Inspection on 02/03/09 for Kensington Lodge

This inspection was carried out on 2nd 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

Kensington Lodge 14/11/06

Kensington Lodge 10/01/06

Kensington Lodge 11/08/05

Kensington Lodge 14/03/05

Kensington Lodge 27/10/04

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Coopers Mill Ltd

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/08/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Kensington Lodge 5 Cabbell Road Cromer Norfolk NR27 9HU     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: Debra Allen     Date: 0 2 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 31 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 31 Information about the care home Name of care home: Address: Kensington Lodge 5 Cabbell Road Cromer Norfolk NR27 9HU 01263514138 01263514138 trudy56@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Trudy Jane Hann,Mr Robert Stanley Hann Name of registered manager (if applicable) Susan Jayne Briggs Type of registration: Number of places registered: 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 Kensington Lodge is a large, period residence located close to Cromer town centre and sea front. The care home is registered to accommodate 15 service users in the category of People with Learning Difficulties. Service user accommodation is spread over 4 levels, with communal rooms on the ground and first floor. There is a stair lift to the first floor only, so service users with rooms on the floors above must be sufficiently able bodied to manage the stairs. There is a fire escape route, approved by the fire officer, from the upper floor through to an adjoining property. To both front and rear, the property includes small paved areas with seating and flower tubs, but lacks a garden or car park. However, rooms to the rear of the building benefit from views of the esplanade and a putting green and other seaside attractions together with the main shopping area are within walking distance. 15 Over 65 0 care home 15 Care Homes for Adults (18-65 years) Page 4 of 31 Care Homes for Adults (18-65 years) Page 5 of 31 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: Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. The fieldwork of this inspection was carried out over a period of seven hours, during which time a number of people living at Kensington Lodge were observed and spoken with and a tour of the premises was undertaken, which included seeing some peoples personal rooms - with their permission. Discussions were also held with some of the Care Homes for Adults (18-65 years) Page 6 of 31 staff on duty and the manager. Various records were looked at in detail, which included care/support plans, staff files and other records relating to health and safety. Meanwhile, a well completed and detailed Annual Quality Assurance Assessment (AQAA) was returned to The Commission, as requested, prior to this inspection. No requirements or recommendations have been made as a result of this inspection. What the care home does well: What has improved since the last inspection? The medication policies and procedures have improved greatly since the last inspection including any liquid medication that is used is now dated upon opening and all out of date medication is returned to the pharmacy. There were no controlled drugs prescribed at the time of the inspection but the manager confirmed that a procedure is in place now in respect of the storage, administration and recording of such medication, should it be required in the future. The recruitment practices and procedures have also improved greatly since the last inspection and Schedule Two information such as references and Criminal Records Bureau (CRB) Disclosures etc is maintained in the personnel files. Kensington Lodge has a very clear and comprehensive Quality Assurance Process now. The proprietor carries out a financial audit, in respect of the service users, every three months and appropriate records are maintained. Care Homes for Adults (18-65 years) Page 8 of 31 Good records are maintained to confirm regular support and supervision sessions are carried out with the staff. A closure has been fitted to the lounge door on the first floor. 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 9 of 31 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 31 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. Prospective service users are provided with good quality information about the home, so they are able to make an informed choice about living there. People have the opportunity to visit the home and detailed needs assessments are completed before they move in. Evidence: The care plans looked at during the inspection contained copies of pre-admission questionnaires/needs assessments, which also included detailed risk assessments and very descriptive personal profiles, all of which were noted to have been completed prior to people moving into Kensington Lodge. Thirteen surveys were completed by the people living at Kensington Lodge and returned to the Commission prior to this inspection and some of the additional comments confirmed that people were able to visit the service before moving in permanently, such as: Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: I knew several other people who lived here and I was friends with. I was here on respite. Other separate comments included: I like living here very much. I like my home. I am very happy at Kensington Lodge. Yes I am happy. I am happy. A discussion with the manager and comments provided in the Annual Quality Assurance Assessment (AQAA) confirmed that Kensington Lodge has improved in the last twelve months by looking at ways to make prospective service users feel that their visits to the Home are personalised - i.e. allocating a member of staff to the prospective service user for the length of their visit, allowing them to begin to build a relationship and for the individual to feel valued by the service. It was also confirmed that, in order to have the resources to do this, the staff and management have looked at the times that prospective service users are due to visit and adjusted the staffing rota accordingly. Further plans for improvement were acknowledged as updating the Service User Guide into an easier to read format for the client group at Kensington Lodge. It was also noted that each person living at Kensington Lodge is provided with terms and conditions of residency. Care Homes for Adults (18-65 years) Page 12 of 31 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. The people living at Kensington Lodge have their changing needs and personal goals reflected in an individual plan of care, they are able to make decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: A number of care plans were looked at in detail and individual discussions were held with several people, which helped to confirm that the contents of the plans were accurate. Since the last inspection, the manager has reviewed and revised the care planning system and the new format for peoples care plans is made up of a number of different sections or folders, which makes it easier for staff and service users to access the relevant information, review and/or update it - again helping to ensure consistency of care. Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: These sections were seen to include the following:1. Health Profile * Record of medical services received - i.e. doctor, dentist, optician, chiropodist. * Weight monitoring chart. * Medication Profile. 2. Holidays and Outings * some examples of information seen here included Adult Training Centre, Home for the weekend, swimming, party, personal shopping, Cluster Group, out for a walk, out for a meal and out for a drink. 3. Personal Information (such as Terms and Conditions of Residency) 4. Pen Picture/Care Plan * The contents of this section of the care plans included very comprehensive information, to ensure consistency of care and make sure that each person is genuinely treated as an individual and receives the level of support they require. The various sections within the Pen Picture/Care Plan included the following:* Confidentiality Statement - This stated that anything written in the care plan is private and will not be shared with anyone not involved in supporting the individual. * My Details, which includes:* About Me - Personal Details * My Profile - which includes information about the person as an individual, hobbies, religion and anything else which will help people get to know them. (Some good examples of content were observed as: I like to dance and enjoy drama. I like all music. I have a boyfriend/girlfriend. I like to watch television in my own room. I always do my own breakfast and pack my own lunch. I like to go to church sometimes. I sometimes do my own ironing.) * How I Spend My Days (Includes a general daily routine as well as free-time hobbies.) Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: * About My Hopes and Dreams (Some good examples of content were observed as places to go on holiday or getting a particular job.) * Day to Day Things - such as how the individual manages tasks such as washing, dressing, bathing, making a meal etc. and what help, if any is needed. * My Medical History * Things my Care Team Need to Ask - which includes the following:* About my Speech and Sight * About my Hearing and Understanding * About my Teeth and Feet * About my Mobility and Dexterity * About my Safety * How and What I Like to Eat All of the above sections were seen to be clear and easy to understand and contained valuable and comprehensive information. Observations during the inspection confirmed that the people living at Kensington Lodge are genuinely supported and encouraged to make decisions for themselves, take risks appropriately and live their lives as independently as possible. Comprehensive risk assessments were seen for individuals, covering all aspects of life, and notes/minutes were seen, which confirmed house meetings take place on a regular basis and that the people living at Kensington Lodge have their views included and llistened to. Meanwhile, in addition to the confidentiality statement mentioned above, all the records and personal information relating to the people living at Kensington Lodge were seen to be stored securely in the main office, thus further ensuring confidentiality. Care Homes for Adults (18-65 years) Page 15 of 31 Care Homes for Adults (18-65 years) Page 16 of 31 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. The people living at Kensington Lodge are able to take part in activities that suit them, be part of the local community, enjoy leisure activities as they wish and have good relationships with their family and friends. Peoples rights and responsibilities are respected and recognised in their daily lives. People living at Kensington Lodge are offered a healthy diet and enjoy their food. Evidence: A number of discussions and observations took place during this inspection and one person told how they regularly enjoy walking into town for shopping or to the seafront on their own (although they also said they sometimes like going with staff too). Some of the people met and spoken with shared information about their hobbies and interests and the care plans that were looked at also reflected this information. Some Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: of the activities people said they regularly enjoyed included sewing, going swimming, horse riding, bowling, going out for a drink and/or a meal, shopping, cooking, helping around the house, art, listening to music, table tennis, darts, watching the soaps on television, visiting friends and family and going to parties. A number of people were noted to have regular jobs such as working in a charity shop, working at the Salvation Army, Norwich Union, Easton College and Support Scout Leader. Some of the additional comments of the surveys that were returned included: I go shopping when I wish to. I pick my own holiday. I go to Gateway Club, which I enjoy. Each person was noted to be very genuinely supported to make and maintain friendships and two people living at Kensington Lodge have married, after meeting four years ago. Notes and discussions also confirmed that some people visit family on a regular basis and it was confirmed that people can also have visitors, when they want, at Kensington Lodge. In respect of meals and mealtimes, various observations were made throughout the course of the inspection, which showed people choosing what they wanted for their meal, when they wanted it and where they wanted to have it. Again, records supported this and it was noted that a number of people like to prepare their own breakfasts and pack their own lunches, if going out for the day, or make their own lunch if they are at home. From observations it was also evident that generally everybody meets up and eats together for the main meal, which was seen to be a somewhat family atmosphere and a chance for people to chat together about their day. It was noted in one particular care plan that the person had specifically written that they like to eat in the dining room with everyone else. Care Homes for Adults (18-65 years) Page 18 of 31 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. The people living at Kensington Lodge receive personal support in the way they prefer, their physical and emotional health needs are met and they are protected by the homes medication policies and procedures. Evidence: The care plans looked at, observations and discussions provided good evidence that peoples individual wishes are acknowledged in respect of the way they are supported, which appeared to be mostly by listening to, encouraging or prompting people with daily or personal healthcare tasks. Some people were noted to require more support than others in respect of health matters and these were clearly described in their individual care plans - i.e. I am able to dress myself without any help and choose what I wear. or I need staff to help me get in and out of the bath. At the time of this inspection, no service users maintained or administered their own medication but the manager confirmed that appropriate risk assessments would be Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: undertaken, in line with the Homes policies and procedures, in order to support people to do this if they so wished. Meanwhile, Kensington Lodge was seen to have good and safe practices with regard to the handling, administration and recording of medication and no errors or omissions were noted in the records during the inspection. Other records looked at confirmed that people are supported to have regular and ongoing involvement with various care professionals such as doctor, community nurse, dentist, optician and chiropodist. Care Homes for Adults (18-65 years) Page 20 of 31 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. Kensington Lodge has a clear complaints procedure, both formal and informal, which helps ensure that people feel their views are listened to and acted upon. Staff are well trained in areas such as adult protection and medication, to help ensure people are protected from abuse, neglect and self-harm as much as is possible. Evidence: From the information provided in the AQAA, Kensington Lodge has not received any complaints in the last twelve months. All thirteen surveys that were completed and returned by the people living at Kensington Lodge confirmed that they knew how to make a complaint and they knew who to speak to if they werent happy. Kensington Lodge was seen to have a very clear complaints procedure and the complaints forms were seen to be clearly written in an easy read format, with pictures and many questions or prompts to help service users express their views or make sure their complaint is understood. The recruitment practices and procedures at Kensington Lodge were seen to be robust, with all staff required to have a clear enhanced disclosure from the Criminal Records Bureau (CRB) before starting work and all staff are reported to have received up to Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: date training in adult protection. Care Homes for Adults (18-65 years) Page 22 of 31 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. Kensington Lodge provides a homely, comfortable and safe environment for people to live in, which is clean and hygienic. Evidence: General observations were made whilst undertaking this inspection, which confirmed that people were very much at home and the whole environment was noted to be friendly, comfortable, clean and hygienic. One of the additional comments made by one of the service users, in the completed surveys was: My room and all the house is kept lovely. A tour of the premises showed peoples own rooms to be very individual and personal and the communal areas were seen to also be very comfortable, clean and homely. It was stated in the AQAA that the home is maintained appropriately to reduce the risk of infection and cross infection. The home carries out routine maintenance checks and takes action, as necessary, on the findings. It was also stated that improvements over the last twelve months have included Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: redecorating several communal areas of the home and purchasing new furnishings. Requests, made by service users in respect of redecorating their bedrooms and purchasing new furnishing, have also been acted upon. Additionally, a new carpet has been ordered for all the stairs, halls and landings. Care Homes for Adults (18-65 years) Page 24 of 31 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. Kensington Lodge has robust recruitment procedures and staff are well trained, with at least 50 holding a minimum of NVQ2 or equivalent. Evidence: Two personnel files were looked at in detail during the inspection and each of these was found to be well organised and contain comprehensive information, which confirmed that Kensington Lodge has a robust recruitment procedure. Some of the documents seen in the staff files included: * Photograph * Details of New Employee Form * Application Form * Health Questionnaire * Interview Information and Results * Confirmation of Job Offer * POVA 1st Check (prior to starting work) * Clear Enhanced Criminal Records Bureau (CRB) Disclosure * Professional and Character References * Induction Checklist * Confidentiality Policy * Contract of Employment With regard to training and qualifications, evidence of training and certificates were seen for areas such as NVQ2 in Health & Social Care, Medication, Epilepsy Awareness, Health and Safety, Dementia, Moving and Handling, First Aid, Food Hygiene, Fire Safety and Adult Protection. Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: Observations during the inspection showed a warm and friendly staff team, who interacted regularly and naturally with the people living at Kensington Lodge and one of the additional comments provided by a service user in the completed surveys was: I get on well with all the staff. Discussions with staff indicated that they felt well supported by the management and one made specific comments about Kensington Lodge being a really lovely place to work. From records seen, together with discussions held with staff and the manager, it was confirmed that staff receive regular support and supervision both formally and informally. Care Homes for Adults (18-65 years) Page 26 of 31 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. Kensington Lodge is a well run home and the people living there benefit from good quality leadership and day-to-day management. A good Quality Assurance process is in place and the people living at Kensington Lodge know their health, safety and welfare is promoted and protected. Evidence: The manager has worked at Kensington Lodge for two and a half years and has thirty years of experience in the care sector. She currently holds NVQ4 in Health and Social Care, Registered Managers Award (RMA), NVQ Assessors Award (D32/33) and is very proactive in keeping herself updated in respect of additional training in relevant areas such as the Mental Health Capacity Act and Adult Protection. Discussions with staff and service users, plus observations during the inspection confirmed that the ethos, leadership and management of the Home benefit all who live and work there. Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: The Quality Assurance process is very clear and easy to understand and genuinely encourages people to provide constructive and quality feedback. The manager has evidently put a great deal of time and effort into preparing and maintaining a comprehensive but, again, clearly understandable Quality Manual, which outlines the responsibilities of staff and management, together with aims and methods to ensure an ongoing quality service is provided. One set of Quality Assurance questionnaires have been designed for service user feedback, which include clearly identifiable pictures or photographs and straight forward and direct questions. Additionally, a questionnaire has been designed for feedback from family, friends and other relevant people, such as healthcare professionals. This was noted to be available in other formats if required. The policies, procedures and record keeping in respect of health and safety were observed to be of an exceptionally high standard, covering numerous areas in great but clear detail such as infection control, water temperatures, Legionella control, fire safety and all related checks, drills and evacuations, safe use and storage of hazardous substances and chemicals (COSHH), electrical and gas safety and maintenance etc. All areas were seen to have clear and detailed risk assessments and all have been reviewed and updated, as necessary, on a regular basis. Overall, the atmosphere during the inspection was cheerful and relaxed and observations confirmed that people were genuinely in their own homes, with their best interests, health and happiness being absolute priority. Care Homes for Adults (18-65 years) Page 28 of 31 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 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 30 of 31 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. 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