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Inspection on 16/09/08 for Petersham Centre Care Home

Also see our care home review for Petersham Centre Care Home for more information

This inspection was carried out on 16th September 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

People are confident that the service can support them, as comprehensive assessments are undertaken before people use this service. Peoples needs, and aspirations are recorded in support plans and these are reviewed regularly. This ensures the staff team have access to information to ensure they support individuals based on their current needs. People are supported to take risks to enable them to stay independent, which is managed by the risk assessments in place. People have access to valued activities and experiences in the community, which enables them to live fulfilling lives. People feel safe and confident to raise any concerns as they said the manager and staff are "helpful, supportive and easy to talk to". The staff team are trained motivated and committed to their role in supporting people. Staff members have access to positive training opportunities to enable them to have the skills and knowledge to fulfill their responsibilities. Quality assurance systems are in place to ensure the service is managed in the best interests of the people who live here.

What has improved since the last inspection?

The service has addressed the two requirements that were made in the last report. The staff have received medication training which included an assessment of their practice. Therefore the medication practices have improved, which means people`s health care needs are being met.

What the care home could do better:

We have not made any requirements following our visit. We have made some recommendations and these include: To ensure the care plans for people are person centred, include their preferences and routines and are in an accessible format. The care plans to include information about people`s ability to make decisions in accordance with the Mental Capacity Act. Risk assessment tool to be completed following peoples admission to monitor pressure areas.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Petersham Centre Care Home 58 - 60 Petersham Road Long Eaton Nottingham Nottinghamshire NG10 4DD     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: Claire Williams     Date: 1 6 0 9 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 © (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 29 Information about the care home Name of care home: Address: Petersham Centre Care Home 58 - 60 Petersham Road Long Eaton Nottingham Nottinghamshire NG10 4DD 01158791695 Telephone number: Fax number: Email address: Provider web address: richard.grant@derbyshire.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Diane Hickman Type of registration: Number of places registered: Derbyshire County Council care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is 16 The registered provider may provide the following categories 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 fall within the following categories: Learning Disability - Code LD Physical Disability - Code PD (3 places) Date of last inspection Brief description of the care home Petersham Care centre is a purpose built single storey building located in a residential area. It is run by Derbyshire County Council and provides services for individuals with learning disabilities. The home is separated into 3 units; some individuals reside in the home on a long-term basis whilst other individuals access the home for short-term respite care. Information about the service is provided in the Statement of Purpose and Service User Guide; both of these documents are made available to individuals Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 16 3 Brief description of the care home and their families/representatives. Items not covered in the fees include toiletries, transport and holidays. 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: The inspection visit was unannounced and took place over a period of 1 day. As part of the preparation for this visit we looked at all of the information we have received since their last inspection which was undertaken on 31st October 2006, this includes: What the service has told us about things that have happened in the service, these are called Notifications and are a legal requirement. The annual quality assurance assessment (AQAA). This is a self- assessment that focuses on how well outcomes are being met for people using this service. The AQAA Care Homes for Adults (18-65 years) Page 6 of 29 we received was completed in good detail. Surveys- we sent these to people who use the service and to the staff in order to obtain their feedback. We had 2 staff surveys and 1 professional survey returned to us. Comets made are included in this report. During the site visit case tracking was included as part of the methodology. This involved the sampling of a total of three peoples files representing a cross section of the care needs of individuals that use this service. Discussions were held with those individuals as able, and observations were made of the interactions between the staff and people. Individuals care planning and associated care records were also examined and their private and communal facilities inspected. Discussions were also held with staff about the arrangements for peoples care and also for staffs recruitment, induction, deployment, training and supervision. We were told that the current fees for this service are between 52.36 and 336.42 per week. 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 Care Homes for Adults (18-65 years) Page 8 of 29 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 are provided with sufficient information about the service in order for them, and their relatives, to be aware of their rights and the facilities available Evidence: In the self assessment the manager told us that people are involved in planning their own care and care plan reviews, they promote independence and respect cultural needs. The service provides some information that is accessible to the people that use it, but work is still ongoing to make the service user guide accessible. A contract is provided which outlines the number of nights allocated to each person that uses this service for respite. It was reported that as part of the transitional process people are encouraged to undertaken trial visits to the service to familiarise themselves with the staff, and the building. All people that use this service are refereed by a Care manager. The three Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: files that we examined demonstrated that pre-admission assessments and information was available for the staff to refer to. There were no people accommodated at the time of the site visit with diverse cultural or religious needs. It would be beneficial however for all documentation to be reviewed considering the six areas of diversity, so that is it inclusive to all people. 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. Person centred plans are in place which ensures peoples needs are met in accordance with their individual preferences. Evidence: In the self-assessment that we received the manager told us they support people on an individual basis, and comply with health and safety and all legislation. She said they use a person centred approach, and aim, to include more detail in the plans based on individual preferences. We looked at three care files, and each person had a support plan which covered a variety of areas, which were applicable to the needs of the individual. Two of the three plans had recently been reviewed and updated but one file contained an old care plan. We were told that this person had not used respite this year and therefore contact had not been made with the family to update their plan. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: All support plans were person centred and directed staff on how to support the individual. However more detail could be provided to ensure the individuals unique preferences are clearly recorded to guide staff on how they would like to be supported. Plans were in place, which identified the persons preferred communication style. This ensures staff are aware of the method of communication that should be used in order to enable the person to lead a full life that promotes independence and choice. Each person has an allocated a key worker, who is responsible for contacting the persons family before a period of respite. Any changes are then made to the support plan which ensures the support plan is current. The support plans are in written format only, but we were told that work is current ongoing to make these accessible to the individual in a pictorial format. People are supported to take risks to enable them to remain independent. Staff have access to information on how to provide this support by reading the risk assessments in place in each persons file. These are also updated before the persons stay to ensure they are current. Observations supported that people are encouraged to make choices and are consulted about their daily lives and preferences. During discussions with people the following comments were made: I like coming here it is good and gives my family a break. we do lots of things here - it is good. We were told that work is planned, to develop support plans about individuals capacity to make decisions about aspects of their life. This is in accordance with the requirements of the mental capacity act. 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. People who use this service are able to make choices about their life style and are supported to develop their life skills. People have access to recreational activities, which meet their individual preferences and expectations. Evidence: In the self-assessment the manager told us they promote independence and choice. She recognized that they could provide more person centred plans for people to access, and told us that this was the main focus for improvement in the next year. The service has an environment health inspection recently and we were told they were awarded 4 stars. People told us about some of the experiences and activities they undertake during their respite stay. This included many community activities such as the cinema, pub, Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: bowling, meals out, and the theater. We were told that a group of people were going to Blackpool the following Friday. Activities are planned for each month and there is includes a themed night. People told us they can participant in a variety of activities in the service which included, board games, computer games, and karaoke. People also have access to a computer so they can access the internet. The service has access to a minibus which is used as the main form of transport. People are supported to continue to attend their preferred day placements during their stay. There were support plans in all three files examined, which detailed the persons activities, hobbies and aspirations. Regular contact is maintained with peoples families before, during and following the period of respite. Feedback is provided about how the person was during their break. Feedback is also sought from the individual or their family about their thoughts about the stay as part of the quality assurance systems in place. People are enabled to keep in touch with their family and friends during their stay if they wish. Observations supported that peoples dignity and rights are respected in their daily lives. Although some information is available in plans about peoples preferences, their daily routines was not recorded. This information is beneficial to assist staff to provide a consistent service People told us they liked the food provided and that choices are offered. Observations supported this as we joined people for their evening meal. The menu is currently in a written format, but we viewed a sample menu which is currently being developed in a photographic format. This is to make it more accessible to people, and to assist individuals who cannot verbalise their choices. People were supported in a sensitive manner to eat their meal, and specialist diets were catered for. Food that has to be liquidised was prepared separately which is good practice. 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. The heath and personal care that people receive is based on their individual needs, and delivered in accordance with the principles of respect, dignity and privacy. Evidence: In the self assessment the manager told us they promote choice, and provide a person centred service. They have a well trained staff team and provide a more flexible service. They now support people in their own homes; in addition they provide a drop in service at the weekend. Each file that we examined contained information about peoples health care needs. People are supported to attend appointments if these are planned during their period of respite. If people have a lengthy respite stay, arrangements are then made for individuals to be registered with the local GP, in case medical support is required. Risk assessments were in place to support people with their mobility and in relation to any identified health care needs. One person who uses a wheelchair did not have an Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: updated tissue viability assessment completed upon their admission. We were told that their skin was monitored daily; however there was no evidence to support this. People told us they receive personal support from staff in the way they prefer and want. We examined the management of medication, and each person receives their medication as prescribed. There have been previous issues identified in relation to the way the medication is recorded and administered, but systems have been implemented and these have been reduced. An audit system is in place to monitor the medication practices. We were told that all staff has attended refresher training, and have had an observation of their practice to ensure they work in accordance with the policies and procedures. 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. Procedures for handling complaints and safeguarding were in place, ensuring that people are fully protected. Evidence: In the self-assessment the manager told us they ensure training in these areas is up to date. They check CRBs and have a robust recruitment procedure in place. She said they audit their complaints in order to identify any trends. Derbyshire County County have a corporate complaint and adult protection policy that is clear and provides guidance to staff on how to respond in these circumstances. The complaints procedure was displayed in an accessible format for the people who live in this service. We were told if people have concerns about their care they or people close to them are aware of the complaint procedure and the surveys we received confirmed this. One person said I would speak to my favorite staff member my key worker. The complaint records demonstrated that the service had received 6 complaints in total since our last inspection. We saw evidence to support that all complaints had been responded to within an agreed timescale. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: A copy of the local Multi-agency safeguarding procedures was in place along with internal policies and procedures in relation to abuse, whistle blowing, and support mechanisms. The records seen demonstrated that all staff have had training in safeguarding. During discussions with the staff members they all demonstrated their knowledge on what actions to take in the event of witnessing a potential abusive situation. There have been no safeguarding adult referrals and investigations since the last inspection. Information about keeping safe is now available in pictorial format which is good practice as this makes it accessible to people that use this service. People are supported to manage their own finances and each person had support plans in place for this. Systems were in place for the safekeeping of peoples finances and these were checked and found to be satisfactory. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the environment is safe and well maintained certain areas are not conducive to a homely setting. Evidence: In the self assessment the manager told us they are currently making changes to the environment. The flat unit of this service is now used for those people who do not want or need to have so much support as the short break unit. The manager told us in the assessment that a refurbishment plan is in operation and there are plans to make the entrance accessible to all people who use the service. People told us they liked the way the building was laid out, and they said it was homely. People told us they liked their bedrooms, and some individuals said I like to bring my favorite stuff from home. The building is in need of refurbishment as several areas are looking worn and are not homely in design in particular the bathroom and shower areas. When we viewed the bedrooms they did not have any pictures displayed or mirrors to make them more homely. We examined the refurbishment programme which is currently in place and it included these issues. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Observations supported that people are able to move about freely and have access to the required aids and adaptations to assist them with their mobility and personal care tasks. People were observed using the secure garden and communal rooms. As mentioned above there is a designated flat for people to use, who are deemed independent, and who are supported to maintain their skills during their stay. There is another unit were a person lives on a permanent basis whilst waiting to move into the community. This then means that all other individuals use the main communal dinning and lounge area. At the time of our visit we observed that these areas were very busy and people had little personal space. During the evening meal some individuals were becoming distressed due to the behaviors of other individuals, but there were no other rooms that could be used to reduce this. We have been told that following the refurbishment these issues will be addressed as more space will be available. 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 are supported by staff that are appropriately trained and recruited to ensure their needs are met and their well being safeguarded. Evidence: The self-assessment the manager told us they have a well trained staff team which is multi cultural, and there are no staff vacancies. They have improved in this area by implementing a mentor system for new employees. They aim to provide more flexible training opportunities in the next 12 months. We examined the recruitment files for 3 of the most recently appointed staff members. Each file contained all of the recruitment information that is required by the current regulations in order to protect people that use this service. Each staff member had a training file, which contained certificates of the training undertaken. This demonstrated that staff had undertaken all of the required mandatory training and refresher training equipping them with the skills and knowledge to meet peoples needs. Staff members spoken to said they access training applicable to the needs of the Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: people they support and one staff member said we have positive training opportunities. All new staff undertake skills for care induction, specialising in working with people with learning disabilities. The discussions with staff members and the records demonstrated the commitment towards obtaining a national vocational qualification and many staff have already achieved this qualification to a level 3. All staff spoken to confirmed that they have regular supervision and team meetings and records in place supported this. People spoke positively about the staff team and the following comments were made: they are good and some are very funny. the staff are nice and friendly and help me when I need them to. Observations supported that the staff members had a good knowledge of peoples support needs and provided assistance in accordance with peoples preferences. Feedback confirmed that the staffing levels were in accordance with the number of people using the respite service and based on their dependency. 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. The service is managed to ensure the health and safety of individuals is promoted and safeguarded. Evidence: In the self-assessment the manager told us they provide a safe environment and meet current legislation. They review personal service plans, and meet both the financial regulations as well as medication regulations. We were told that the service has been awarded Charter Mark for the second year. People spoken to said they thought the service was managed well and they found the manager to be easy to talk to and approachable. The service does keep us informed of any significant events and copies of the reports following the monthly visits were seen. In addition to this quality assurance and health and safety audits are undertaken to make sure people live in a safe environment, which is meeting their needs. People have opportunities to provide feedback by completing the survey that is sent Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: out on an annual basis. These are in an accessible format and a report is completed of the findings. We examined the report for November 2007 and this indicated peoples positive views about the service in addition to areas identified for further improvement. We were told that the deputy managers and staff are working towards developing information that is accessible to people and work has commenced in this area. All staff spoken to were motivated and committed to ensuring people had fulfilling lives and positive experiences during their respite stay. Through the provision of meetings and discussions the manager and staff team identify ways to improve and develop the service in the best interests of the people who use the service. The staff spoke positively about the registered manager and the management team and we told that an open door policy is in place. Staff members described the management team as supportive and approachable. They also said the management team work alongside them and advises them on any issues raised. The self-assessment and a sample of the health and safety systems and service records confirmed that the building was a safe place for people to live. 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 2 1 6 The service user guide should be in an accessible format to enable people to access the information. Care plans should be written in a person centred way and include individuals preferences. It should also be written in an accessible format so that people can access their plan. Information concerning peoples ability to make decisions in should be included in peoples care plans. This is in accordance with the requirements of the Mental Capacity Act. Support plans should include information about individuals daily routines. Tissue viability assessments should be completed for people who cannot weight bear. This should be completed following their admission to the service in order to assess and monitor their skin integrity. 3 8 4 5 16 18 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. 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. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!