Inspection on 04/03/09 for Kaydar

This inspection was carried out on 4th March 2009.

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

Kaydar 24/01/06

Kaydar 14/02/05

Kaydar 23/01/05

Kaydar 02/08/04

Kaydar 25/02/04

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Kaydar 7 Snows Green Road Shotley Bridge Durham DH8 0HN     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: Elaine Malloy     Date: 2 6 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 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.cqc.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: Kaydar 7 Snows Green Road Shotley Bridge Durham DH8 0HN 01207580931 01207590333 kaydar@hotmail.co.uk 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) : Mr Angus Lascelles Burns,Mrs Noreen Helen Burns care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 8 Kaydar is a care home registered to provide care and accommodation for up to 8 people with a learning disability. It does not provide care for people who require nursing care. The home is a private business, owned and managed jointly by Mr and Mrs Burns. Kaydar care home is a stone built end terrace house near the centre of Shotley Bridge. It is in a pleasant conservation area close to the local amenities. Information about the service, including fees, and inspection reports are available at the home. 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: The quality rating for this service is 3 star. This means that people who use this service experience excellent quality outcomes. The inspection was carried out by: Looking at information received since the last key inspection on 23rd January 2007. Getting the providers view of the service and how well they care for people. An inspector visiting the home on 4th March 2009. Care Homes for Adults (18-65 years) Page 5 of 28 Talking to the management and other staff about the service. Looking at records about the people who live at the home and how well their needs are met. Looking at a range of other records that must be kept. Checking that staff have the knowledge, skills and training to meet the needs of the people they care for and support. Looking at the resources that the home has to operate the service. Getting the views of people living at the home and staff by talking to them, and from surveys they completed. Getting the views of health professionals who are involved in peoples care from surveys they completed. Checking if the improvement required at the last inspection has been made. The inspection was carried out over seven hours. 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 the service are not 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? Peoples contracts are being reviewed so the terms and cost of the service they receive can be brought up to date. Care Homes for Adults (18-65 years) Page 7 of 28 New care records have been introduced that show peoples needs and choices, and how best to communicate with individuals. Health care records are also better organised. The home has adapted to the changing needs of a service user by providing equipment and training for staff so the person can be properly cared for. A number of improvements have been made to the inside and outside of the house to keep it in good condition. Staff training was evaluated and further detail has been added to induction training for new staff. Mr Angus Burns is now approved as the Registered Manager and the home has employed extra senior staff and an administrator to support management. 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 printed copies from enquiries@cqc.org.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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are thoroughly assessed and clear information is provided to ensure individuals make informed choices and receive support that is properly planned. Evidence: The home provides clear information about the services it provides. People living at the home are regularly consulted about the support they receive as individuals, and the day to running of the home. They told us that they were asked if they wanted to move into the home and got enough information before moving in so they could decide if it was the right place for them. No new people have been admitted to the home since 2003. There is a process in place to make sure prospective service users have their needs assessed and are offered a phased introduction before admission. Most people have lived at the home for many years and their needs have changed over time. The provider is continuing to work with care managers to review peoples Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: existing contracts and funding arrangements so these can be brought up to date and reflect individuals current support 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. Care and support is planned to a high standard and people are well supported to make decisions and manage risks to retain their independence. Evidence: Detailed assessments are carried out to establish individuals support needs and pen pictures are sensitively recorded to give information on the persons background and personal preferences. People have action plans that are very personalised and address a wide range of needs including education and life skills, personal care, communication, mental health, behaviour and social interests. Some plans are supplemented with guidance, such as understanding the stages of dementia and how to provide a soft diet. The standard of recording to action plans showed a great knowledge and understanding of the support that people require, and what they are able to do independently. Staff complete a monthly monitoring record that evaluates planned care and support. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: A summary of each persons needs and interventions is also kept so information is readily available for new staff to refer to. Each persons needs, habits, characteristics, and the best ways to approach him/her are also discussed in detail with new staff so they gain a good understanding of the person. Staff told us that they are given up to date information about the needs of the people they support and that the ways they pass information about service users between staff works well. They described recording and hand over systems, and one person said, Good communication and confidentiality. Communication passports have been introduced. These were drawn up with help from Speech and Language Therapists and are very well recorded. They show individuals communication needs and methods and how they can best be supported to make choices and decisions. People are regularly consulted about the service they receive and have meetings with their key worker. The home also involves other people, such as relatives, external advocates, care managers and health professionals to make sure decisions are made in peoples best interests. People living at the home told us that staff always treat them well and that care workers listen and act on what they say. One person said, They know me and what I like to do. Another said, We all get on very well together. Plans are recorded that set out the support people need with their personal finances. People have individual bank accounts and staff discuss and explain bank statements. Each person has a detailed risk assessment that identifies areas of individual vulnerability and plans that show how risks will be managed or minimised. These included risks with using equipment, mobility, falls, bathing, epilepsy, harming oneself and others, and safety in the community. The homes management is looking towards completing deprivation of liberty assessments to ensure that vulnerable people are properly protected from harm. 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 are provided with flexible and individualised support that respects their rights and gives them very good opportunities to be part of the community and live their preferred lifestyles. Evidence: People have care plans that address their individual social needs and interests and how they prefer to spend their time. There are planned and spontaneous activities including attending day centres, various clubs, shopping, swimming, days out and going to the local pub and social club. People take part in leisure and educational projects and activities that help them to develop life skills. Flexible staffing is provided to support people with activities and the home has its own transport. People make good use of local and wider community amenities. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Each person said they make decisions about what to do each day and can do what they want during the day, in the evening and at weekends. One person said, We do the things we want to do, we can go out or stop in, and another said, I am happy with my choices. People described having a good lifestyle and talked about the activities they like to do. During lunch some people told the inspector about enjoyable social events, celebrations and holidays they had taken part in. Staff support people to maintain contact with family and friends and have opportunities to form new relationships. Visitors are welcome at any time and people go out with, and to visit relatives. Portable telephones are available so calls can be made and received in private. People are also encouraged to give cards and presents, and send postcards from holidays. Peoples usual routines and preferences are identified from the assessment process and the information is used by staff to make sure they provide individualised support. Each person has a single bedroom and is offered keys to their room and the front door. Staff and other service users only enter a persons bedroom if they have been invited. People are encouraged to be independent and keep their bedroom clean and tidy, and help out with other household tasks. Restrictions to activities are only put in place if there are valid reasons, such as health and safety issues or if a persons behaviour affects others. There are no pets in the home. The management said if anyone wished to keep a pet this would be negotiated with the other people who live here. Smoking is not allowed inside the house, and people use a designated smoking area in the back yard. People are free to keep alcohol in the house and go out to pubs and clubs. Menus are drawn up each week involving the people living at the home, and using picture aids. If someone does not want the meal on the day they can have something different, and this is recorded. Meal times are flexible and people can help themselves to snacks and drinks. They can also choose to take part in food shopping and meal preparation, with staff support if needed. Staff have good awareness of nutrition and make sure people are given information on healthy eating so they can make informed choices. Peoples weights are monitored and the home has sought advice from dietitians for people with weight loss issues and special dietary needs. One person takes a soft diet and at times requires help from staff to eat meals. 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 are sensitively supported to meet their health and personal care needs and take medication to make sure they stay healthy and are not put at risk. Evidence: People have access to a wide range of health care professionals. All contact with professionals is well recorded and guidance is made available on specific health conditions. Records also showed that individual support with health and personal care is carried out in a very sensitive way. Health professionals told us the service seeks advice and acts upon it to manage and improve individuals health care needs. They said peoples health care needs are met and staff have the right skills and experience to support individuals. They feel the service respects peoples privacy and dignity and supports them to live the life they choose. Comments from professionals included, Excellent, well-deserved reputation in our service, for high standards of care for individuals needs, A very pro-active service, encourages independence and choice, and, 100 per cent reliable and appropriate services. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Aids and equipment are used to help people stay independent and adapt to their changing needs. For instance a through floor lift and other equipment has been provided for one person who is more physically and mentally frail, and staff have had training on caring for people with dementia. The home has updated records following discussion with people and their families about their needs and wishes in respect of ageing, illness and death. Staff are undertaking training on palliative care. The home has policies and procedures for assisting people with their prescribed medication. Only staff who have had relevant training give out medication. The majority have completed a 12 week medication training course. Each person living at the home has an individual medication profile with a photograph and medication charts. Charts were appropriately completed, however some hand written directions for medication were not clearly recorded. Medication records are audited weekly. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are properly protected from risk of harm by clear complaints and safeguarding processes. Evidence: The homes procedures for comments, complaints and compliments are discussed at service user meetings so that people views are listened to, and acted upon. Complaints are also included in questionnaires that people living at the home, their families and staff complete, to make sure everyone understands the process. People living at the home told us that they know who to speak to if they are not happy, and know how to make a complaint. Staff told us they know what to do if a service user, relative, friend or advocate has concerns about the home. One staff member said, We regularly have service user meetings to gain their opinions on the service we deliver. In this meeting we also cover the complaints procedure. I am aware of the procedure and how to access it. Senior staff, team leaders and management are always available to listen to and deal with any concerns anyone has. One complaint has been logged in the past year. Records showed that this was dealt with promptly and appropriately, and to the satisfaction of the person who made the complaint. The home has policies and procedures on protecting vulnerable adults, preventing Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: abuse and whistle-blowing (informing on bad practice). All staff receive training on safeguarding vulnerable people from abuse. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a safe, clean and comfortable home that is maintained to a good standard to meet their needs. Evidence: A handy person is employed to carry out routine maintenance, repairs and decoration in the home. There is a rolling programme of work to the building. In the past year the chimneys have been pointed and the roof was checked. The rear of the building was painted, including a walled area and a smoking shelter was erected. Two bedrooms have been redecorated and the floor covering replaced in one bedroom. A through floor lift is installed to meet the needs of one person living at the home. Service users and staff are consulted about improvements to the home. This has lead to replacing chairs in the dining area, putting a blind up in the kitchen, and having shelves for individuals in the laundry room. People living at the home told us the home is always fresh and clean. One person said, I am very happy and warm, I have a nice bedroom where I can watch my own television and films. The building is very homely and comfortable. People have personalised their bedrooms with their possessions. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: There are policies and procedures on of infection. All staff are involved in cleaning and they work to cleaning schedules. The majority have had infection control training. Protective equipment and hand washing facilities are provided. There is a sluice wash cycle on the washing machine. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well supported by staff in sufficient numbers who are skilled and competent to meet their diverse needs. Evidence: Male and female staff are employed and staffing levels are flexible according to peoples activities. Staffing has been restructured to include an extra team leader and senior worker. Rotas showed that during the week there are three staff on duty until 9.00am, and then staffing levels are provided to meet the number and needs of people in the house, if they are not attending day centres. From 3.00pm until 9.45pm there are usually three staff, and overnight there is one waking staff member and on call arrangements. At weekends levels are three staff in the mornings, two in the afternoons and three in the evenings. All staff have either achieved or are studying for National Vocational Qualifications (NVQ) in care. People living at the home told the inspector they get on well with staff. One person said, I am very happy, and another said, Staff are always able to listen to me. Staff told us employment checks were carried out before they started work and that they received good induction training. One person said, In depth induction, well Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: explained. All said they are given training that is relevant to their role, helps them understand and meet individuals needs and keeps them up to date with new ways of working. One person said, Training is constantly being renewed, revised and updated. We have regular meetings which state any new ways of working and what may be beneficial to us as support workers and the service users. Staff told us there is enough staff to meet the individual needs of all the people living at the home. Comments from staff on what the service does well included providing a good living and working environment, making sure service users come first, respecting peoples rights, and meeting individuals needs. Comments about staff having to be licensed as taxi drivers (as required by the local authority) and having more forward planned staff rotas were discussed with the manager. The home owners said they select staff carefully and people living at the home are involved in the recruitment process. Staff recruitment files showed that appropriate details including application forms, references from suitable sources and interview records are kept. All staff are employed subject to Criminal Records Bureau (CRB) checks being carried out. The inspector discussed with the owners the need to record verification where a person with a previous conviction is employed, and to make sure all files have photographs and proof of identification. New staff receive thorough induction training that includes discussion on each persons needs. The home keeps a matrix that gives an overview of all training that each staff member has undertaken. Individual training records and certificates are also kept. Management make sure that staff have opportunities to attend a range of mandatory courses and training that is specific to service user needs. For instance in the past year staff have had training on caring for people with dementia, and completed an equality and diversity course to give them greater understanding of peoples diverse needs and rights. In-house training on approaches to individuals behaviour has been provided. 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. People live in a very well managed home that is run in their best interests and promotes their health, safety and welfare. Evidence: In the period since the last inspection one of the homes owners, Mr Burns has been approved as the Registered Manager for Kaydar. He has many years of care and management experience and has a social work qualification. He has completed management courses and keeps himself up to date by attending training courses, such as equality and diversity, and palliative care. A new staff member was recently employed to assist management with administrative work. Both of the owners are involved in the day to day running of the home. They work closely with the staff team and provide clear leadership and direction. Staff told us they feel they have the right support, experience, and knowledge to meet the different needs of people. They told us their manager meets with them regularly to give support and discuss how they are working. One person said, I have a supervision Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: with my manager every two months, and if I have a query or problem my managers make time to discuss anything with me. The home has systems in place to monitor and improve the quality of the service. These include methods of obtaining, and acting on feedback from people living at the home, their families and staff. There is a range of policies and procedures that are regularly reviewed and updated, and staff sign to verify they have read and understand these guides to practice. The home has a health and safety policy and a range of associated procedures. All staff receive training in health and safety and safe working practices. One staff member has designated responsibility for health and safety issues and is given time each week to do checks, audits, and fire safety tests. Food hygiene checks are carried out daily. There are systems for reporting incidents and accidents. Risk assessments have been carried out for safe working practices, such as fire safety, and control of infection, to identify and manage risks to keep people safe. Assessments are also conducted on each room in the house that take into account potential risks such as windows, equipment and furnishings. 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 2 20 34 Staff should make sure that hand written directions for medication are always clearly recorded. Staff recruitment details should include a photograph and proof of identification. Recorded evidence should be kept of the decision to employ any person with a previous conviction(s). Care Homes for Adults (18-65 years) Page 27 of 28 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. 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. 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