Inspection on 17/02/09 for St Michael`s House

This inspection was carried out on 17th February 2009.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Michael`s House 01/03/07

St Michael`s House 20/02/06

St Michael`s House 27/01/05

St Michael`s House 10/06/04

St Michael`s House 21/01/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: St Michael`s House 1/3 St Michael`s Avenue Northampton Northants NN1 4JQ     The quality rating for this care home is:   one star adequate 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: Ansuya Chudasama     Date: 1 7 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 28 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 28 Information about the care home Name of care home: Address: St Michael`s House 1/3 St Michael`s Avenue Northampton Northants NN1 4JQ 01604250046 01604638496 a.gowing@btconnet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Anne Going,Mr Kenneth Going,Mr Raymond Galbraith,Mrs Marian Galbraith care home 13 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The home may continue to provide care for 1 existing named service user under 45 years of age The Home provides care for Service Users in the Age category of 45yrs and 65yrs and 65yrs and over. Date of last inspection Brief description of the care home St Michael?s House is situated in a residential street close to Northampton town centre. The Home is registered to provide personal care, without nursing, for up to thirteen people with mental health needs. St Michael?s House is a Victorian property, providing accommodation in two double and nine single bedrooms, two of which have en-suite facilities. There are two lounges and a small dining room. As there are no lift facilities Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 4 7 Brief description of the care home in the home, people accommodated in upstairs bedrooms must be able to safely negotiate the stairs. There is an enclosed garden to the rear of the premises. The current weekly fees are in the region of #348 per week. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This home has 1star rating and this means that the people using the service receive an adequate service. We inspected the home on the 17th of February 09 and spoke to the staff, and the manager of the home. We looked at information about some of the people in the home to find out how their needs are being met by the staff. This is called case tracking. We spoke to some of the people and watched how the staff and people in the home got along together. Staff training records and information about policies and procedures were looked at in detail. This tells the staff how to do things in the home. We were also given a tour of the home. Care Homes for Adults (18-65 years) Page 6 of 28 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.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 7 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people and their representatives are given information about the home so therefore they know that the services provided will met their needs. Evidence: The home has a Statement of Purpose and a Service User Guide. These documents are given to people who are interested in coming to the home. People spoken to say that they had visited the home with their family member or with a social worker and liked it. We were also told that the manager had visited some of the people and asked them to visit the home and have tea and meet the other people in the home. The manager discussed the assessment process including getting information about the person from the funding authority. The home completes a pre-assessment form, but the information needs to be more detailed and the names of the people involved in the process needs to be recorded. The manager said that this would be done. Care Homes for Adults (18-65 years) Page 9 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All the people have care plans but they are not involved in drawing them up so therefore they are not aware how the home is meeting their goals and aspirations. Evidence: The home had care plans for all the people in the home. Those people spoken to say that they had not been involved with drawing up their care plans. Some of the people also did not know what a care plan was. The plans seen had information about personal and health needs. We were told that the manager wrote the plans and the plans were being reviewed on a monthly basis. The care plans were stored in locked filing cabinets in the office. A social worker was observed carrying out yearly reviews for the people in the home. Risk assessments were being undertaken for all the people but every thing was recorded in the same risk assessment. The risk assessments needed to be individualised to a specific activity. The five steps to assessing risk need to be Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: recorded. The manager told us that all the risk assessments for the home were being reviewed soon. The people spoken to say that they were able to make decisions about what they wanted to do. Care Homes for Adults (18-65 years) Page 11 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are some activities provided by the home but this could be further developed to increase the peoples independent living skills Evidence: A staff member was observed laying the table for lunch. We observed the people having their lunch. This was eaten in a peaceful manner. The staff were observed being helpful and supportive to the people. One person told us that the food is not bad and others said that it was OK and very nice. One person said that the staff chose the meals but they wanted to choose the food. This could be discussed when the peoples house meetings commenced. We observed that all the people enjoyed eating the food. The people spoken to say that they did not get involved with doing their laundry and Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: ironing. We were told that the staff did this. One person said that they would like to do cooking but said that the staff did this. Some of the people told us that they go to town, do shopping and visit their friends. They also watch television and listen to music in the home. We were told that in April 08 they went to Wicksteed Park and at Christmas they went to see a pantomime, which they enjoyed. The people say that they would like to go on more day activities. One person said that they wanted to go to the seaside because they had not been for a very long time and this was confirmed by talking to staff. The people had a key to the front door of the house and to their bedrooms. This was good in promoting the peoples independence. However some of the people told us that they kept their door open by putting a wedge. This was because they kept losing or forgetting where they had put their key. These were fire doors. A risk assessment needs to be carried out for all the people who have keys. This is to find out if they are capable of looking after their keys. If not then alternative options have to be considered to ensure that the fire doors are kept closed. Friends and families are welcome at the home and the people are able to use the privacy of their room to have private time with their visitors. Some of the people in the home maintain contact with their families and visit them. Some people said that the staff knocked on their door before they entered their room but two people said that this did not always happen. On the day of the inspection we observed the manager knocking on the peoples door before entering the room. We were told that some of the staff walked through a persons bedroom to gain access to house number 3. There are other routes the staff can use to get to this home. This practice does not provide privacy and dignity to the person. The people spoken to say that the staff were lovely and they are able to go out when they want to. One person said I get up when I want to and make my own breakfast. They liked living at the home. The home did not have the peoples meeting but the staff told us that they talk to the people. The manager told us that they would start this again and record the outcome. Care Homes for Adults (18-65 years) Page 13 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The peoples personal and health care needs are met by the home. Evidence: The care plans had information about how the persons personal care needs were met. The people spoken to told us that they did their own personal care. One person said that the staff helped them to wash their hair. Another person said if I was not feeling well, I would tell the staff. The staff we spoke to had good understanding about the people they care for. We observed staff interaction and noticed that they talked to people in a respectful manner. There is evidence in the care files that the people are offered support for their physical and emotional health needs. There are records of doctors and hospital appointments, and people have access to district nurse, opticians, dentists, general practitioner, and other health care professionals. There was information on medication reviews and mental health reviews being carried out. The people had completed the medication consent form. Two staff gave out medication but not all staff had received the medication training. Medication administration records (MAR) showed that the staff were not always signing the MAR sheet when giving out medication. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Care Homes for Adults (18-65 years) Page 15 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a complaints policy and the people in the home know how to make a complaint if they are not happy. Evidence: The people that we spoke to told us that they knew how to make a complaint to the manager. They said that they would tell the manager or staff if they were not happy. The home had a complaints procedure and the manager told us that they had not received any complaints and had not made any safe guarding referrals to social services. Not all the staff in the home had received training on safeguarding of vulnerable adults training. The staff that we spoke to had good understanding of the peoples behaviours. Care Homes for Adults (18-65 years) Page 16 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is aware that a number of fixtures and fittings and the decor in the home need upgrading to meet the needs of the people. Evidence: The home is situated in a residential area within easy walking distance to the shops and the local communal services. A tour of the home showed that the front and the rear garden needed attention to make it pleasant for the people to use in the summer months. The manager informed us that the garden was being completely revamped very soon. The old garden furniture was also being replaced. The people told us that the conservatory, which is used as a dining room gets very cold in the winter. This was even when the central heating and electric heater was switched on. The tablecloths on the dining table need to be properly cleaned because it had dried food stuck on it. We looked at all the bedrooms and most of them needed decorating, with better curtains nets, curtains and light shades. The carpets also needed replacing in some of the bedrooms and in some parts of the corridors. This was because the carpet were stained, old, and worn out. One persons headboard needed fixing, as it was loose. Another person told us that their blinds were broken Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: and needed fixing. The bedrooms seen were personalised with the peoples hobbies that they enjoyed doing. The home has a no smoking sitting room for the people who did not smoke. One person is not able to use the down stairs smoking area due to their mobility. This person is able to smoke in their room and has an extractor fan and fire alarm detector. The walls in this room needed painting and the net curtains needed replacing due to the smoke stains. Two people, who smoke and share a bedroom, were having their room decorated. This was because the room was stained from tobacco smoke. We were told that it would be a good idea to have an extractor fan to get rid of the smoke from the room. We saw one persons bedroom that was pleasantly decorated. The manager told us that each room is being done individually to meet the persons needs. We observed the people were keeping fire doors open. The people in these rooms also smoked and the smoke spread through out the building. There was discussion about putting fireguards on these doors. At the last inspection it was stated that a significant number of residents that smoke and over exposure to cigarette may pose a risk to passive smoking for non smoking staff and residents. The needs of these people were not being met. The basement was used as a smoking area and the room was very smoky. The odors from this room also leaked into the other parts of the building. The extractor fan in the room was not working. A small window in the room was open but did not get rid of the smoke. The room was cold and we were told that the radiator in the room was at the back of the organ. The laundry room is also situated on this floor. The extractor fan in the room was not in use and no fresh air was coming into the room. The walls needed looking at and paint was coming off. The cleaning cupboard is also in the basement. The ironing board needs a new cover as the present one was worn out. The tap in one bathroom had water coming out in drips. The water from the tap of the sink basin was warm. The toilet seat needed looking at as there was pipe sticking out. Some of the toilets and bathrooms needed decorating. The shower room chair downstairs needed attention as this was broken in the middle. An extinguisher outside one room was wobbly and needed to be properly fixed to the wall. Care Homes for Adults (18-65 years) Page 18 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager recognises the importance of training and is aware that there are some gaps in the training provided and is dealing with this. Evidence: The staff receive the homes induction when they start work. The staff needs to sign and date the document where the manager has signed. This is to confirm that they have received the training. At present new staff did not complete the skills in care induction course. The manager told us that they would start this soon. Evidence showed that not all staff who deal with food had done the training in food hygiene. The manager was aware that all the staff needed to do the refresher training in health and safety, medication, food hygiene, and first aide from April 09. Training on mental health and challenging behaviors was also needed for some staff who had not received this. When staff are writing a message in the communication book, they need to sign their names at all times. The staff working rota was inspected and showed that there were times when only one member of staff was on duty. The manager needs to review the staffing rota to ensure that there are enough staff on duty to meet the needs of the people. The staff we spoke to told us that they enjoyed working at the home and they worked Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: well as a team. One staff said that they get good feedback from relatives regarding how they care for the people. They said that they had team meetings every three months and this was combined with the other sister home. The staff recruitment files for staff were looked at in detail. Evidence showed that the relevant information required to safe guard the people in the home was obtained. We were told that not all staff were receiving supervision on a regular basis. This needs to happen at least six times a year and needs to be recorded. Care Homes for Adults (18-65 years) Page 20 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is qualified to run the home and is aware of the work that needs doing to meet the needs of the people. Evidence: The manager is an experienced and qualified manager and is aware of the work that needs doing. The manager informed us that she spends two mornings with the people, and also takes them to the doctors appointments. We were told that this way she is able to monitor and know what is happening on the floor. The staff told us that they could talk to the manager about anything and found her to be very supportive. The home had not sent us the completed annual quality assurance assessment (AQAA). The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives us numerical information about the service. The manager told us that this was being completed. The home did not have a quality assurance that met the standard. No questionnaires Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: had been sent out to people living at the home or their relatives as required under the regulations. We were told that the staff talked to the people and asked them their opinions about food and activities but this was not recorded. A risk assessment needs to be undertaken for all the electric heaters used by the people and those used in the communal areas. We were told that the Fire Officer was to visit the home soon. The home had a staff fire drill in April 08 and 9th of September 08. It is good practice to have more regular drills per year. Emergency lighting needs to be done on a monthly basis. The last one recorded was on the 31/8/08. The Fire doors were being tested on a monthly basis. The accident and incident forms looked at were being completed properly. (Risk assessments: see section on individual needs and choices) A risk assessment needs to be undertaken for two chars that are situated on each side of the patio door. The fire doors in the home must be kept closed to protect the people in the home from any risks. Care Homes for Adults (18-65 years) Page 22 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 The people must be involved 30/06/2009 in drawing up their care plans and when they are being reviewed. This is to ensure that the people are aware how their goals and aspirations will be met. 2 16 12 The staff in the home must not use a persons bedroom to gain access to the house next door. This is to ensure that the persons privacy is maintained. 29/05/2009 3 24 23 All areas of the home must be kept in a good state of repair and reasonably decorated. This is to ensure that the people live in a pleasant environment 08/09/2009 Care Homes for Adults (18-65 years) Page 24 of 28 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 4 33 18 The staffing rota must be 29/05/2009 reviewed to ensure that there are adequate numbers of staff on duty. This is to ensure that the needs of the people are met and they are not put at a risk. 5 35 18 Staff must be provided with the training as stated in the report. This is so they have the skills to look after the people that they care for 30/06/2009 6 39 24 The AQAA must be completed by management when asked for by CSCI. This is so that we are aware of how the home is managing the needs of the people and information that we need is obtained for monitoring purpose. 30/04/2009 7 39 24 There must be systems in place including the seeking of the views of the people that live in the home, that management then act upon and subsequently change the delivery of care. 30/06/2009 Care Homes for Adults (18-65 years) Page 25 of 28 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 This is so that the people influence the running of the home. 8 42 13 The fire doors must be kept closed at all times unless there are fireguards put on. This is to ensure that the people are protected from any risks to their health and safety. 9 42 13 The extractor fan in the smoking area must be repaired. This is to ensure that smoke is extracted out of the room to protect the health and safety of the staff and the people. 10 42 13 The no smoking areas in the 30/04/2009 house must be kept odour free from the odours of tobacco smoke. This is to ensure that the people and staff are protected from passive smoking. 11 42 12 The tap in one of the 22/05/2009 bathrooms must be repaired and the water temperatures must be monitored and 30/04/2009 30/04/2009 Care Homes for Adults (18-65 years) Page 26 of 28 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 maintained and be set close to 43 degrees. This is to meet the health and safety of the people and staff. 12 42 13 A risk assessment must be undertaken for all the electric heaters used by the people and in the communal areas. This is to ensure that the people are safe using these heaters. 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 30/04/2009 Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 28 - 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!