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Inspection on 01/10/08 for Linwood House Care Home

Also see our care home review for Linwood House Care Home for more information

This inspection was carried out on 1st October 2008.

CSCI found this care home to be providing an Good 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The literature about the service that is provided to people who wish to consider living at Linwood House, is clear, comprehensive and helpful. People are given the opportunity to `test drive` the service. People are provided with opportunities to achieve personal goals and the staff group is committed to promoting peoples independence. People living at the service are supported by a manager and staff group who understand Safeguarding Adults procedures and work to protect people from potential harm and or abuse. People are protected by robust recruitment policies and procedures. The home is run in the best interests of the people who live there. Care and support is delivered in a person centred way although the care plans lack evidence of being developed through consultation with the individual. A Key Worker system is in place.

What has improved since the last inspection?

All requirements set at the last Key Inspection have been met. Linwood House has benefitted from a refurbishment programme that has included decorating and the purchase of new furniture for communal areas. A new accident book has been obtained and is in use. These improvements address the recommendations made at the last Key Inspection.

What the care home could do better:

Ensure that all people who move into Linwood House have a pre-admission assessment completed and put in their care plan and that care plans are created in consultation with the person as soon as they commence living at the service. Care plans could be written in a more `person centred` way and show evidence of being produced with the person being involved and consulted as far as possible. This should include any changes and/or reviews of care plans.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Linwood House Care Home 1 Mount Hooton Road Radford Nottingham NG7 4AY     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: Angela Starr     Date: 0 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 28 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 28 Information about the care home Name of care home: Address: Linwood House Care Home 1 Mount Hooton Road Radford Nottingham NG7 4AY 01159786736 01159786736 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Claire Anne Turner Type of registration: Number of places registered: Prime Life Ltd care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Serice users shall be within category LD The registered manager shall complete the registered managers award by December 2005 and NVQ4 in care within the following 12 month period by december Date of last inspection Brief description of the care home Linwood House is a detached older property adjacent to the Forest Recreation Ground and on the tram route to Nottingham City Centre. Accommodation is provided on three floors. There is a private garden and ample space for car parking. Linwood House is registered to provide personal care for up to thirteen adults with learning disabilities. The home has a large communal lounge on the ground floor, which also serves as a dining room and a smaller communal lounge on the first floor. There is a further room on the first floor which is used for activities. The most recent report on the service is available in the entrance hall. The statement of purpose and service user guide are sent to all enquirers and copies are given to every person living at the home. The fees range from 336.63 pounds to 750.00 pounds per week. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 13 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 quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people who live at the home and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We have introduced a new way of working with owners and managers. We ask them to fill in a questionnaire about how well the service provides for the needs of the people Care Homes for Adults (18-65 years) Page 6 of 28 who live there and how they can and intend to improve their service. We received this back from the manager in good time, the form was well completed and it helped us to plan our visit and to decide what areas to look at. We also reviewed all of the information we have received about the home since we last visited and we considered this in planning and deciding what areas to look at. The main method of inspection we use is called case tracking which involves us choosing three people who live at the service and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. We spoke with the three staff on duty and five of the people who live at the home, to form an opinion about the quality of the service being provided. We read documents and inspected the medication to form an opinion about the health and safety of people living at the service. 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 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. People who want to live at the home have their needs fully assessed to ensure that these needs can be met. People are given up to date and accurate information about the service that is provided. Evidence: The manager told us in the Annual Quality Assurance assessment that a copy of the statement of purpose and Service user guide is provided to each person. We looked at the Statement of purpose and Service user guide which were specific to the people living at the service. These were displayed in the entrance hall of the home where they can be viewed by anyone visiting. They were supplied in a suitable format and contained useful information about the accommodation and the support that is available at the home. They also contained information about local amenities. People we spoke with who live at the service, told us that they are happy and confident that their needs are being met. I love it here and wouldnt want to leave. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: The staff we spoke with told us that they have the relevant information to support and provide care for the people, We discuss anything relevant when we handover to the next shift We read the care plans and talk to the people we are supporting about their wishes. We looked at the care plans of three people living at the home including the last person to move there. Two of the care plans contained assessments completed by staff prior to the person moving to the home. The care plans in these two files were clear and provided good information about needs, although they lacked evidence of consultation with the individual. Risk assessments were in place as required. The last person to move to the home had an assessment completed by the Local Authority and the care plan was still being developed. The manager told us that this person had been admitted in an emergency and they had completed a pre-admission assessment but had not recorded it as the Social Services assessment provided them with relevant information to enable them to meet the persons needs. This person told us that he was made very welcome by the other people living there and that he felt fully supported by the staff I love the staff, all of them. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home have their personal and health care needs assessed and met. Care is provided in a way that promotes choice and respect for the privacy and dignity of the people living there. Evidence: The manager told us in the Annual Quality Assurance assessment that the care plans are clear and accurate records of the care provided and they are developed in a person centred way. Two of the care plans we looked at clearly identified the persons needs and choices and the ways in which their needs could be met. The third care plan was less informative, and the manager explained that this care plan was still being developed as the person had not lived at the home for very long. Individual risk assessments were in place to enable staff to provide support for people in the most apprpriate manner. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: There was evidence in the care plans that told us they are reviewed and up-dated on a regular basis. However, there was not sufficient evidence to show that the care plans had been developed through consultation with the individual. The manager told us that there is a key worker system in place. Key workers take specific responsibilities for a variety of tasks associated with each person. We spoke with four people who live at the home and they told us that they know who their key workers are. One person we spoke with told us Ive lived here over 30 years and am very happy Another person said I love the staff, all of them. During the visit, we observed staff interacting with the people living at Linwood House, in a very positive manner. People were being offered choices of food as well as being asked when they wanted to eat. We observed staff knocking on peoples doors before being invited to enter, and speaking respectfully with people. Staff told us that they are aware of the needs of the people they support and the delivery of care is appropriate and person centred. However, the care plans do not wholly demonstrate the individual persons involvement in the care plan development and review process. The care plans we looked at contained risk assessments regarding self administration of medication. One person we spoke to expressed a wish to take more responsibility for their medication. People living at the home told us that they are looking forward to going on holiday. They are given opportunities to go on holidays and outings as they wish and they told us that they are fully involved in the planning of these. Some people are going to Butlins and some to Blackpool. People were given the choice to go or not. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Linwood House experience a fulfilling lifestyle. The staff team are commited to promoting peoples rights and maintaining peoples dignity. Individual goals are identified and achieved and people are enabled to make choices and exercise preference. Evidence: We undertook a partial tour of the home and found all areas to be clean and comfortable, providing the people living there with a homely and safe place to live. There were no prepared menus but people told us that they were always asked what they want and were offered choices. People told us Foods good. Very good. I have curry and rice You can have whatever you want. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Staff told us that they prepare meals at times to suit the people living at the home and that they encourage people to eat a healthy and varied diet. They also told us that there are snacks and drinks available at any time of day and that people are encouraged to make their own snacks but are not involved in cooking the main meals because of concerns about safety in the kitchen. Records show that two options are available at each main meal and that the meals are usually healthy and varied. We observed the atmosphere in the home to be relaxed and the relationships between the people living there to be friendly and supportive of each other. We also observed the interaction between staff and residents and found it to be very positive and respectful. People we spoke with told us that they do have opportunities to achieve individual goals and they have input into daily living activities. The manager showed us a room where people go to watch DVDs and another room which they intend to use as an activities room for people who may wish to partake in things such as craft sessions. People told us that they go out to the Theatre and are going to Nottingham Arena to see the ice show. The manager told us that they have transport twice a month to take people out but people also use buses and trams to get around. One person said We go shopping every Saturday and have breakfast in town. They were also planning to visit the Goose Fair which was setting up on the Forest Ground at the time of our visit. It was evident that the people living at the service are able to access opportunities for social and personal growth as determined by their individual abilities. The person who recently moved to Linwood House told us that he felt welcome and everyone was friendly. People told us that they are soon going on holiday and are looking forward to it. Some are going to Butlins and some to Blackpool. They told us that they have had meetings with staff to plan these holidays and have been on shopping trips to buy new clothes. If people choose not to go on holidays or outings, this choice is respected. An example given to us evidenced that the staff go to extraordinary lengths to enable people to live a fulfilling lifestyle. 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. People are receiving personal support in the way they prefer and require, and their health care needs are met. Evidence: People we spoke with told us that the staff support them with personal care and health care where required. Staff told us that they accompany people to see their Doctor, Optician, Dentist or any appointments that they may have. This was verified by one person who indicated that it helps them to remember what the Doctor tells them. Daily records that we looked at showed there is flexibility around the times people go to bed and get up. People we spoke to confirmed this and added that they sometimes stay up to watch T.V. but sometimes watch it in their rooms. We observed staff supporting people using a person centred approach, although written care plans did not provide evidence of consultation with the person. One person told us that he did think he had been involved, but other people told us that they had not. One person Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: said they knew where their care plan was and expected that they could see it if they wanted to. Care plans show that specialist health and social care professionals such as psychiatrist, dietician and continence nurses are involved in peoples care where appropriate. Records showed that people have annual health checks and access to services as they are needed. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Linwood House are protected from potential abuse and harm. Policies and procedures are inderstood and are followed correctly by the staff team. Evidence: We spoke with the manager and two other staff members about Linwood Houses policies and procedures relating to complaints, concerns and protection. Staff were able to demonstrate a clear understanding of these and of Nottinghamshires Safeguarding Adults procedures. (Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk.) Staff also told us that they know about and understand the homes Whistle Blowing policy. (This is a means for staff to feel supported to report anything of concern that they may witness. ) These measures help to ensure that people living at the service are safe and protected from abuse. The manager showed us the complaints book. It is suitable for recording any complaints received and the outcomes of any investigations that may be undertaken. There were no records of complaints in the book and the manager assured us that there had not been any complaints made. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The people we spoke with who live at Linwood House told us that they know who to complain to and also, that they would feel confident to complain if they wish to. They also told us that they feel safe. Staff are clear in their understanding of Safeguarding Adults procedures and Whistle Blowing. Robust policies and procedures are followed and provide protection for people living at the home. People living at the service feel empowered to complain if they wish to. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a physical environment that is appropriate to the needs of the people living there and is well maintained. Evidence: We undertook a partial tour of the premises. The home is pleasantly furnished and is domestic in style. All areas seen by us were clean and tidy. The manager told us that there is an ongoing re-furbishment taking place and some areas have been decorated since the last Key Inspection. Bedroom doors have been painted and each one has had a number and a brass door knocker fitted. The communal areas are furnished with modern, comfortable furnishings, adding to the homely atmosphere of the service. There is a large lounge on the ground floor that also serves as a dining room and a smaller lounge on the first floor. There is also a room on the first floor that is suitable for use as an activities room. People living at the home told us that they like their bedrooms and they also like the living room. The rooms that we saw were furnished and decorated, as far as possible, Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: to suit individual preference. We also observed that the rooms were personalised with individuals’ own pictures and belongings. One person who showed us around their room, told us that It is just how I like it. The communal hallway was clean, light and airy. The manager told us that they employ a handyman who visits the home on a weekly basis and all maintenance is kept up to date. We saw the maintenance book and it showed us that any tasks that are identified, are recorded by staff for the handyman to see. When the task is completed, he signs the book. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment practices, training and support for staff are well managed providing good outcomes for people living at Linwood House. The home is run in the best interests of the people living there. Evidence: Four staff members returned the questionnaires that we sent out before our visit to the home. All said that they undertake relevant training to enable them to fulfill the requirements of their work in an effective manner. LDAF Training is a training programme that covers most of the service users needs and is a good training programme. The LDAF is the Learning Disabilities Awards Framework that staff must undertake to work in registered Learning Disability Services. This is now called the Learning Disability Qualification (LDQ). One of the questionnaires we sent out was returned to us by a National Vocational Qualification Assessor. This told us that a high percentage of the staff employed at the home have achieved National Vocational Qualifications and are well equipped to work in this service. The following quotes are taken from the returned questionnaires; We provide a Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: service that is caring and supportive, offering opportunities to enable clients to become more independent. Linwood House is a great place to work. The staff are always helpful and friendly. The residents are great to work with and are very helpful and friendly. I have always been made to feel welcome at Linwood House by the residents and the staff. I feel priviledged to have been invited into their home. People living at the service told us The staff are great. I love the staff, all of them. We looked at three staff files and saw evidence that they have regular supervision and support from the manager. This was confirmed by the staff we spoke with and also in the returned questionnaires. Recruitment policies, procedures and practice are robust and protect people living at the service, from potential harm. We looked at the staff rotas and saw that there are always at least two staff on a shift. Staff numbers are determined by the needs of the people living at the home, and more staff are brought in when external activities are organised or if peoples needs dictate it. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openess and respect. There is an effective quality assurance system to ensure the service runs in the best interests of the people living there. Evidence: The Annual Quality Assurance Assessment returned to us by the manager gave us comprehensive and useful information about the service. It told us We are constantly reviewing the service that we deliver, addressing the weakest aspects and making them stronger, and recognising aspects of excellence and offering praise in order to motivate and generate a high staff morale. We are fair in all our actions, avoiding discrimination for any reason and promoting the level of equality and diversity that leads to a richer society. Staff we spoke with all said that they enjoy working at the service and feel supported and listened to by the manager. In the questionnaires returned to us by four members Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: of staff, they all said that they consider Linwood House to be a well run home and run in the best interests of the people who live there People who live at the home told us that they think the home is well run and the manager is very approachable. They told us that they have plenty of opportunities to talk to the manager and feel confident to make their views known. The quality assurance system used to gather information from people living at the home and their relatives /representatives, is effective and demonstrates that peoples views are always considered. The questionnaires returned by four members of staff also tell us I have regular supervisions, staff meetings and appraisals. Support and guidance relating to the needs of all clients is given via the manager and training. We complete internal surveys for quality purposes. A questionnaire returned to us by a person in the capacity of Advocate tells us Communication is facilitated well by phone calls Very supportive for clients experiencing difficult health issues in the past. We looked at the arrangements for supporting people with their finances and saw that the system is safe and all transactions are carefully documented. The fire log shows that all necessary fire safety testing and fire drills have been carried out. Servicing of equipment including gas and electricity is up to date and there are measures in place for the prevention of Legionella. The accident book was seen but no accidents have been recorded. The manager assured us that no accidents have occurred. The manager told us that Health and Safety of staff and people living at the service is of primary importance and records seen by us, support this statement. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 2 6 Ensure that pre-admission assessments are completed and recorded for each person living at Linwood House. Develop and review care plans through consultation with the person and/or their representative and show evidence of the persons input/involvement in this process. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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