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Inspection on 19/03/09 for Portland Crescent Residential Home

Also see our care home review for Portland Crescent Residential Home for more information

This inspection was carried out on 19th March 2009.

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.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Portland Crescent Residential Home 43 Portland Crescent Woodbridge Suffolk IP12 4DZ 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: Ray Finney Date: 1 9 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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 34 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) 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 34 Information about the care home Name of care home: Address: Portland Crescent Residential Home 43 Portland Crescent Woodbridge Suffolk IP12 4DZ 01394388011 01394388011 andrew.harvey@mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 4 Number of places (if applicable): Under 65 Over 65 4 0 learning disability Additional conditions: Date of last inspection 2 6 0 2 2 0 0 7 A bit about the care home Portland Crescent is in Woodbridge. It is a home owned by Mencap. The home has rooms for 4 people to live there. Care Homes for Adults (18-65 years) Page 4 of 34 The home is a large bungalow. The home has a car that people can use. This means that the people who live there can get out and about easily. Everyone has their own room. No-one has to share a bedroom. There is a large garden at the back of the bungalow that people can use. Care Homes for Adults (18-65 years) Page 5 of 34 There is a Service Users Guide that the home can let you have. It costs between £926.68 and £974.71 a week to live there. Care Homes for Adults (18-65 years) Page 6 of 34 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 Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home We looked at lots of different evidence for this report. We looked at paperwork like care plans and staff files. The manager sent us information called an Annual Quality Assurance Assessment or AQAA. This gave us information about how they run the home. We visited the home on 19th March 2009. We looked around the home. Care Homes for Adults (18-65 years) Page 8 of 34 We talked to people living in the home and staff. We looked to see if people were happy with what goes on in the home. What the care home does well Care Homes for Adults (18-65 years) Page 9 of 34 Listens to people and helps them to do the things they want to do. Looks after people’s health and cares for them well. Helps people keep in touch with their families and friends. Helps people get out do lots of activities that they enjoy. Care Homes for Adults (18-65 years) Page 10 of 34 People have comfortable bedrooms with their own things in them. What has got better from the last inspection There has been some redecorating. Care Homes for Adults (18-65 years) Page 11 of 34 There has been a new toilet. There is a new car so that people can get out and about. What the care home could do better Carry on making the paperwork better. Care Homes for Adults (18-65 years) Page 12 of 34 Carry on making the decorating better. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Ray Finney CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. Care Homes for Adults (18-65 years) Page 13 of 34 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 14 of 34 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 15 of 34 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. Through the comprehensive admission process people choosing to live at Portland Crescent can be confident that their needs will be met. Evidence: The manager stated in the AQAA, We have policies and processes that guide staff in ensuring that people receive good and reliable information before they move and are supported in making a successful transition. As previously reported, the information provided in the Service User Guide informs people clearly of the service they can expect to receive at Portland Crescent. There have been no new admissions to the home for a number of years but there is an assessment process in place should the situation arise where the home has a vacancy. The manager stated in the AQAA, We have an assessment process that involves gathering information from the person we are supporting, people who are important to them and any other professionals involved in their support including assessments completed by care management. Our Families Charter clearly outlines the way in which we wish to work with families in the best interests of the person we are supporting and directs us to share information and insights to help us meet an individuals needs. Through discussions the manager was able to demonstrate a good awareness of the importance of carrying out comprehensive assessments so that they can meet peoples needs. As at the last inspection, individual records examined contained detailed Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: information about peoples assessed needs. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 in Portland Crescent receive good quality care based on their assessed and identified needs. Evidence: The manager stated in the AQAA, It is Mencaps policy to tailor the support we provide around the unique needs and wishes of the people we support. This means that we focus on the individual and agree the support, and how this will be delivered, with the person and those who are important to them. A sample of three care plans were examined on the day of the inspection. The care plans are well organised and contain ample information in sufficient detail to ensure all aspects of peoples health, personal care and social needs are met. There is a section in one care plan called My Story which has been completed with pictures and gives a detailed overview of the persons history. The manager further stated in the AQAA, We use the process of Person Centred Support Planning to guide the way that we work with an individual, in line with their preferences and beliefs. Through discussion the management team were able to demonstrate a good awareness of peoples assessed needs that have formed the basis Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: of person centred care plans. The care plans are written from the individuals point of view, which keeps them focused on the person and their needs. They follow a format that includes sections on What are my needs? What support do I need and what is my routine? What do I like or what dont I like? What do I want to do in the future? How is it going to happen and who might need to help me? During the course of the inspection we observed staff supporting people to make choices. One person wanted to go to the cinema. A member of staff downloaded information from the internet so that they could choose what they wanted to see. Another person was supported to telephone relatives and staff were patient and enabled the person to be as independent as possible by encouraging them to access the number and then helping them to dial. Staff then withdrew to allow the person privacy for their conversation. Staff spoken with on the day of the inspection were able to demonstrate a good awareness of peoples likes, dislikes, wishes and needs. A tour of the premises showed that peoples individual rooms reflect their tastes and the management team explained how they encourage people to make choices about the decor. Records examined contained a range of comprehensive risk assessments. Risk assessments were thorough and looked at all aspects of the area of potential risk that was being assessed. They identify the activity that the risk assessment is about and look at what are the benefits of doing this activity. They assess what could go wrong or be considered dangerous and what actions could be taken to make the activity safer. The assessment also looks at whether anyone else could be harmed or at risk. The final section of the assessment asks, Once you have carried out actions to make it safer, does it feel like it is a safe enough thing to do? Through discussion the manager was able to demonstrate that the service views risk assessing as an enabling process and not something that should restrict people or prevent them doing things that they want to do. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 living in Portland Crescent can expect to enjoy a lifestyle that meets their wishes and needs. Evidence: As reported at the last key inspection, Portland Crescent continues to provide a wide range of work based activities, social and leisure options and frequent trips to activities in the local community. The manager stated in the AQAA, Mencap aims to enable and support people who use the service to actively engage with and participate in their local community and to develop and lead lifestyles that enable them to achieve the things that matter to them. One person has their own shed where they like to go to listen to music and do writing. The manager explained that this is important to the person and gives them a great deal of enjoyment. A sample of care plans examined contained detailed information about activities and clubs including train trips, visits to the pub, cinema, the theatre and Gateway Club. One person discussed taking some things back to the library. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: A relative spoken with was complimentary about how their relatives are supported to maintain family links. As recorded elsewhere in this report we observed one person in the home being supported to contact relatives. The manager stated in the AQAA, Our Families Charter encourages and guides our staff in supporting people to maintain and strengthen family connections that are important to them. Through discussions the manager was able to show how one person was supported to go on holiday with their relatives as well as with the support of staff from Portland Crescent. This was something the person had not been able to do since moving into care away from the family home. One person returned from their morning activities and busied themselves in the kitchen and someone else was encouraged to make their own cups of tea. The manager and staff encourage people in the home to be as involved in the daily routines as possible. On the day of the inspection people were out with members of staff doing supermarket shopping and on their return were encouraged to help put the shopping away. The manager stated in the AQAA, As part of a person centred approach to support planning, we actively encourage the people we support to be health aware and provide support in healthy eating and lifestyles, particularly where someone has identified a need or wish to improve their health. Records examined confirm that the menu is varied and reflects the likes and preferences of the people living in the home. One person spoken with had decided some time ago that they wanted to lose weight and they were supported to do this in a healthy way. They were pleased with their success and now liked wearing jeans. Food stocks showed evidence that there is a range of good quality foods available including fresh fruit and vegetables. On the day of the inspection they had planned to have takeaway at teatime and people were encouraged to choose what they would like. The evening meal was seen to be a sociable occasion and people were obviously enjoying their food in a relaxed manner. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 using the service can expect their personal and healthcare needs to be identified and provided with the support to ensure these needs are met as they would wish. Evidence: Through discussions on the day of the inspection, staff and the management team were able to demonstrate a good awareness of peoples personal care needs and preferences. Care plans clearly set out these needs so that staff can provide personal care and support consistently and in ways that the individual wishes. A relative spoken with on the day of the inspection was complimentary about the support given to their relative. They said they were full of praise for the support given to their relative who has really come out of [themselves] since being in Portland Crescent. The manager stated in the AQAA, As part of Person Centred Planning we aim to support people in being more aware of their health needs and use health action plans to support people in doing this. This is not just about physical needs, it also means helping people to feel good about themselves. The manager further stated, New health action books are being developed with residents and key workers, families and professionals. Documents examined confirm there are now comprehensive Health Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: Action Plans in place relating to peoples individual health needs. These contain a wide range of information starting off with personal information and people who help me. They go on to cover communication, medicine, my general health, my dental care, my eyesight, my hearing, my sleeping, my eating habits, diabetes, continence, epilepsy, mental health, relationships, screening tests, my family and lifestyle. The records relating to peoples healthcare needs are completed to a good standard and contain evidence that people are supported to access a range of healthcare professionals according to their individual needs. As reported at the last inspection, the home continues to have robust processes around medication following Mencaps policies and procedures. Storage of medication is secure and there is a facility for the storage of controlled drugs should anyone be prescribed medication that requires this level of secure storage, although there were no controlled drugs in use at the time of the inspection. Medicine Administration Record (MAR) sheets were examined. They have a photograph of the individual on the front and a fact sheet with details of all the medication the person has had prescribed including medicine that is prescribed on an as required basis (sometimes referred to as PRN). This information is to minimise the possibility of errors. Records examined showed that recording was completed appropriately and was accurate. The management team were able to demonstrate a good awareness of their responsibilities around supporting people appropriately with medication. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 using the service can be confident that their concerns about how they are treated are listened to and acted upon as stated in the complaints and safeguarding procedures. Evidence: As at previous inspections, Portland Crescent continues to have an appropriate complaints procedure in place and they follow Mencaps procedures for recording concerns and complaints. Records examined show that there have been no formal complaints recorded by the home since the last inspection and none have been received by us at the Commission. A relative spoken with on the day of the inspection did not have any complaints about the home and said they had no problems with the service. The manager stated in the AQAA, We have built feedback and complaints into our quality assurance framework to ensure that we act on feedback and learn from this. The manager and staff spoken with were able to demonstrate that they deal with minor concerns as and when they arise and they take any concern seriously no matter how trivial it may appear. The manager stated in the AQAA, We recognise that in supporting people who can be vulnerable and who may also have difficulty in expressing their feelings and fears, that the awareness and vigilance of staff is key to protecting people from harm. Personnel records examined confirm that staff have received training around safeguarding, (previously referred to as Protection of Vulnerable Adults or POVA), to ensure they are aware of how to recognise potential abuse or poor practice. Staff spoken with were Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: able to demonstrate a good awareness of their responsibilities and reporting to the appropriate authorities. The manager further stated in the AQAA, Our policies and processes require staff to actively engage with local Vulnerable Adults processes and ensure that any threat is identified and reported promptly and appropriately within our organisation, so that appropriate action can be taken. As reported elsewhere in this report robust procedures are in place for the recruitment of staff, including police checks (known as Criminal Record Bureau or CRB enhanced disclosures) to ensure people employed by the home are suitable to be working with vulnerable people. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 can enjoy living in an environment that suits their lifestyle and which is well maintained and clean. Evidence: The manager stated in the AQAA, We aim to provide an environment that is capable of meeting individual needs, is safe, secure and promotes the well being of the individual. As previously reported Portland Crescent is a large, modern Dormer style bungalow. There is a stair lift to access the first floor if required, however, the large upstairs room is now used as an office and all the bedrooms are on the ground floor. The accommodation is bright, modern and spacious and there are good quality furnishings both in the communal areas and in peoples individual rooms. Furnishings in the large lounge include comfortable leather sofas and people were seen to enjoy relaxing in this room. The manager stated in the AQAA, We aim to encourage and support people to be involved in the upkeep of their home and to take pride in where they live. Residents are encouraged to furnish their rooms as they wish. As recorded elsewhere in this report, people living in Portland Crescent are encouraged to get involved with the day to day running of the home such as shopping and cleaning. Peoples bedrooms are well decorated and reflect their tastes and interests, containing ample evidence of personal possessions. One person was pleased to show us their room, which was personalised with pictures and photographs. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: A tour of the premises showed a good standard of cleanliness throughout the home and there were no unpleasant odours. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 living in the home can be confident they are cared for by a competent staff team who can meet their needs and who have been employed following thorough recruitment checks to ensure people are safeguarded. Evidence: Staff spoken with were well informed about peoples needs. Observations on the day of the inspection showed that staff interactions with the people living in Portland Crescent were appropriate, supportive and friendly. Staffing levels on the day of the inspection were also observed to be good and peoples needs were being met in a sociable and relaxed manner. Through discussion the management team explained that they have a stable staff team and they are fully staffed at present. There is a process in place around recruitment that follows Mencap policies and procedures. The manager stated in the AQAA, Our policies and processes in recruitment and training guide and inform effective recruitment processes that include thorough pre-employment checks, induction and ongoing training to ensure that staff fully understand their responsibilities and how to effectively support people with a learning disability. One of the people living in the home was involved in local recruitment at the job centre some months before. A sample of two personnel files examined contained all the documents required by regulation. As previously reported, staff receive comprehensive training to meet the assessed Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: needs of the people in the home. The manager stated in the AQAA, All staff received comprehensive induction training within the first 12 weeks of employment. Nationally Mencap has developed an induction training programme LDAF [Learning Disability Awards Framework] comprising of learning workbooks, training DVDs, internal and external taught courses and distance learning packs. Staff records examined contain evidence that staff have received a comprehensive induction and there is ongoing training including moving and handling, epilepsy, medication and safeguarding (previously referred to as Protection of Vulnerable Adults or POVA). Records examined confirm that there is a robust programme of supervision in place with one to one supervisions taking place approximately two-monthly. The manager and deputy manager share the supervision of staff. The manager stated in the AQAA, Our policies and processes around supervision, attendance and performance review actively encourage a supportive but focused approach to staff performance and development. A relative spoken with said that they are a lovely bunch of staff and nothing is too much trouble. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is appropriately managed in the best interests of people living there. Evidence: As previously reported the manager has obtained a National Vocational Qualification (NVQ) at level 4 and holds the Registered Managers Award (RMA). At present the manager is also overseeing the management of another home in the group. Through discussions with both the manager and deputy manager it was obvious that they work well as a team and there is good communication to ensure the home is well managed on days when the manager is not available. The manager stated in the AQAA, Mencap has a continuous improvement framework that sets out how we promote and assure the quality of service to the people we support. This begins with the way we work with people everyday using Person Centred Planning. We also have clearly defined processed for gaining feedback from service users and stakeholders, meeting our compliances, monthly monitoring visits and annual reviews of the service. Records examined confirm that Mencap have a Quality Assurance system that includes Monthly Quality Reviews and Continuous Improvement Plans. The Continuous Improvement Plans cover a range of areas relating to the service including Systems, Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: Teams, Support and Environment. Each of these areas is examined under the following headings, What we need to improve. How will we do this? How was this identified? Who needs to do it or be involved? When do we need to do it by? Date achieved. What could we do to make this better? Through discussions the manager and deputy manager were able to demonstrate a commitment to providing a good quality service that not only meets peoples needs but that values their views, wishes and aspirations. A sample of records relating to health and safety were examined on the day of the inspection and all were found to be up to date and in order. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Are there any outstanding requirements from the last inspection? Yes  No  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 32 of 34 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 Description 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 Description 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 Care Homes for Adults (18-65 years) Page 33 of 34 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 © (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. Care Homes for Adults (18-65 years) Page 34 of 34 - 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!