Inspection on 10/02/09 for Lawn Court

This inspection was carried out on 10th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lawn Court 15/03/07

Lawn Court 14/02/06

Lawn Court 05/07/05

Lawn Court 02/12/04

Lawn Court 30/06/04

Lawn Court 04/02/04

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: Lawn Court 26-27 Park Road Bexhill-on-sea East Sussex TN39 3HZ     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: Alexis Reilly     Date: 1 0 0 2 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: Lawn Court 26-27 Park Road Bexhill-on-sea East Sussex TN39 3HZ 01424211476 01424212083 lawncourt@together-uk.org www.together-uk.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Together Working for Wellbeing care home 18 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 who can be accommodated is: 18 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia - MD Date of last inspection Brief description of the care home Lawn Court is a residential home owned and managed by the organisation Together: Working for Wellbeing, providing emotional and practical support to enable service users to be as independent as possible. Lawn Court is situated in Bexhill on Sea, overlooking Egerton Park. The home is near to the town centre and seafront, and to the local facilities. The building comprises of four levels with a lounge, dining room and kitchen located on the lower ground floor. Another lounge is situated on the ground Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 18 Brief description of the care home floor, which is a non-smoking lounge. There are sixteen single bedrooms and one double bedroom, which is used as a single bedroom situated on the ground, first and second floors. The service has a self-contained bed sit incorporated in the building for service users to try more independently living. There is only one service user bedroom that has en-suite facilities, but there are adequate toilet and communal bathing facilities in the home. There is a garden at the back of the home with a patio area. A handbook is given to each service user. At the time of the inspection fees were documented to be between £534.97 and £613.57 per week. There are no additional charges. Care Homes for Adults (18-65 years) Page 5 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: 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 inspection began at 9am and finished at 2pm. The inspector saw residents briefly in the home and spoke with three residents individually. The inspector case tracked three residents, and examined the associated paperwork for these individuals such as the care plans, risk assessments and activities plans. The inspector has used this evidence to make a judgement on the suitability and robustness of these documents. Other documents examined were copies of notifications, accidents and appointments, evidence of external reviews, pre assessment documents, the record of complaints and the complaints procedure. Staff recruitment files, staff supervision notes, list of staff training and the quality assurance documents were also examined as were the sheets which record the administration of medication, the medication storage cupboard, and the new safe storage units for the residents individual rooms were also seen. The inspector carried out a partial environmental tour, which included the communal Care Homes for Adults (18-65 years) Page 6 of 28 areas, training kitchen, laundry, main kitchen, lounge, hallways, downstairs toilets, office and one residents bedroom. The inspector spent time with the Registered Manager, two senior support workers, and gained views about the service from professionals in the community, their comments are included in the report. Information was also taken from the AQAA which was comprehensively filled in and returned by the due date. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get 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. The service has had one new admission since the last inspection. The Registered Manager ensures they obtain comprehensive documentation which enables them to form a judgement about a persons suitability for the service. Evidence: As part of the inspection the inspector case tracked three residents in the home and spent time with them. As part of the case tracking the inspector examined the care plans and the associated documents such as risk assessments and the activities plans for these individuals, also evidenced were the external reviews from the community mental health team to ascertain if the needs identified in the assessment are used as a basis for a comprehensive care plan. The home has had one new admission since the last inspection. Evidence was supporting to show that the Registered Manager ensures they obtain background information and up to date CPA and mental health assessments prior to offering a place in the service. The service provides each prospective resident with a Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: comprehensive information pack detailing information about Lawn Court, the service provided, details about the staff team & the cost of the placement. A copy of the most recent CSCI report is also included. An informal meeting at Lawn Court is then arranged where service users are invited to coffee, and to meet staff & residents & to look round the project. The residents are encouraged to bring along any relative or friend if they wish. Lawn Court structure the referral & assessment procedure to the individuals choice & requirements, this involves a series of day & overnight visits typically spread over a 4 week period (this length of timescale enables prospective residents to move to Lawn Court at their own pace & to participate in all aspects of the process). The assessment process also affords all concerned the opportunity to assess whether the service Lawn Court offers will successfully meet the prospective service-users current & future needs. During the assessment period the service user will work closely with a key worker to formulate a care-plan and risk assessment. The key worker will also attend CPA reviews, and ward rounds which enables the service user to build a relationship with staff. Staff will also work closely with the individuals Care Coordinator during this period. The prospective service user is given a copy of the Lawn Court Residents handbook which gives details on all aspects life at Lawn Court as well as a copy of their contract. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have a good sound knowledge of the residents placed in the home, they are aware of individual risks and these are discussed with the staff team and informed risk assessments are produced. However the service has failed to provide care plans and risk assessments consecutively for all residents which are up to date and clear documents to follow. Residents are able to make their own choices and decisions, and are treated as individuals. Contact with advocacy services is promoted. Evidence: As part of the inspection the inspector case tracked three residents in the home, unfortunately these residents were not seen on the day of the inspection. However the inspector saw other resident in the home and spent time with three individually. As part of the case tracking the inspector examined the care plans and the associated documents such as risk assessments and the record of activities engaged in for these individuals, also evidenced were the external reviews from the community mental health team. This helped the inspector to ascertain if the needs identified in the assessment are used by the Registered Manager as the basis for a comprehensive Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: care plan. Other documents examined were copies of notifications, and accidents and appointments. The inspector spent time with the Registered Manager and two senior care staff and gained views about the services from professionals in the community, and also comments from service users these are included in the report. Out of the three care plans examined the inspector was concerned to find that in relation to the first care plan, the care plan document was not dated, and the risk assessment available for this person was dated 20/09/2006, a activities plan was unable to view and this information is routinely recorded in the monthly summary of events which is insufficient in detail. In relation to the second resident case tracked the inspector can confirm a risk assessment was in place for this person, but no care plan could be found. In relation to the third person case tracked the inspector can confirm that a risk assessment was in place however this was dated 27/09/2000, the monthly summary of events was last recorded on the 10/9/08, no up to date care plan could be found. However in discussion with the Registered Manager and separately in discussion with the two senior care staff it is evident the staff within the service had a good understanding of the residents, risks, behaviours and signs and symptoms to look out for in the event of the decline of their individual mental health. Evidence was also supporting to show that residents are regularly reviewed from the forensic team and the service engages with the CMHT and residents are supported and reviewed appropriately. 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 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 freedoms and flexible routines, and varied menus. The service must ensure that more is done to evidence that residents are involved in activities on offer both within the home and the community such as educational, and where appropriate, employment opportunities as well as leisure pursuits. Evidence: As part of the case tracking the inspector examined the care plans and the associated documents such as risk assessments and the record of activities individuals are involved in, also evidenced were the external reviews from the community mental health team/forensic team. Other documents examined were copies of notifications, and accidents and appointments, the record of complaints and the complaints procedure. The inspector spent time with the Registered Manager and two senior care staff and gained views about the services from professionals in the community, and also comments from service users these are included in the report. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: The service has links with a number of outside agencies such as the Hastings Trust & Hastings College & this has enabled service users to build on there life skills & engage with the local community. Service users are supported to access & utilise specialist services that are available in the community such as (HARC a small financial advice charity in Hastings) as this not only provides the best specialist service, but also provides an empowerment that can be carried through to greater independence. Service users are supported to volunteer in the community & if needed staff will assist them with application forms, and provide references. The service aims to provide a range of outings & leisure activities in the community (i.e. Monthly 10-pin bowling) that have been suggested by the resident group. All residents have their own front door & bedroom keys & staff do not enter a residents bedroom without their permission unless in a situation where there are concerns regarding the safety & wellbeing of that resident. Service users are free to come & go as they desire. There is no lock-out time, all that is requested is that if a resident is going to be out for a long period of time (or overnight) that they inform staff. Residents can plan their time as they wish & interact with others as they see fit. Staff will support a resident with their lifestyle choices & the running of the home is entirely flexible. During the past year a number of service users have done voluntary work, including helping at local charity shops, acting as a conductor on the local community bus & helping to restore a church in Hastings. Service users have attended college doing a range of courses from cookery to sign language to NVQ in tourism. Residents have been assisted to plan city breaks to Barcelona & Prague. However the inspector was unable to source any evidence which clearly showed what activities the three residents case tracked were involved in on a daily basis. In discussion with staff it was clear they had an understanding of the individuals activities however this needs to be clearly documented to ensure that residents are engaged in meaningful activities. Personal relationships and family relationships are encouraged if these are helpful and appropriate. 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 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 staff who have a good knowledge of individuals needs and are able to support them, residents receive regular support from the CMHT and Forensic teams. The Registered Manager has a good relationship with the general practice and residents health care needs are reviewed and referrals made were appropriate. The procedure for administering medication was found to be in good order. Evidence: As part of the inspection the inspector case tracked three residents in the home, and spent time with three residents individually. As part of the case tracking the inspector examined care plans and the associated documents such as risk assessments and the record of activities for these individuals, also evidenced were the external reviews from the community mental health team/forensic team. Other documents examined were copies of notifications, and accidents and appointments, the record of complaints and the complaints procedure. The inspector examined a sample of MAR sheets, and the secure storage for medication. Medication records were found to be in good order. The Registered Manager has a productive and good relationship with the CMHT and the forensic team. Residents are encouraged to self medicates and they have secure storage systems in their rooms. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: A completed survey from a health professional was received at the CSCI this confirmed that the service always seeks advice and act upon it to manage and improve individuals health care needs, that individuals health care needs are always met by the care service. That the service always respects individuals privacy and dignity, that they support individuals to administer their own medication or manage it correctly where this is not possible. That they usually support individuals to live the life they choose. That staff usually have the right skills and experience to support individuals social and health care needs. And that the service usually responds to the different needs of individuals, and that it always responded appropriately if the person using the service has raised concerns about their care. 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. The service records complaints and deals with these effectively. The Registered Manager notifies the CSCI and social services of all significant incidents in the home. The service has the required policy and guidelines on restraint. Residents are protected by the homes recruitment procedures and Adult Protection Procedures in the home. Evidence: As part of the inspection the inspector examined copies of notifications, and accidents and the record of complaints and the complaints procedure. The inspector spent time with the Registered Manager and gained views about the services from professionals in the community, from relatives of residents and also comments from service users these are included in the report. The Registered Manager has notified the CSCI of significant incidents which have occurred in the home, and has produced evidence to show these had also been forwarded to the relevant member of the CMHT. The service has dealt effectively with incidents of safeguarding vulnerable adults and has dealt effectively and speedily with staffing issues in the home ensuring residents safety is paramount. The service has a policy on restraint. The recruitment documents of staff employed in the home since the last inspection were examined and found to be in good order. Care Homes for Adults (18-65 years) Page 18 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home which would benefit from a complete redecoration of communal areas and individual bedrooms. The service has had a new training kitchen installed and the main kitchen is of a good standard. Evidence: A partial environmental tour of the building was carried out. The location and layout of the home are suitable for its stated purpose and all areas of the home, including the garden, are accessible to service users. The decor, carpeting and furnishing in the home is variable with a number of areas in the home showing significant wear and tear, which would benefit from redecoration. The service has planned for this maintenance work to be completed, but this issue has not been fully addressed. The Manager confirmed that there are plans to complete this work during the year. There are sixteen single bedrooms. Only one bedroom has en-suite facilities, but there are sufficient toilets, and a selection of communal bathing facilities in the home. There are two large lounges for service users to use, one on the ground floor, which is a non-smoking lounge and a further lounge in the lower ground floor where service users can smoke and a separate dining room for service users to eat their meals. New sofas and armchairs had been purchased for one of the lounges. There is a garden with seating and a barbeque area at the rear of the building. The home was clean and Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: free from offensive odours. The smoking lounge is now on the ground floor and the non-smoking lounge is in the basement. The service has installed the new resident kitchen, and has new lighting on all stairwells. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff interact well with residents and have an understanding of the needs through, training and knowledge passed to them by the Registered Manager. Staff provide a person centred approach to the delivery of care. Evidence: As part of the inspection the inspector examined the recruitment files of the two staff recruited to the service since the last inspection, the list of staff training, induction, and record of supervision. Recruitment files were found to be in good order. Evidence was supporting to confirm that staff receive regular supervision and attend team meetings on a monthly basis. Staff are also trained in areas relevant to the needs of residents. Members of staff were seen on the day of the inspection interacting positively with residents. All Staff are CRB & POVA checked, with 2 references taken up before starting in post. Residents contribute to the selection process by meeting with prospective staff & giving feedback. All new staff attend a 2 day induction course (within 6 weeks of starting) & complete training covering the 6 Skills for Care Common Induction Standards during their 6 month probationary period. Together provides all staff with a structured induction to their roles and responsibilities towards the people they support, their colleagues, and their own self development. The organisation offers a comprehensive Learning & Development programme which contains details of over 50 Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: courses designed to support staff to develop or enhance their skills in line with agreed development plans and regulatory requirements. The in house training provided covers health and safety, management development, and specialist courses that support or enhance service provision. All staff training is jointly identified during supervision & staff are provided with at least five dedicated training days per year. Four of the staff have attained NVQ level 3 in Promoting Independence & three more are currently working towards NVQ level 3 in Health & Social Care and are due to complete this within the next 6 months. Care Homes for Adults (18-65 years) Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home benefits from an experienced manager who has managed the home for many years and who ensures a supportive, homely and caring environment. Quality assurance systems are in place to enable ongoing feedback about the support provided in the home and the outcome from the quality assurance process has been collated and is available to view. However the service has shown significant gaps in ensuring that residents files are complete and up to date and that care plans are available to view with up to date risk assessments, and activity records for the individual residents. Evidence: As part of the inspection the inspector case tracked three residents in the home, unfortunately these residents were unable to be seen on the day of the inspection. However the inspector did spend time individually with three other residents in the home. As part of the case tracking the inspector examined the care plans and the associated documents such as risk assessments and the record of activities these individuals engage in, also evident were the external reviews from the community mental health team and forensic team. Other documents examined were copies of Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: notifications, and accidents and appointments, the record of complaints and the complaints procedure. The staff recruitment files of new staff within the service were examined as were the record of staff training, supervision and team meeting minutes. Quality assurance documents were also seen. The inspector spent time with the Registered Manager and two senior support staff and gained views about the services from professionals in the community, and also comments from service users these are included in the report. The Registered Manager ensures that residents are assessed and a structured induction is carried out into the service. Risk assessments are in the main comprehensive but unfortunately on the day of the inspection significant gaps were found in care plan and risk assessment documentation, also the inspector was unable to evidence and find a clear trail of activities that individual residents engage in. Staff are well trained and supervised and have good understanding of the residents they support. Quality assurance systems are in place, and the service benefits from an experienced Registered Manager. Comprehensive safeguarding procedures and complaints procedures are in place to ensure that residents best interests and safety are paramount at all times. Care Homes for Adults (18-65 years) Page 24 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 25 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 1 6 15 The Registered Manager must develop and agree with each service user an individual plan. This will ensure the service users needs are met at all times. 01/04/2009 2 9 12 The Registered Manager must ensure service users have individual risk assessments and risk management strategies, which are current and reviewed on a regular basis. These documents must be available to view to all times. 01/04/2009 3 24 23 The Registered Manager must ensure the premises are kept in a good state of repair both externally and internally. 01/08/2009 Care Homes for Adults (18-65 years) Page 26 of 28 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 and that all parts of the home are reasonably decorated. 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 12 The Registered Manager should ensure that a detailed record is kept of education, training and activities engaged in for each individual. The Registered Manager should ensure that a detailed record is kept of all leisure pursuits and activities individual residents are engaged in. 2 14 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. 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