Inspection on 01/12/08 for Manningford

This inspection was carried out on 1st December 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.

Other inspections for this house

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Manningford 162 Manningford Road Druids Heath Birmingham B14 5TJ     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: Kerry Coulter     Date: 0 1 1 2 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 29 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Manningford 162 Manningford Road Druids Heath Birmingham B14 5TJ 01214306306 01214306306 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Care Through The Millennium care home 7 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 7. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental Disorder (MD) 7 Date of last inspection Brief description of the care home Manningford is a newly registered home that provide care for up to seven people who have mental health needs. The home is situated close to local bus routes and the shopping facilities of Kings Heath are only a short drive away. The home has its own vechicle to assist people to access community activities. The premises is on two floors and people need to be mobile to access the first floor of the home as there is no lift available. The front door of the home is accessed via a set of steps but for people who have mobility needs there is level access to the home via the rear of the home. The home has a communal lounge, dining room, kitchen and laundry room on the ground floor, bedrooms and bathrooms are located on both floors of the home. Fixtures and fittings within the home are of a modern design and satellite television is provided in Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 7 Brief description of the care home the communal lounge area. Smoking is currently not permitted within the home but a canopy to shelter people when smoking is provided in the rear garden. The service user guide records that fees to live at the home start from one thousand, two hundred and fifty pounds per week. Care Homes for Adults (18-65 years) Page 5 of 29 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: This inspection was carried out over one day, the home did not know we were going to visit. This was the homes key inspection for the inspection year 2008 to 2009 and their first inspection since registration. The focus of inspections we, the commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and an Annual Quality Assurance Assessment Care Homes for Adults (18-65 years) Page 6 of 29 completed by the manager. This provides information about the home and how they think it meets the needs of the people living there. Surveys were sent to two care professionals and some of their comments are reflected within this report. Only two people have moved into the home so far and the care provided to them was looked at. This involved establishing individuals experience of living in the care home by meeting and talking with them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We looked at parts of the home and a sample of care, staff and health and safety records were looked at. Discussions with staff took place and the manager was available for all of the visit. 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 Care Homes for Adults (18-65 years) Page 8 of 29 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 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 generally have all the information they need about the home so they can make an informed choice as to whether or not they want to live there. Evidence: The home has a service user guide and statement of purpose and these were available to people who live in the home. People had also signed to say they had received a copy. The guide included information about the home to include the fees to help people decide if they would like to live at the home. Both people who live at the home said they had enough information about the home before they moved in and had made the decision to live there. Two people have moved into the home since it opened. Case tracking showed that a full pre admission assessment had been completed prior to the person moving in. This included their communication, physical health, mental health, behaviour, medication, activities, daily living skills, social and cultural needs. Records and discussion with people who live at the home show they had a chance to visit the home before moving Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: in. People had a copy of their contract with the home and this included most of the required information and people had signed their contract. Within the document there was a section regarding fees but the actual fee to live at the home had not been recorded. People did have separate fee information and this should form part of their signed contract to show they have had the information they need. Care Homes for Adults (18-65 years) Page 12 of 29 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. Staff have the information they need to support each person so that their individual needs are met. People who live in the home are supported to make decisions about their lives to enhance their independence. Evidence: Both people who live at the home have a care plan. These stated how staff are to support them and included promoting their independence, decision making, personal care, communication, behaviour, leisure and social needs and their health needs. Plans also included how to support them with their mental health needs. Plans sampled were current and had been kept under review. People who live at the home confirmed they had been involved in their care plans. They told us get to read and sign it and I have seen all my care plans and agree with them, I dont sign anything if I do not agree. Staff were observed throughout the visit giving people choices, for example about what they wanted to do, what they wanted to eat and what time they wanted their Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: evening meal. Discussions with people and staff show that people are supported weekly by staff to choose the menu and activities they would like for the week ahead. People said they were encouraged to make their own choices. Meetings are held with people who live at the home on a monthly basis and show that they are involved in how the home is run. Minutes of the meetings are put on display on the homes noticeboard so that they are readily available to people to read. Records included individual risk assessments that covered areas such as accessing the community, smoking, behaviour, mental health and self administration of medication These detailed how staff need to support people to do things so they can be as independent as possible without being at risk of harm. We spoke with one member of staff about peoples risk assessments and they demonstrated a good knowledge of the measures in place to reduce risks to people to help keep them safe from harm. Care Homes for Adults (18-65 years) Page 14 of 29 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. Arrangements are in place so that people living at the home experience a meaningful lifestyle that includes doing activities they enjoy. People are offered a healthy and varied diet that they enjoy. Evidence: Each week staff complete an activity plan with people to agree the activities that they would like to do for the coming week. Activty plans and discussion with people show that they lead busy lives. People participate in some activities independently and for others they have staff support. Activities on offer include going to college, cooking, swimming, shopping, going to a drop in centre, visits to nature centres and the zoo. Although the home has been open for less than six months one person has already had the opportunity to go on a short break to Blackpool with staff. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: One person told us that they go to work at a bicycle refurbishment project, they said Im always out. Another person told us there are lots of activities, I have been swimming and bowling. People were out doing activities for most of our visit to the home, one person was at college and another was out shopping for Christmas presents. When we spoke to people later in the day they said that they planned to put up Christmas decorations that evening with staff. Records sampled showed that as much as possible people are encouraged to be independent. This included helping to clean their bedroom, helping with their laundry and helping to prepare their meals in the kitchen. Records showed and people said that they could keep in contact with their family and friends. During our visit one person was spending time with their boyfriend who we saw was made welcome by staff at the home. Staff consult people weekly about the menu and the food they would like to have. The menu showed that people are offered a varied and nutritious diet. Fruit was observed to be readily available to people. Often people have the opportunity to go food shopping with staff, although on the day of our visit staff went to do the food shopping as people were out at other activities. People who live at the home told us food is not too bad, get to choose, staff try and encourage me to eat healthy things and food is nice, we choose the menu, staff try and encourage healthy eating. Care Homes for Adults (18-65 years) Page 16 of 29 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 who live at the home receive personal support in the way they prefer and require and their health needs are met. Medication practice ensures people receive their medication they need in a safe way. Evidence: People who live at the home are fairly independent and so need very little support from staff regarding their personal care needs.However, where needed care plans are in place so that staff know what support people need. The people living there were well dressed in individual styles that were appropriate to their age, gender, cultural background, the weather and activities they were doing. Records showed that since moving to the home people had been supported to register with a GP, dentist and optician. People are weighed regularly and records are maintained of this as significant weight loss or gain can be a sign of ill health. Surveys that we received from care professionals indicated they thought that peoples health needs are met by the home. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: A basic health care plan had been completed for each person. Staff told us they hoped to develop health action plans for people soon. This is a personal plan about what support a person needs to be healthy and what health care services they need to access. Where people have specific health needs records and discussions with staff showed that people had been supported to attend check ups with the relevant health professionals to make sure people stay healthy. Medication is stored in a locked metal cabinet. The majority of staff have received medication training and further training for staff has been scheduled. People are encouraged to administer their own medication where possible so that they are as independent as possible. Risk assessments had been completed to make sure people are safe to do this. Medication Administration Records (MARs) sampled had been signed when medication had been given. This indicated that medication had been given as prescribed so ensuring people get the medication they need to be well. We noticed that some handwritten amendments had been made to the MARs, the home needs to make sure amendments are checked and signed by two staff where possible to make sure that any changes are accurate. At the front of each persons MAR there was a photograph of them so that unfamiliar staff would know who to give medication to. Clear information was also available for staff so that they knew what medication was for and side effects that they need to look out for. Staff at the home complete regular audits of the medication and these showed that where any issues have been identified action is taken to rectify them. Care Homes for Adults (18-65 years) Page 18 of 29 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. Arrangements ensure that the views of the people living there are listened to and acted on and they are protected from abuse. Evidence: We have not received any complaints about the home since it opened, the annual quality assurance assessment recorded that the home had not received any complaints directly. The home has a complaints procedure in place and we saw that this is available to people. Minutes of meetings held with people show that the complaints procedure has been explained. People at the home told us they were aware of the procedure and knew who to speak to if they were unhappy.The home has recently received two completed quality questionnaires from relatives. One relative said they did not know the complaints procedure. The manager told us she intended to send them a copy of the procedure. There have been no reported safeguarding issues since the home opened. The home has a policy in place about protecting people from abuse and we saw that all the staff team had signed a document to say they had read and understood the policy. As the home has only been registered this year all of the staff team are new. Some of the staff have received training in safeguarding people from abuse. The manager said that for staff who needed training there was training being held in March that they could Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: access. We spoke with one member of staff about what they would do if they suspected abuse was happening and they displayed satisfactory knowledge about how to protect people. Staff records sampled included evidence that a Criminal Records Bureau (CRB) check had been undertaken for all the staff employed there to help determine if they are suitable to work with the people living there. The home helps one person to look after their own money and holds a small amount of their money in the homes safe. When money is given to the person they sign the record along with a member of staff to confirm it has been received. Staff check the money daily to make sure it is correct. The area director also checks the monies monthly when they visit the home to make sure records are accurate. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, safe and clean environment that meets their individual needs. Evidence: The front door of the home is accessed by a series of steps and is therefore not accessible to anyone who uses a wheelchair. However wheelchair access to the home can be gained via a side exit. The ground floor of the home is fully wheelchair accessible and doorways are extra wide to allow ease of access. However all people that currently live at the home are fully mobile. This is a newly registered home and accordingly the decor, furniture and fittings in the home are in good condition. The home has a communal lounge, laundry, dining room and large kitchen. All were decorated in a modern and homely design. Smoking is not permitted within the home but at the request of the people who live there a sheltered area for smoking has been provided in the garden. All of the bedrooms are single rooms of a good size with en suite providing a shower, toilet and wash hand basin. Furniture in the bedrooms and fittings in the en suites were of good quality and modern in design. It is good that each bedroom has been fitted with its own thermostatic panel so that people can set the temperature of their Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: bedroom to their personal preference. One person showed us their bedroom, they said they were pleased with it and had the chance to choose which bedroom they would like. They had their personal possessions in their room but as they had not lived at the home for long had not yet put up any pictures or personalised the decor. They told us they intended to do this when they had settled into the home. In addition to having en suite shower rooms there are communal bathrooms located on each floor of the home so that people can have the choice of having a bath or a shower. The home has a fully enclosed garden and much of it is on a slope, staff told us that the home intends to develop the garden next year so that it is a nicer place for people to spend time in. The home was clean and there were no unpleasant odours.Satisfactory hand washing facilities were available. The kitchen was very clean and we saw evidence that the home has been awarded four Hs (very good) by the environmental health officer for its food hygiene standards. Care Homes for Adults (18-65 years) Page 22 of 29 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. People who live in the home benefit from a staff team that can support them to meet their individual needs and achieve their goals. Evidence: Currently the home only has a small staff team as only two people have moved into the home since it opened. The manager said that additional staff will be employed as more people move into the home. Most of the currently employed staff have a National Vocational Qualification in care ensuring that staff have the skills and knowledge to work with the people living there. We saw that staff interactions with people were good and that staff were developing a good understanding of peoples needs. Rotas show that there is one staff on duty at night and two staff during the day, discussion with staff and observation of practice indicates that this currently meets peoples needs. One person told us I get on with staff, staff listen. Surveys we received from care professionals also indicated that staffing arrangements were satisfactory. Four records of staff that work there were looked at. These showed that generally recruitment procedures are robust. They included the required recruitment records Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: including evidence that a satisfactory Criminal Records Bureau (CRB) check had been done ensuring that suitable people are employed to work with the people living there. The manager said that people had not yet had the opportunity to get involved in staff recruitment as staff had been selected before people moved in, however it is hoped to do this in the future. Records showed and staff said that when they first start working at the home they complete an induction that is linked to common induction standards. Several staff have transferred from other homes run by the provider and have already done training previously in areas such as safeguarding people from abuse, fire, first aid, manual handling, medication and health and safety. Staff are also booked to attend equality and diversity training. Some staff have also had training in mental health, nutrition and diabetes. A programme of training is underway for staff so that they get the training they need and training that has been booked for December includes first aid, medication, manual handling and health and safety. The manager said that safeguarding adults training was being planned for after Christmas and that diabetes training would also be arranged for staff who needed it. We spoke with one member of staff, they told us they received the support they needed from the manager. Records showed that staff receive supervision and that staff meetings are held. This helps to ensure that staff are kept updated with the changing needs of the people living there and their training and development needs are identified so they can perform well in their role within the home. Care Homes for Adults (18-65 years) Page 24 of 29 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. People benefit from a well run home where their health, safety and welfare is promoted and protected. Evidence: The manager of the home has recently been registered with us, they have many years experience of working with people who have mental health needs. The manager is a qualified nurse and is currently undertaking the registered managers award to help develop their management skills. Discussion with the manager indicates they undertake regular training to keep themselves up to date with current good practice. For example they have recently attended a deprivation of liberty workshop and in February are attending training about the Mental Capacity Act. The manager sent us the homes annual quality assurance assessment when we asked for it. This was completed to an adequate standard but had some gaps in the information provided. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Surveys that we received from care professionals said that the home is well managed. The care director visits the home monthly on an unannounced basis to make sure it is being well run. Reports of the visits show that the views of both people living at the home and staff are sought. Quality audits have also been completed that have covered areas such as staff records, care planning, menus, the premises and activities. The views of people living at the home and their relatives have been sought as part of the audits. Systems are in place to make sure the safety of people at the home is promoted. Records and discussions with staff show that all staff working at the home had recently received fire training. As stated earlier in this report staff are also booked to attend first aid and health and safety training. Fire records showed that staff test the fire equipment regularly to make sure it is working. An engineer has serviced the fire equipment to make sure it is well maintained and in good working order. A fire drill had been held so that staff and the people living there would know what to do if there was a fire. A fire risk assessment had been completed to make sure that action is taken to ensure that the risks of there being a fire are minimised as much as possible. Staff check the water temperatures regularly to make sure they are not too cold or hot which could put people at risk of being scalded. Records showed that portable electrical appliances had been checked to ensure they were safe to use. A certificate showed that an electrician had completed a test of the electrical wiring in and stated that it was in a satisfactory condition. The gas certificate for the home was dated November 2007 and was therefore out of date. The manager said that she thought the gas engineer had put the wrong date on the certificate and that it should have read November 2008. She said she would contact the gas engineer and forward us a copy of the updated certificate to show that gas appliances were safe. This was received a couple of days after out visit to the home. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 5 Information about how much it costs to live at the home should form part of peoples contract so that they know how much it costs to live there. Handwritten amendments made to medication records should be checked and signed by two staff where possible to make sure that any changes are accurate. 2 20 Care Homes for Adults (18-65 years) Page 28 of 29 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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