Inspection on 16/12/08 for Inverthorne

This inspection was carried out on 16th December 2008.

CSCI found this care home to be providing an Excellent 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

Inverthorne 02/05/07

Inverthorne 12/01/06

Inverthorne 19/07/05

Inverthorne 30/03/05

Inverthorne 14/07/04

Inverthorne 03/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Inverthorne 20 Thornholme Road Sunderland SR2 7QG     The quality rating for this care home is:   three star excellent 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: Andrea Goodall     Date: 1 6 1 2 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 28 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 28 Information about the care home Name of care home: Address: Inverthorne 20 Thornholme Road Sunderland SR2 7QG 01915145853 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Tyne and Wear Autistic Society care home 4 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 Inverthorne is a care home for 4 younger adults with Autism Spectrum Disorder. It is owned and managed by the Tyne & Wear Autistic Society (TAWAS). Inverthorne is a semi-detached family house set on a main road near the City centre of Sunderland. There is a small driveway and garage to the front of the house and a garden to the rear. The home has an open hallway, off which there are a pleasant dining room, large lounge and large kitchen/diner. There is also one bedroom on the ground floor and a toilet. On the first floor there are 3 bedrooms, the bathroom and a games room. There is also a staff sleep-in room which doubles as a small office. The home is indistinguishable from similar surrounding family properties. It is next door to two other small homes operated by TAWAS. The same registered manager manages the three small homes. The house does not offer accommodation for people with mobility needs, though visitors with such needs could access the ground floor. The home is near to the City centre shops, pubs and sports centres. Residents also have use of a family-sized vehicle for their transport. The weekly fee depends upon contractual arrangements with each placing local authority. 4 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 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: three star excellent 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: Before the visit we looked at information we have received since the last visit on 2nd May 2007. We looked at how the service dealt with any complaints or concerns since the last visit. We looked at any changes to how the home is run. We asked the Provider for their view of how well they care for people in their AQAA (annual quality assurance assessment). We made an unannounced visit on 16th December 2008. During the visit we talked with people who use the service, staff and the manager. We looked at how staff support the people who live here. We looked at information about the people who use the service and how well their needs are met. We looked at other Care Homes for Adults (18-65 years) Page 5 of 28 records which must be kept by a care service. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked around parts of the building to make sure it was clean, safe and comfortable. We told the manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? The information pack for people who live here has been improved so it has better information about the home. Some of it is in pictures to help people understand what its like at Inverthorne. The home now has a computer and internet access. This means people can use the computer to make their own choices (like holidays) and they can now send emails to their relatives. The home is going to put care plans onto computer so that people can see their own goals in pictures and DVDs. The home has made sure that people have more chances to do more individual activities, if they want. There are now two Speech and Language Therapists and an Occupational Therapist who work for TAWAS. This means people have had lots more support with their communication. People have new carpets in their bedrooms that they chose. Two people have had their bedrooms redecorated in colours that they chose. Care Homes for Adults (18-65 years) Page 7 of 28 One person has had new fitted wardrobes put in their bedroom so now they have lots of space for their clothes and possessions. 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 8 of 28 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 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a full assessment of their needs before they move here so that it can be determined whether Inverthorne can meet those needs. Evidence: The home has a Statement of Purpose and a Service Users Guide that are written in plain language. These have recently been amended to be more specific about the management arrangements at this home and the contact details of TAWAS (Tyne & Wear Autistic Society). The Service Users Guide also has some information in pictures and photographs to help people understand what it is like at Inverthorne. In this way prospective residents would have some information about the service before they visited it to see if it suited them. Since the last inspection one resident has successfully moved to more independent living. A new resident came to live here just a couple of weeks before this inspection and was still finding it difficult to settle in. All new residents have a period to adjust to the home and to see if the home can provide the right care for their individual needs. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: A review is then held after around three months to see if the placement is successful. TAWAS has very clear guidelines about referral and assessment to its services. Before any new residents move to Inverthorne, their needs are fully assessed by social and health care professionals. The prospective resident, their relatives and the registered manager of the home are also involved in making a decision about whether the home can meet their needs. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clear care planning means that residents are supported towards achieving their goals. People are supported to make their decisions and to take acceptable risks so that they have a lifestyle that promotes their independence. Evidence: Support plans (or care plans) are records that are used by all care services to show what sort of support each person needs and how staff should provide that care. There are individual care plans in place for each of the people living at Inverthorne. These are very detailed and show each persons abilities and strengths, as well as a baseline assessment of their support needs. From the assessments a small number of lifestyle goals are set out that are specific areas for that person to work towards, with staff support. For example, one persons daily living goals include working towards hanging their own clothes up without prompts. The plans show very detailed instruction for staff about how to help that Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: person towards their goals, and the progress they have made so far. Residents may be present when staff are completing their care records, but due to their Autistic Spectrum Disorder they find it very difficult to understand the concept of the support plans. It is a good idea that the home also wants to set out residents own aspirations on computer. This would fully involve residents (and their relatives,if they wanted), and the home would use photographs and DVDs on the computer to help them towards their goal. For example, one resident wants to sing on a stage. The people who live here use speech, gestures or pictures to show their likes and dislikes. They are encouraged and enabled to make their own choices and decisions wherever possible. such as their appearance, clothes, menus, activities and holidays. The home computer has helped people make their decision in a more informed way by the use of websites and pictures. For example, people can look for holidays on the internet so that they can see the different choices and so can make a visually-informed decision. The people who live here are supported to take acceptable risks to maximise their independent lifestyle. There are risk assessment records in place to show whether the risks are acceptable and manageable. For example, using kitchen equipment, sporting activities, and having a key to the front door. The assessment records are sent to parents for their information and are reviewed at least annually. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have excellent opportunities to engage in leisure activities so that they enjoy a fulfilling lifestyle. Evidence: The young people who live here have busy, and purposeful daytime occupations such as college, workshops and sports activities. Every evening the home makes sure that they also have very good opportunities to take part in leisure activities that they enjoy. For example some people like the theatre and cinema, and other people like skateboarding and cycling activities. Since the last inspection the manager has looked at ways of making sure that people do not do group activities as a routine unless they really want to. For example one Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: evening two people now choose to stay in the house with their own hobbies rather than go to the cycling track, because they have already had a very active day doing sports activities with the college. The manager has also tried to make sure that the staff rota is flexible enough to support people with more individual activities, like the theatre. The home is a former family residence and is indistinguishable from other properties in this area. It is a short distance from the city centre so people have a good range of shops and leisure resources nearby. In this way people participate fully in their local community. Most of the people who live here are not from Sunderland so they are supported to keep in touch with their relatives, if they want, by telephone and now by email. The home has records to show that it continues to have very good contact with all parents, sending them any new information from TAWAS and informing them of incidents or events. Staff encourage and promote conversations with residents to help their communication skills, but also to involve and include them in discussions and decisions about their own home. Staff are supportive and clear in their discussions with the people who live here. Residents are also involved in regular informal house meetings to help them make decisions as a group. All of the people who live here are fully involved in household tasks, with staff support where necessary, for example, grocery shopping, preparing meals, and washing up. In these ways the residents continue to take an active part in the running the house. The home has a large family kitchen/diner and also a separate pleasant dining room where residents and staff can dine together. Meals continue to be nutritious, healthy and suit the age, religious beliefs and preferences of the young people who live here. Care Homes for Adults (18-65 years) Page 15 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive excellent support to access health care services so that their health and welfare is well met. Evidence: The four people who live here are young and physically fit. They need some support, guidance and verbal prompts to help them carry out their own personal care tasks, such as washing and brushing teeth. A couple of people need some hand-over-hand support to complete some tasks, for example shaving, but no-one needs any physical support with intimate care needs. All the staff are female so they provide gender-appropriate care for the three female residents. It is clear from discussions and by his reaction to male staff, that the male resident continues to prefer female staff support. In this way the home continues to meet the individually preferred support of each of the four residents. Due to Autism the people who live here have limited communication skills and find it Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: very difficult to express thoughts or feelings. It is very good practice that since the last inspection the people who live here now have access to two Speech and Language Therapists and an Occupational Therapist who are employed by TAWAS. In this way people now have better access to resources that support their communication, for example using picture exchange systems. The home also makes sure that everyone has access to any community or specialist health care services when needed, such as psychology and specialist nursing services to support their behavioural needs. At this time all medication continues to be managed by senior staff as none of the residents have been assessed as able to manage this themselves. All staff have had suitable training in safe handling of medication. Each persons care records includes comprehensive information about their medical background, and a consent form from their GP about medications that they can (or cannot) take. Medication is delivered to the home by a local pharmacist in suitable containers that make it easy for staff to give the right medication at the right times. Medication is securely stored in a locked, alarmed medication cupboard away from the residents accommodation. Records of the administration of medication are in good order and up to date. Care Homes for Adults (18-65 years) Page 17 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have good information so that they know how to make a complaint. Staff are well trained in safeguarding adults procedures so residents are protected from potential abuse. Evidence: The home has a clear complaints procedure that is also in picture format to help the communication needs of the people who live here. It is periodically explained to the people who live here. Staff ask residents for their comments at their house meetings to see if they are unhappy with anything. The people who live here can show their dissatisfaction with a situation, often by their physical reaction to it. Staff have a good understanding of the different behaviours that people use to express their likes or dislikes. Relatives also know how to contact the home is they are dissatisfied or concerned, and can also discuss their views of the service at annual reviews. There have been no complaints about this service. All staff receive training in the City of Sunderland safeguarding adults procedures, which are robust procedures for dealing with suspected abuse. In this way staff are aware of their responsibilities to report suspected abuse. A senior manager of TAWAS has been designated as the organisations Safeguarding Adults Manager, and takes Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: responsibility for co-ordinating information and training about the safeguarding adults policies. All staff are trained in CALM (Calm Aggression-Limitation Management) which is a method of using the minimum of physical intervention if someones behaviour places them, or others, at risk of injury. The manager is a trained Trainer in CALM so she is able to ensure that any new staff also receive this training. CALM methods mainly use redirection and time and space for people to calm down by themselves. It is approved by the British Institute of Learning Disabilities) and ensures that all staff present a consistent, safe approach when supporting residents with their behaviour. Clear, detailed records are kept where people have needed CALM support. There have been a significant increase in the number of incidents recently, as a new resident has been very unsettled by her move here and has expressed this through episodes of challenging behaviour towards staff. Care Homes for Adults (18-65 years) Page 19 of 28 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. People live in excellent quality accommodation that values their lifestyle, age and choices. Evidence: Inverthorne continues to provide a very good standard of accommodation. The furnishings and decoration are very good quality and its modern, bright style suits the age and lifestyle of the four young people who live here. TAWAS has its own decorating team who provide a decorating service to the house. There is also a maintenance team who carry out safety checks and address any minor repairs. Since the last inspection two peoples bedrooms have been redecorated in colour schemes that they chose for themselves. Also, all bedrooms have been fitted with new carpets that residents chose. It is good practice that one resident has now got good-sized fitted wardrobes and cupboards in their room so that they can keep all their clothes and possession in here. All four bedrooms are a good size and have been highly personalised by the people who live here. People can spend time in the privacy of their own rooms during their Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: leisure time. Two residents can manage their own bedroom door key, but all residents are supported to keep their bedroom private especially when they are out of the house. At this time there are no blinds in the bathroom or shower rooms because these were brought down by a resident during a period when they were very upset. The windows to these rooms are opaque but may not always fully protect the dignity of the people using these rooms. There are plans to replace the blinds now that the resident is settled. Residents are supported by staff to manage the household tasks such as laundry. Like many family residences, the washing machine is sited in the kitchen. There are clear risk assessments in place to ensure that laundry is not in contact with food preparation surfaces. All staff are trained in Infection Control and the home is kept very clean. Care Homes for Adults (18-65 years) Page 21 of 28 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 home provides suitable, competent well-trained staff so that residents needs are met. Evidence: The staff team currently consists of a senior support worker and two support staff. They are led by the registered manager and a deputy manager who are both also responsible for the running of two neighbouring small care homes. At this time there has to be three staff on duty when the four residents are at home (eg evenings and week-ends). This is to help support the needs of the new resident who is very unsettled. Inverthornes small staff team cannot meet this level of staffing, so other support staff from other TAWAS home nearby are working overtime to provide this additional support. Staff also carry out sleep-in duties so that there is one staff in the house overnight. It was noted on the staff rota that the manager continues to have to cover several gaps in the rota, including sleep-in duties which remove her from her managerial, supervisory and administrative responsibilities across the three services. However in Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: discussions with the manager it was indicated that three new staff are to be employed to help cover the three neighbouring homes. This should ease the management of the frequent gaps that occur in the staff rotas due to staff training, holidays and sickness. There is one new staff working at Inverthorne. TAWAS operates very through recruitment and selection procedures. Staff are only employed after suitable clearances and checks have been received, for example a satisfactory CRB disclosure (police check). Residents have the chance to meet applicant staff during evening visits to see if they have suitable personality that values and supports young people with Autism Spectrum Disorder. The manager is fully involved in the recruitment process, including shortlisting and interview. TAWAS has an HR department that deals with personnel records. All new staff receive thorough induction training that includes in-depth workbooks in Autism Spectrum Disorder, as well as all health & safety training. They then have the opportunity to train towards a professional care qualification called NVQ (national vocational qualification) in care. At this time the deputy manager and the senior staff has achieved NVQ level 3, and one support staff is working towards this.The new staff is undertaking induction training. The home keeps a clear records of individual learning plans and training course that each member of staff has attended. It is evident that TAWAS remain committed to staff training and their professional development so that residents receive support from well-trained, competent staff group. Care Homes for Adults (18-65 years) Page 23 of 28 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 excellent 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 here continue to benefit from a very well-managed service. Systems, procedures and practices make sure that the health & safety of the people who live here are promoted. Evidence: The registered manager has many years experience of working in care settings for children and adults with autism. She has been the registered manager of Inverthorne and two neighbouring small homes since they began operating a few years ago. The manager has attained the Registered Managers Award, NVQ level 4, and a Diploma in Care Management. These are suitable qualifications for the manager of a care service. She has also attained a certificate in Autism Spectrum Disorder which shows her continuous professional development and her commitment to updating her skills and competence. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: There are clear lines of accountability and management support within the TAWAS organisation. In this way the residents and staff benefit from a well managed service. TAWAS has a comprehensive quality assurance process to review the service provided at Inverthorne. This includes seeking the views of residents through house meetings, annual reviews and occasional picture questionnaires. For example a survey in July 2008 asked residents about the food that they like and dislike, and their menu suggestions. It is also very good practice that TAWAS employs an external consultant to visit its homes, including Inverthorne, on a monthly basis and report back on its operations. Staff training records demonstrate that all staff receive statutory training in all health & safety matters. The deputy manager carries out monthly health & safety audits, including checks of appliances, windows, and door security. All staff receive in-house fire instruction every three months, and all residents take part in a monthly fire drill to help them understand what to do in the event of a fire. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 1 33 It will be better when TAWAS makes sure that there are sufficient bank staff so that the manager does not have to cover too many shifts and sleep-in duties as this removes her from her managerial responsibilities. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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. 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