become more independent. The ExByEx commented that the weekly menu was difficult to understand as it was handwritten and some people who live in the home do not read. We talked to the manager about this; she said that she would talk to people about how best to present information about food. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems in place to meet peoples personal and health care needs. Medicines are not always well managed so that people receive their medication in a planned and safe manner. Evidence: We looked at personal and health care records for two people. They contained clear information about peoples needs and had been recently reviewed to make sure that they were accurate and up to date. People told us that they have keys to lock their bedroom doors so that their privacy is respected. Two people said that they enjoyed shopping for their own clothes and make up as part of their regular routines. A visitor told us that her relative was always well dressed and groomed. We saw records which showed that people use local hairdressers and barbers with the support of the staff team. Staff at the home have made good relationships with health care professionals. We Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: saw specific care plans relating to supporting people with epilepsy that had been written by the District Nurse and records which showed that people have regular contact with healthcare staff according to their individual needs. The outcome of each appointment had been recorded so that staff had up to date information about peoples health. The two members of staff that we spoke to were able to describe how they supported people with their personal and health care, which indicates that they had read and understood individuals care plans. We were told that one person may refuse meals during the day. Although staff had recorded that this could lead to the person being unwell they were not monitoring the situation. Staff did tell us that this had not been a problem since the person moved into the home, however there were no weight records for this person to make sure that any problems could be identified and appropriate support offered. We looked at the way medicines are managed in the home to check that this was being done safely and to ensure that people receive their prescribed medication. Medicines had been securely stored in a locked cabinet. We were told that the home are due to change to a monitored dosage system in April. The manager said that she felt this would reduce the risk of errors occurring. We looked at the medication records for two people. In one case the person had refused medication on several occasions. This had not been recorded. In another record, the amount of tablets received into the home had not always been recorded which could lead to problems when auditing medicines. Otherwise medicines were being well managed. There were written protocols in place for people that take medicines on an as required basis, which staff were aware of. Six members of staff had completed accredited training in the safe handling of medicines, with all staff having completed basic pharmacy training. This should ensure that people receive their medication as prescribed so that their health is maintained. 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. There are effective procedures in place to listen to peoples complaints and safeguard them from possible harm. Evidence: There have been no complaints, either to the home or to the commission since our last visit in April 2008. The home has a complaints procedure which is made available to the people who live there and to their families. This is presented in picture format so that it is accessible to people who do not read. We were told by two people who live in the home and a visitor that they were were confident that staff would listen to them if they were not happy. People said that the staff were good at listening. We looked at staff training records and saw that training in safeguarding vulnerable people had been booked for the end of March 2009. Nine staff had completed National Vocational Training which includes elements regarding the recognition and reporting of possible abuse. We spoke to three members of staff who told us that they understood the importance of the training so that people could be protected from potential harm. Some people who live in the home demonstrate behaviour that requires action by staff to reduce the risk of harm to the individual or to others. Guidelines were looked at which showed that a plan had been agreed to reduce the risk of triggers that might prompt behaviour which is challenging so that people could be protected from harm. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Staff were able to to describe the content of the guidelines which indicates that they are aware of the procedures to follow for individuals ongoing protection. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is warm, clean and well furnished. This makes a pleasant environment for people to live in. Evidence: Ingleby House is situated in the Bedworth area of Warwickshire and is close to shops, pubs, cafes and public transport routes. This is important to the people who live there as they make regular use of these facilities. We looked around the shared areas of the home, which include a kitchen, dining room, music/quiet room and lounge. All of the rooms were clean, warm and well decorated. The ExByEx was shown around the games room on the ground floor of the home and commented that much of the decoration and equipment was age inappropriate for the adults who live at Ingleby House. People told the ExByEx that they rarely used the room. There was no indication to suggest that people had been consulted about the use of the room based on its infrequent use. There is a garden at the rear of the house with a patio area and lawns. People who smoke do so outdoors and there is a sheltered area for use in bad weather. The Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: manager said that there were plans to use part of the garden for car parking as there are currently no off road parking facilities which causes problems for visitors and the people who live at the home. We saw records of house meetings which showed that people had been consulted about this proposal. The bedrooms that we looked at had been furnished and decorated to peoples individual tastes. People told us that they were happy with their bedrooms. One person said that they had chosen which bedroom they wanted when they moved in and another said that they had chosen the colour scheme when their bedroom was redecorated. There is a laundry room situated off the kitchen. No laundry tasks are done when food is being prepared or eaten which minimises the risk of unsafe food handling practice. People told us that they do their own laundry as part of their daily routines as a means of developing and maintaining their independence. 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 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 by a trained team of well established staff who have good understanding of their needs. The home operates a robust system of recruiting staff for the ongoing protection of the people who live there. Evidence: We asked people about the qualities of the staff who work with them and were told that the team are good and friendly. Two people described the staff team as fantastic and brilliant. The ExByEx spent time talking to the staff on duty and commented that they clearly promote peoples independence and were easy to talk to with good values. The staff that we spoke to at this visit were knowledgeable about peoples needs and clearly know them well. The homes rota showed that there are three or four staff on duty each day. There is a waking night staff plus on call person as back up if needed. Each shift is led by a senior member of staff who has responsibility for planning day to day tasks for their colleagues. The home employs both male and female staff which reflects the gender of Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: the people who live there. Visitors and people who live in the home commented that there were enough staff on duty at all times. We looked at staff recruitment records for a new worker and a volunteer. The records showed that checks had been made of the persons suitability to work within the home, prior to appointment. This contributes to the ongoing safety and protection of people that live at Ingleby House. We looked at staff training records for three people, which showed that opportunities for training have improved since our last visit. Training had been provided in diabetes care and epilepsy awareness as well as health and safety training and the safe handling of medicines training. We were told that training in equalities and diversity was being planned for. This should assist the staff team to meet peoples needs more effectively. The manager told us that nine of the eleven staff employed have completed National Vocational Training at level 2. This should make sure that people are supported by a competent and trained team of staff. 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. The home is being well managed. Peoples views are listened to and acted upon and their health and safety is promoted and protected. Evidence: The home has an acting manager who is yet to register with the commission. The manager has twenty years social care experience and has completed training that is relevant to her role. People who live in the home, staff and visitors made positive comments about the manager stating that she is approachable, kind, knowledgeable and supportive. Throughout our visit the office door remained open and people frequently came in to talk to the manager about their day. This indicates that the manager makes herself accessible to people who live at Ingleby House. There are systems in place to review the quality of care and service provided within the home. The registered provider visits the home each month to comment on the standard of care provided and to review health and safety practice. The reports that we looked at showed that peoples views with regard to activities, food and staffing Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: had been sought. House meetings take place on a regular basis and are recorded. We saw that people had been consulted about others moving into their home and the proposal for using some of the garden area for car parking purposes. People told us that they were confident that they would be listened to by the staff team. This indicates that the home are taking quality issues seriously for the benefit of people who live there. A number of checks are made to make sure that peoples health and well being is protected. We looked at some records that show this has happened. The fire alarm system had been tested and serviced on a regular basis to make sure that it was working properly. The temperature of hot water had been tested and recorded so that scalding risks could be minimised. Where temperatures were slightly high, there was evidence in maintenance records that prompt action had been taken to reduce the temperature. A fire drill had taken place within the last six months, however as new people have moved in since that date they had not had an opportunity to practice evacuation. The people that we spoke to did tell us that they knew what to do in the event that the fire alarm sounds and where to assemble, which was consistent with the homes fire evacuation procedure. From looking at staff training records and talking to the manager it was evident that training in health and safety was provided to staff. New staff receive an eight week induction which covers aspects of safe working practices and training in fire safety, first aid, basic food hygiene and health and safety had been completed by the staff team within the last twelve months. 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 2 14 The assessment procedure must include information about peoples health care needs. So that the home has sufficient information to determine that it can provide services that meet peoples individual needs. 28/06/2009 2 20 13 Refusal of medicines must be recorded on the medication administration record. So that people do not risk becoming unwell as a result of not taking their prescribed medicines. 15/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 17 The content of the weekly menu should be accessible to people according to their communication needs so that they Page 28 of 30 Care Homes for Adults (18-65 years) know what is planned to eat each day. 2 19 Monitoring records should be implemented for people who may refuse food so that any concerns can be promptly identified and appropriate action taken to support people to maintain good health. The amount of medicines received into the home should be recorded so that accurate audits can take place for peoples ongoing protection. People should be consulted about the use of the games room so that they have additional space that they enjoy using. People who have recently moved into the home should have an opportunity to practice evacuation in the event that the fire alarm sounds so that their health and safety is protected. 3 20 4 24 5 42 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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. 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