Inspection on 21/10/08 for Kingswood House

This inspection was carried out on 21st October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingswood House 23/10/06

Kingswood House 13/12/05

Kingswood House 12/06/05

Kingswood House 10/11/04

Kingswood House 15/06/04

Kingswood House 16/07/02

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Kingswood House 21 - 23 Chapel Park Road St Leonards On Sea East Sussex TN37 6HR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Deborah Calveley     Date: 2 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Kingswood House 21 - 23 Chapel Park Road St Leonards On Sea East Sussex TN37 6HR 01424-716303 01424423737 Kingswoodhouse@googlemail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Deidre Hogan Type of registration: Number of places registered: Mrs Deirdre Hogan,Mr Abraham Hogan care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is twenty-three (23) The service is for users thirty (30) years and over with continuing mental health care needs Date of last inspection Brief description of the care home Kingswood House is a 23 bedded home in St Leonards-on-Sea, situated approximately a quarter of a mile from both the railway station and the seafront. The Home is able to admit people aged 30 years or above and it specialises in supporting those with enduring mental health problems who require 24 hour nursing care. A range of shops is within easy walking distance and there is a nearby drop-in support centre for people with mental health issues. Kingswood House caters for diverse needs and promotes a lifestyle that supports residents to integrate into the community. Many are referred by forensic social workers. The Registered Manager who is also a part owner, is on shift Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 23 Brief description of the care home during the day and qualified nurses take charge in her absence. The Home has steps up to the front entrance but also a sloped pathway and level access throughout the building, enabling wheelchair access. There is a passenger lift to all floors. The Home has 7 shared and 8 single rooms, all of which meet the space requirements laid down in the National Minimum Standard. Two lounges and a dining room provide communal space inside and at the back of the Home there is a patio area and large raised garden that can be accessed from both the dining room and small lounge. The current e-mail address is Hogan@AOL.com. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term service user to describe those living in care home settings. For the purpose of this report those living at kingswood house will be referred to as residents. This was a key inspection that included an unannounced visit to the home and follow up contact with residents representatives and visiting health and social care professionals. This unannounced inspection was carried out over 7 hours on the 17 October 2008 There were 20 residents living in the home on the day of which five were case tracked Care Homes for Adults (18-65 years) Page 6 of 30 and spoken with. During the tour of the premises eight other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the Service Users Guide, Statement of Purpose, care plans, medication records and recruitment files. Two members of care staff, domestic and chef were spoken with in addition to discussion with the provider and manager. Telephone contact was made with visiting professionals following the visit and their views and comments, along with the information received verbally during the site visit has been incorporated into this report. An Annual Quality Assurance Assessment was received from the Manager completed in full prior to this key inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience 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 prospective residents and relatives with a good level of information about the home, its facilities, services and the costs involved, which enables residents to make an informed choice regarding their future home. The admission procedures allow for the needs of prospective residents to be assessed by a competent person before admission Evidence: Kingswood House has a Statement of Purpose and Service Users Guide in place. The Statement of Purpose states the aims and objectives of the home and the philosophy of care that is offered.The information recorded was informative and evidenced that the details of staff qualifications are updated on an on-going basis. The Service Users Guide provides a summary of the Statement of Purpose and includes the Terms and Conditions of Residency, this is given to all residents on their arrival. This will then be signed and dated by the resident. Some of the documention seen still needs to be updated to reflect the Commission for Social Care Inspection and the new address. Care Homes for Adults (18-65 years) Page 10 of 30 Evidence: The latest admissions to the home were identified and the records relating to the admission procedures followed were reviewed. This confirmed that pre admission assessments are completed and provide a clear assessment of prospective residents care needs. Prospective residents are invited to visit to view the home and meet the residents and staff and to discuss the homes suitability. The manager undertakes an assessment either at Kingswood House or in the residents current accommodation. The prospective resident is asked their preferences regarding their cultural religious needs. If it appears the home is suitable and can meet the needs of the prospective resident, they are then encouraged to visit and stay for periods extending overnight if possible. The registered manager and the other registered provider are both Registered Mental Health Nurses(RMN) the trained staff that are employed to work in the home are Registered General Nurses (RGN) with valuable experience gained in mental health nursing whilst employed at Kingswood House. All residents that are admitted have been diagnosed with mental health needs and some do have addictive behaviour. The home and resident will agree to work together as part of the pre-admission assessment process The home aims to take residents for long-term placement with rehabilitation rather than short-term care. Care Homes for Adults (18-65 years) Page 11 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. whilst there are plans of care in place for residents with risk assessments, it would benefit the residents if within this framework, residents are supported to take risks as part of an independent lifestyle. Evidence: The care documentation pertaining to five residents was reviewed in depth as part of the inspection process. Each resident has a file containing their personal details, their life and medical history prior to admission and a care plan identifying their individual needs. The care plans detail the care required to ensure the essential aspects of health and personal needs are met. However they do not include personal goals and the positives they can achieve. There was little evidence of resident involvement in the devised careplans. Risk assessments for some residents are in place, but it would be beneficial for the people who live in the home, if they included more details regarding their decisions of leading an independant lifestyle. The staff are knowledgeable regarding the capabilities and behavioural constraints of residents and this needs to be Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: evidenced in the documentation. A daily record is completed by the staff on each shift but these were minimal and did not detail how residents spent their time and therefore need to be more detailed. Residents were seen moving around the home and garden areas freely and one resident went out on his own. Restrictions are only put in place if it is in the resident’s best interest because they are at risk to themselves or others. Where at all possible there is negotiation and agreement enabling residents to make decisions about their lifestyle, this however needs to risk assessed and then regularly discussed and reviewed. Individual hobbies and interests were not evident in the care plans and admission assessment. This was a requirement from the last two inspections and remains outstanding. Care Homes for Adults (18-65 years) Page 13 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home need to endevour to involve and enable residents to partake in fulfilling activities and personal development. The home encourages and enables the residents to maintain appropriate relationships whilst living in the home and residents continue to enjoy their meals. Evidence: The staff continue to struggle to encourage residents to participate in activities and there was very little documented regarding any activities either planned or spur of the moment. There are specific residents that do have interests, one in particular has an interest in accountancy and this could be more positivelyactioned by the home staff. The home staff were seen to have a good rapport with residents and this could be used more pro-actively in exploring different interests and providing opportunities for Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: structure and hobbies in the residents day. The pre- admission assessment should include the residents hobbies and interests and the home need to able to meet their identified social needs. The lifestyle in the home was seen to be flexible, and residents were seen to be getting up at their own pace and spending their day in different areas of the home. It was confirmed by residents and the staff that they encourage and enable them to maintain contact with families and friends. Visitors are welcomed into the home during reasonable times and this is usually from 10 am. Family of residents are welcome at all times. Meal times within the home are as follows, breakfast is at 830am,tea and biscuits at 1030am a hot lunch is served at 12 o clock, and tea and biscuits is served at 3pm a hot supper at 8pm and a hot drink and biscuits at 10pm. If residents are going out for a purpose their meal will be kept. Alternatives are offered if they residents don’t like the main meal. The residents confirmed that they can choose their meal and that the chef was really good. There are some residents that have tea and coffee making facilities in their rooms and this needs to be monitored as one room had a strong unpleasant odour of stale milk. It might be beneficial to look at the provision of a cold box or miniature fridge for this purpose. Robust risk assessments need to be in place and reviewed regularly. The chef was available to talk and confirmed that the menus are devised to meet the residents preferences that fresh fruit and vegetables were provided all year. Comments from residents included, good food, no problems, the chef is good not bad food. The kitchen is in need of deep cleaning and some repairs to equipment was discussed. The atmosphere in the home was pleasant and residents were comfortable and at ease with the staff. All the rooms have locks and if appropriate following an assessment, residents have their own key, this needs to be clearly documented. Care Homes for Adults (18-65 years) Page 15 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. From direct observation the health and personal care needs of residents are generally met with evidence of specialist advice sought when necessary. However some residents are potentially at risk due to the lack of health related risk assessments. Medication practices are safe and promote the residents safety. Evidence: The staff in the home were observed to provide sensitive and flexible personal support and nursing care to the residents. The care needs were found to be identified, however the risk assessments for those residents with specific needs were not completed for moving and handling and nutrition. This needs to be a priority to maintain residents health and safety and for the safety of staff in respect of moving and handling. The clinical room is well organised and has the necessary storage for medicines and controlled medicines. There is a clinical fridge and the manager needs to re establish taking the temperatures as discussed. Medication was seen to be dispensed safely during the inspection. The Medication Administration Charts (MAR) were viewed and in the main were completed competently, however the gaps identified need to be Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: identified by the staff and followed through handwritten orders need to be signed and dated and the reasons for non administration need to be signed and dated to provide an audit trail. The residents that whose health needs have increased were seen to have been identified appropriately and advise sought as necessary. Care Homes for Adults (18-65 years) Page 17 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a formal complaints system with evidence that residents feel that their views are listened to and acted upon. Staff receive training to protect residents from abuse. Evidence: The complaint policy and procedure is clear and uncomplicated and a copy of this is readily available and displayed in the home and the Service Users Guide. A system of recording complaints was demonstrated to the inspector during her visit to the home. The home has not received any complaints since the last inspection. Residents spoken with confirmed that they were confident that any complaints or concerns that they had would be listened to and responded to effectively. The home has relevant guidelines on the protection of vulnerable adults and staff have all received appropriate training. The management team has a clear understanding of adult protection guidelines and are aware of how to initiate an investigation if required. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The management team has a clear understanding of adult protection guidelines and are aware of how to initiate an investigation if required Care Homes for Adults (18-65 years) Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience 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 a comfortable, clean and safe environment for those living in the home and visiting. Residents are enabled and encouraged to personalise their room and rooms are homely and reflect the residents personalities and interests. Evidence: The tour of the home evidenced that Kingswood House meets its stated purpose and the needs and expectations of the people who use the service. Kingswood House provides accommodation for up to 23 residents, there are two communal lounges, a dining room and a smoking area. There are bedrooms on the first and second floor and all floors are serviced by a shaft lift, enabling access for those with limited mobility. There was a problem with the lift on the day of the inspection which was dealt with by the provider. This resulted in one resident being isolated upstairs and the staff need to ensure that they have a plan of action in place to ensure that if this occurs that the resident is suitably interacted with and monitored. There are toilets and two bathrooms in the home, one bathroom has a ‘Parker’ bath enabling assisted bathing for those who are less mobile. There are plans to fit a wet room in the place of an underused bathroom in the near future. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: There is a refurbishment programme in place and evidence was seen of redecoration and refurbishment, however there is a need to replace certain carpets and chairs as discussed during the tour with the provider for infection control reasons. There are residents that share a bedroom and it was confirmed that this is discussed before admission and it appears to work well at this time. The residents are encouraged to make their room their own and many were personalised with their own belongings. It would be beneficial if the residents had a schedule in place that guides them to care for their roomand this then needs to be supervised by the staff to ensure that the rooms are hygienic. The home in general is clean and hygienic Care Homes for Adults (18-65 years) Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst Staff receive a variety of in house and mandatory training, there is a need to ensure that staff recieve the necessary training to meet the needs of those residents with poor mobility. Residents are protected by the homes recruitment procedures and staff supervision polices. Evidence: The management need to ensure that that all staff have a detailed job description and have a full understanding of the role they are to perform in the home. The staffing rota was viewed and the staffing levels were seen to be sufficient to meet the needs of the residents at this time. It was confirmed by the manager that there is flexibility of the staffing levels and they are adjusted according to the changing needs of the residents. The manager needs to ensure that her hours are clearly recorded on the staffing rota. Care staff spoken with said that the levels of staff on duty were sufficient to give the care required they also said that the senior staff always helped out. Residents also confirmed that they had no complaints regarding the amount of staff. A staff rota is held giving names of staff on shift. Staffing levels include three care staff on duty each morning and one trained staff and two care staff and one trained nurse in the afternoon and evening. There are two waking care staff on duty at Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: night with one trained staff member. In addition to the care team there are staff employed for cooking and cleaning, the laundry is attended to by the care staff and the provider attends to the maintenance and gardening. A selection of staff recruitment files were viewed and demonstrate that a robust recruitment process has been maintained to protect residents and contained all the relevant information required. There was evidence of health questionnaires, Criminal Record Bureau checks, two references, a resume of previous employment and work permits where necessary. All the paperwork is kept within a locked room and a lockable filing cabinet. There is an induction programme in place and has been introduced for all staff. Files seen confirmed this. New staff are required to complete an initial induction programme and undertake mandatory training including fire safet, infection control, first aid and health and safety. However there was no evidence of an appropriate moving and handling course being undertaken by the staff. at present there are two residents that rely on being hoisted by staff and therefore the lack of training does place residents and staff at risk.n This was fully discussed. The cerficates for training are displayed on a wall in the office, but it is difficult to track whether staff have undertaken the necessary updates. It was identified in the AQAA recieved from the manager that they have identified that they need to produce a training matrix. 55 of care staff have a National Vocational Qualification with further staff being enrolled. Care Homes for Adults (18-65 years) Page 23 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well run home that promotes their health, safety and welfare. Evidence: The home operate an open door policy which enables residents to visit the manager throughout the day, from direct observation this was very evident during the inspection as residents come in for various reasons or just to say hello and obviously felt very comfortable doing so. The registered manager is also one of the registered providers, both of whom are registered mental health nurses (RMN). The feedback from health professionals that come into close contact with the home, staff and residents was complimentary. Surveys recieved from the residents regarding their home were positive and included Gice people who care for me good food , look after us well Wouldnt be any where else. The registered manager is well respected by the residents and staff, the feedback from surveys was positive in respect of the management of the home. Comments included The manager is very supportive I would go to the manager if I had a problem. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: The qualityassurance measures include regular resident meetings and questionaires are sent out yearly to families and residents, it is recommended that the questionaires are extended to health professionals that visit the home. There are policies and procedures in place that underpin the practices in the home. It was confirmed that they are updated regularly and assessible to all staff. The records in the homefor the safe running of the home were available and up to date. This included fire drills, fire equipment, and the servicing of boilers, equipment and lifts. The records and care plans are kept securely and are up to date and maintained in accordamce with the Data Protection act. The health and safety of residents are in general promoted, but as previously mentioned the staff have not recieved the training necessary to move and handle residents safely with lifting equipment. this places people at risk from injury. The staff are aware of the fire procedures in the home, and all reciebve fire training, however the staff need to ensure that all fire extinguishers are attached to the wall as required. Care Homes for Adults (18-65 years) Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 That the registered person ensures that the care plans reflect the personal goals of the service users and also focus on the positive outcomes of the service users as well as the negatives. That service users are suppoerted in achieving realistic goals. 22/12/2008 2 9 12 That the registered person ensures that service users are supported to take risks as part of an independent lifestyle. To promote service users independence. 22/12/2008 3 11 16 That the registered person ensures that the service users have opportunities for personal development and activities. To ensure that service users have a fulfilling lifestyle. 22/12/2008 Care Homes for Adults (18-65 years) Page 27 of 30 4 12 16 That the registered person ensures that service users are supported to take up opportunities for further education. To ensure that service users have a fulfilling lifestyle. 22/12/2008 5 19 13 That the registered person 22/12/2008 ensures that the residents health needs are assessed with clear guidance for staff to follow. This pertains to nutrition and mobility. To ensure that the residents health needs are promoted. 6 31 13 That the registered person ensures that all staff recieve a job description and contract. To protect the service users. 22/12/2008 7 32 18 That the registered person ensures that staff recieve the training necessary to perform their job. To ensure the service users safety is promoted. 22/12/2008 8 42 13 That the registered person ensures that service users are moved and handled safely. To promote the residents safety. 22/12/2008 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. Care Homes for Adults (18-65 years) Page 28 of 30 No. Refer to Standard Good Practice Recommendations 1 2 3 1 34 42 That the information regardinging the CSCI is correct in all the documentation. That the staff fikes alll have an up to date photograph for identification reasons. That fire extinguishers are attached to wall safely. Care Homes for Adults (18-65 years) Page 29 of 30 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. 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