Inspection on 25/02/08 for Roselea Care Home

This inspection was carried out on 25th February 2008.

CSCI found this care home to be providing an Excellent 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

Roselea Care Home 08/08/07

Roselea Care Home 12/06/06

Roselea Care Home 08/12/05

Roselea Care Home 11/11/04

Roselea Care Home 06/05/04

Roselea Care Home 01/09/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Roselea Care Home 73 Loughborough Road West Bridgford Nottingham NG2 7JX     The quality rating for this care home is:   three star excellent 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: Karmon Hawley     Date: 2 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 03000 616161 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Roselea Care Home 73 Loughborough Road West Bridgford Nottingham NG2 7JX 01158462251 01159148191 john.keogh@roseleacarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: RoseLea Care Homes Limited care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Roselea Care Home is an adapted period property situated discreetly in a residential area. The home is registered to accept up to 9 residents who have a learning disability, several of whom may also have behaviours, which challenge. The accommodation is over two floors, but there is no lift so unless a ground floor bedroom is available any potential resident would need to have good levels of mobility. Parking is available at the rear of the home. This can be accessed via Melton Road and can be identified by large black gates. The centre of West Bridgford is around a ten to fifteen minute walk for those with good mobility. It has good access top a range of shops, cafes, restaurants, parks, the post office, banks and public houses. A fourteen seater mini bus is available for use by residents when required, no charges are made for its use. Information about the service is available in the service user guide and statement of Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 9 Brief description of the care home purpose. The weekly fees are between £1,293.90 to £1,851.69 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: three star excellent 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 focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people living at the home and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service delivery that needs further development. A review of all the information we have received about the home was considered in planning this visit and this helped decide what areas we looked at. Prior to the inspection the Annual Quality Assurance Assessment (AQAA) was sent out to Roselea Care Home, which asked questions around the service including staffing levels and number of people using the service. The AQAA, which was returned to the Commission for Social by the registered manager/provider, was used within this inspection report. Care Homes for Adults (18-65 years) Page 6 of 29 One regulatory inspectors conducted the unannounced visit over 1 day. The main method of inspection we use is called case tracking which involves selecting the care plans of three people and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Case tracking is used to establish if the needs of the people are being appropriately assessed by the home and their needs are being catered for. Five people using the service were spoken to about the service they receive. Four staff files were examined. Two members of staff were spoken with in addition to the manager and deputy manager. We also undertook a tour of the care home, which included looking at the bedrooms of those people who we case tracked and communal areas of the home. What the care home does well: What has improved since the last inspection? Plans of care and risk assessments have continued to develop to ensure that peoples needs are fully met. Improvements to the environment have taken place and a new wet room has been installed. A window restrictor has been fitted to an upstairs window to make sure that people are protected from the risk of falls out of this. Care Homes for Adults (18-65 years) Page 8 of 29 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –03000 616161. 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 confident that their needs will be assessed prior to admission and that staff are able to meet these. Evidence: The manager visits people who may wish to use the service in the community to carry out an assessment. This is to make sure that staff can meet the persons needs before a decision to move into the home is made. People are also encouraged to visit the care home and spend time there on a gradual basis to get a feel for what it would be like to live at the care home before they make a decision to move in. This also gives them the opportunity to meet other people who are living at the home. Within those files examined we saw evidence of assessments taking place and that extensive community care assessments are also in place. One person using the service told us that they had come to have a look around the Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: care home before they moved in and that they are settled here. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are fully reflected within plans of care so that staff can support them effectively in meeting these whilst ensuring that they take risks as part of an independent lifestyle. Evidence: Plans of care are personalised and reflect peoples preferences to make sure that they are supported in their preferred way. Plans of care are in place and contain in depth information in regard to peoples identified needs to make sure that they are supported appropriately and their needs are met. We saw that people are consulted about the care and support that they may need and plans of care are drawn up in unison with people using the service so that they feel that their rights and choices are maintained. For example within one plan of care a discussion in regard to cutting down smoking was discussed with a person, along with Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: the health and financial benefits. Following this a plan of care was put into place that the person had agreed upon. We saw that staff recognise peoples skills and independence so that these may be maintained and enhanced. Appropriate risk assessments and management plans are in place for peoples identified risks to make sure they remain safe. We saw that these are discussed and negotiated with people so that their rights and choices are fully recognised and people are supported to take risks as part of an independent lifestyle. So that people are supported appropriately when they may be at risk of abuse we saw within one plan of care, information in regard to how a person is to be supported should they experience racial abuse. People using the service told us, the staff are alright, they look after me, I can make a cup of tea with support, I am happy here, I go out and visit my family and go to college in town, I am happy I can do what I want, I go out with staff and sometimes on my own, and the staff are not bad, they help me to look after myself. Staff spoken with are able to discuss in depth the needs of people living at the care home and how they support them to meet their needs. They told us, I am involved in writing care plans for those people that I am key worker for, this helps me to understand their individual needs, and we ensure that we promote peoples freedom whilst keeping them as safe as possible, they make their own choices and decisions, we ask them what they want to do, some staff are learning to braid hair at the moment so they can help people with this. 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 excellent 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 are supported to live a fulfilling life with access to the local community and activities they enjoy. Their rights and choices are respected and maintained and people enjoy living at the care home. Evidence: The Mental Capacity Act and peoples best interests is fully utilised within plans of care and risk assessments to make sure that peoples rights and choices are recognised and that people are supported appropriately. Staff spoken with said that they respect peoples rights and they discussed how they ensure that people are supported appropriately so that these are maintained. One member of staff told us, I have done training on the Mental Capacity Act and the deprivation of liberty, its about asking them what they want to do and not telling them, giving them their own space and respecting that their room is private. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: People using the service told us that they can spend their time as they wish. Within plans of care we saw that people are supported in maintaining relationships that are important to them and are given support and advice in regard to sexual relationships if needed. Staff told us that there is no restrictions on visiting and that people using the service go home and visit their families. One person using the service said, I go out to visit my family and stay over, I have a good time. People using the service are supported to live an independent and flexible life; some go out to college where as others have a college tutor that visits the care home. Several people also make use of local clubs such as the Gateway Club and do a wide range of activities there. People using the service confirmed that they attend college at the care home and one person showed us some of the work that they had done. Others told us that they go to the Gateway Club and that they join in many activities there, I go to the Gateway Club, we had a Valentines disco, and we often go out on day trips with the Gateway Club, there is plenty to do. Staff told us, I love working here, to see how people have progressed in their college work is good, it impresses me how much they have moved on, and the job is very rewarding, seeing people progress, their happy smiling faces when they have made achievements with their college work. People using the service are supported by staff to use local facilities including going to the local pub, aqua aerobics, parks and places of interest. There are photographs displayed in the dining room which evidence that people are involved in social activities. The care home also has a mini bus that is used to transport people when needed. Staff spoken with told us that the care home is cheerful and there are enough activities for people to do. They spoke of supporting people when they go on holidays, to make sure that these are enjoyable and about ensuring that they are aware of peoples individual needs and characteristics so that they get the most enjoyment out of as life possible. People using the service offer the following comments about life at the care home; I like it here, we go on trips out, my room is private, I chose everything in there, I help John to sweep the garden, I enjoy doing it and washing the minibus, we go out to the Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: pub and aqua aerobics, I enjoy it, I spend a lot of time here, playing games and watching the TV, I also go out shopping with the staff, we go to Nottingham on the bus, and we go to Centre Parcs every year, its lovely, I am looking forward to going again this year. On the day of the visit most people using the service were at home. We saw people spend time in the main lounge paying on a WII (a games console) and there was some good natured banter during this time. Staff also spent time with people and played the game with them, supporting them as needed. Interactions between people using the service and staff is positive and we saw that staff are respectful at all times. Staff support people using the service on a weekly basis to draw up a menu for the coming week. Each person has a say in what they would like to be on the menu and people spoken with confirmed this. The menu on offer offers both traditional and every day foods. People also eat out within the community once a week at various local venues. Care Homes for Adults (18-65 years) Page 17 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 personal and healthcare support people receive is based on their individual needs. Medication practices ensure that people using the service are protected. Evidence: Care plans examined contain information in regard to peoples personal, emotional and health care needs. There is in depth information about peoples preferences and the support that they require. One member of staff told us that they assist people with their personal needs. People using the service confirm that staff help them with their personal care needs as required. We saw within plans of care that people are supported to access specialist services such as the doctor, optician and age appropriate screening as required, making sure that their health and well being is maintained. One person using the service told us that if they need to see the doctor they go to the clinic down the road. Another person using the service told us how they have been visited by the occupational therapist so that handrails could be put in the home to assist their mobility. All staff who administer medication have been trained to do so. Medication records Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: examined show us that people using the service receive their medication as prescribed. On entering the home, one person using the service was exhibiting behaviour that is challenging, staff spent 1-1 time with this person and settled them without the need for using sedative medication. Care Homes for Adults (18-65 years) Page 19 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. People using the service are assured that their complaint will be listened to and acted upon and that they are protected from abuse. Evidence: There is a satisfactory complaints procedure, which is included in the service user guide and available in a suitable format for people using the service. The service has not received any complaints since the previous inspection. Staff spoken with are able to discuss how they would handle a complaint if received to make sure that this is dealt with and resolved. People using the service did not express any concerns during the visit and one person told us that if they were unhappy about anything they could talk with the staff or their social worker. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are satisfactory. All staff have received training in the protection of vulnerable adults and they are able to demonstrate an understanding of their responsibility to alert the manager of any disclosure or suspicion of abuse. Where people need support with their finances and budgeting this is referenced in a plan of care. People may keep their money in safekeeping within the care homes safe Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: if they wish. We checked these accounts, which show us that receipts are kept for all transactions, as are accurate logs. One person using the service told us that they had money in the safe and that they could have this when they wanted. They said that they felt confident that their money is safe; they explained to us the method in use for recording the money they have spent. Care Homes for Adults (18-65 years) Page 21 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 well maintained and comfortable environment where they are able to personalise their own rooms. Evidence: There is evidence of ongoing refurbishment and maintenance taking place within the care home and all areas seen during the tour are clean and comfortable. A bathroom upstairs has been replaced with a wet room so that it is easier for people to shower. One person using the service told us that they had been involved in choosing all the furniture and furnishing for their bedroom and that they are very pleased with the way it looks. All those bedrooms seen during the tour are personalised with individuals personal belongings. The laundry facilities are appropriate for the needs of the current residents they include a washer and industrial dryer. The care home is not suitable for people with mobility problems as there is no lift to the first floor. 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 excellent 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 are supported by a well trained staff team who have been recruited by practices that protect them from unsuitable people. Evidence: People using the service said that there are enough staff available to meet their needs and that they help them as required. Staff spoken with also confirm that there are enough staff available to support people. During the visit we saw that staff are prominent as needed and supported people appropriately. Staff files examined show us that all the documentation required by law is in place to make sure that people are protected from unsuitable people being employed. Staff spoken with confirm that they underwent a Criminal Record Bureau check (a police check to see if a person has a criminal record or police caution) prior to commencing employment at the care home. Also to make sure that people are suited to the job role, the manager carries out several interviews and encourages the person to spend some time in the care home prior to taking on the job to ensure that they understand the needs of people using the service. Sixteen members of staff have achieved the National Vocational Qualification (a nationally recognised work and theory based qualification designed to Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: enhance peoples knowledge and skills in caring for people) level 2 and two are working towards this. So that staff are aware of their job roles and responsibilities when commencing employment they undertake an induction. There is evidence of staff undertaking this within staff files examined and one member of staff confirmed that they had undertaken an induction when they first started working at the care home. To ensure that staff have the necessary skills and knowledge to meet peoples needs they undertake a wide range of training. Staff training files examined show evidence of training in a number of health and safety subjects, medication administration, National Vocational Qualification level 2 and Learning Disability Award Framework (LDAF), which is accredited training. Staff spoken with are able to discuss how peoples needs affect them and the support that they require. They stated that the level of training that they receive is at a good level, I have done all my training, I am doing some refresher courses at the moment, the training offered is at a good standard, everything the managers do we do as well, and the training is at a high standard, we get the chance to do plenty of training. One person using the service said that they felt that staff are well trained to carry out their job role and they told us that staff had been on their training that morning prior to our visit. Within staff training files examined we saw that staff receive supervision sessions on a regular basis and areas such as their training and development is discussed during this time. Staff spoken with confirmed that they undertake supervisions sessions and stated that these are helpful. 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 excellent 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 benefit from a well managed care home, where they are able to express their views and opinions in its running and have them listened to and acknowledged. Evidence: The registered manager was present throughout the inspection and demonstrated excellent management knowledge. She ensures that she remains up to date with all mandatory training and both her and the one of the deputy managers have completed the Registered Managers Award (a nationally recognised work and theory based qualification designed to enhance management skills). Staff spoken with state that the management team are very supportive and approachable, the manager is lovely, she is always available if needed, and the manager is very approachable, if there are ever any issues we can always discuss these with her. Record keeping is of a consistently high standard. Records are kept securely and staff Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: are aware of the requirements of the Data Protection Act. People using the service can gain access to their records and contribute to them. A quality assurance monitoring system is in place to obtain the views and opinions of people using the service, relatives and external providers about the service. The latest questionnaires are currently being compiled, however we saw that overall there is 100 satisfaction in all areas, such as the facilities, meals, staff maintaining dignity and courtesy to people using the service. Staff meeting are held bi monthly, the minutes show us that issues such as standards of care and peoples needs are discussed. Staff spoken with said that staff meetings are beneficial and offer them the opportunity to express their views. Formal residents meetings are not held due to peoples complex needs, therefore people are encouraged to express any views that they may have to staff whenever they arise. The annual assessment that the manager completed contains excellent information that is fully supported by appropriate evidence. It includes a high level of understanding about the importance of equality and diversity and a wide range of evidence showing how they have listened to people using the service. The care home has efficient systems to ensure effective safeguarding and management of peoples money, including record keeping. People are supported to manage their own money where possible. Those who do not currently have the skills are encouraged and supported to develop to become as independent as possible. They have access to their records whenever they wish. A sample of records relating to health and safety were examined. Records relating to electrical and gas testing were observed and found to be carried out at the required intervals. A window in one first floor bedroom has now been fitted with a window restrictor. 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 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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 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!