Inspection on 05/03/09 for Stoke View

This inspection was carried out on 5th 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.

Other inspections for this house

Stoke View 02/03/10

Stoke View 01/03/07

Stoke View 15/09/05

Stoke View 28/04/05

Stoke View 30/09/04

Stoke View 22/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Stoke View 72 Albert Road Stoke Plymouth Devon PL2 1AF 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: Kim Fowler Date: 0 5 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 29 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.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: Stoke View 72 Albert Road Stoke Plymouth Devon PL2 1AF 01752211135 01752211137 paulmillard@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ratecedar Ltd Name of registered manager (if applicable) Mr Simon Jenkins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 9 0 care home 9 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) The maximum number of service users who can be accommodated is 9 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home Stoke View is a care home for nine people with a learning disability. The home is privately owned by Ratecedar Ltd, which also owns another care home in Plymouth, and the Responsible Individual is Paul Millard. The home is a terraced three-storey property situated in the Stoke area of Plymouth. It is within walking distance of local shops and amenities, central Plymouth is easily accessible by public transport, and the home has its own vehicle. There are five single and two double bedrooms located on each floor. The home has a small courtyard garden at the rear of the building that is accessible to all the residents. The garage has been converted into an activities room for residents. On street parking is available at the front of the house. The fee levels are between 258.80 pounds to 619.10 pounds per week, although these may vary depending on the individual needs. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home The unannounced inspection took place over 1 day on the 5th March 2009 and started at 10:00am and finished at 4:45pm. The Registered Manager Simon Jenkins was available throughout the inspection. We made a tour of the building and spoke to most of the people living at the home. Documentation relating to the care planning process and the management of the home were examined. We also spoke to the manager and all the staff members on duty during the inspection. Any comments received during the inspection are in the relevant section of the report. What the care home does well The home continues to update and maintain the decoration of the home and upgrade the environment as needed. The owner and registered manager of Stoke View encourages staff training and development ensuring that people who live at the home receive the best possible service. The home has developed a good Person Care Homes for Adults (18-65 years) Page 7 of 29 Centred Plan (PCP) for individuals. The home promotes and encourages people to make decision about their lives. Regular trips out and planned holidays ensure people have a range of activities to suit their needs. The home encourages family and friends to visit and supports people to keep in contact with friends from previous placements. A quality Assurance survey returned to the home stated, Couldnt have chosen a better home. A relative said, One big happy family. What has got better from the last inspection The home has benefited from fitting specialist equipment including a stair lift. One bedroom has been redecorated in colours chosen by the new occupant. The home has had new carpets and a new T.V. in the main lounge area. Care Homes for Adults (18-65 years) Page 8 of 29 What the care home could do 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 Kim Fowler 33 Greycoat Street London SW1P 2QF 02079792000 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 9 of 29 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 - 0870 240 7535 Care Homes for Adults (18-65 years) Page 10 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 11 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 . Prospective new admissions referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. Evidence: One new admission has taken place since the last full inspection and this file held information on the pre-admission process. The manager confirmed that any prospective new admission is invited to visit the home and also arrange short and overnight visits. This information is important so prospective admissions are assured that not only can their health care needs but also their physical needs are managed and met by the home. The last inspection made a recommendation that the Statement of Purpose and Service Users Guide be updated. This has now been competed and includes any information on the additional charges people are expected to pay. The homes AQAA returned to the Commission said, We ensure that our service user Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: guide and statement of purpose are updated appropriately in order that fair representations are made. Care Homes for Adults (18-65 years) Page 13 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 . People are encouraged and supported to make daily decisions about their own lives to maintain their independence. Evidence: The files for three people living at the home were examined. All the files examined held individual care plans in place and the details held on these files are needed by staff to met individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage individuals. Each individual plan provide staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. The homes files and care plans were supported by the placing authority care plan and each showed that they had been reviewed regularly and updated when needed. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Individuals are invited to attend review meetings and participate as much as possible. One person had a completed Person Centred Plan in place and this held comprehensive detailed information on this person life. Photos of this persons life supported the information held. Observed during the day was one person discussing with staff the content of their Care Plan, what was in it and having access to look at it and discuss it with staff. Staff then confirmed to this person that they could have access at any time to their care plan. Observations throughout the inspection were staff assisting people to make decisions about everyday issues. This included any trips out that day and one person planning a future holiday. The manager stated that each person is given options about were to go on holiday or day trips and then the options available are discussed and destination chosen. One person recorded on a quality assurance survey returned to the home, I have lots of freedom and another wrote, I go to bed when Im ready. The homes AQAA states that, Introduction of person centre plans for each individual. We have sourced work placements for those who wished to continue some form of employment after termination of their day placements. Those people who were able to confirm that they choose were they went when they went out and one person said, I walk the shops. And another said, We go to town shopping. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and for trips out into the community. This information is important to minimise risk. The issue raised at the last inspection on the system of charging people for transport cost has now been met. Each person file holds information on their contribution to any transport cost and how their contribution is agreed. Care Homes for Adults (18-65 years) Page 15 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 . The people living in Stoke View can be confident that the home will promote and provide support for them to access the local community and leisure activities as much as possible. Evidence: All the people living at the home were spoken with and some were able to that confirm that they go out to different places and include shops and swimming. Staff spoken with were able to confirm that the home has its own transport and when possible use this transport to go out on different day trips. One person also said, I go out on my own to the shops and another said they visit friends from their previous placement for lunch on a regular basis. Observation during the inspection was one person discussing their holiday and what they would like to do and were they would like to go. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: The manager confirmed that one person is undertaking a college course based on Independent Living Skills and bus training to help gain more independence. Several other people had information recorded into their files of the day care activities undertaken including a recent trial at a computer course and visits to the gym. The home has a large garage in the garden that is used as an activities room and includes an art and craft session. One person living at the home said, I like the going out on trips. A relative wrote in a quality assurance survey sent to the home, Enjoyed outings and holidays. The homes AQAA records, All service users are encouraged to participate in activities outside of the home, including several holidays which are appropriately risk assessed. Family and friends are encouraged to visit and also encouraged to participate in reviews if the service user wishes. Evidence was recorded in the files examined of input from relatives and friends. The staff confirmed that several people have regular visits from family members and some people visit the families at home. One person was out with their family on the day of the inspection. This family member was spoken with and confirmed that they visit the home often and at any reasonable time. One person said, I see my sister and another person confirmed that their family visit them. Observation throughout the day was people living in the home participating in daily routines including preparing the tables for meals. One person was able to confirm that the staff knocks on their bedroom doors to gain entry. Information held on files is used to promote the respect, privacy and dignity of each person living in the home and the home is assessable to all. Everyone spoken with about the food and who were able made positive comments and several people confirmed that they go to the shops to assist with the shopping and with meal preparation. One person said, The food is nice and another stated, I help with the shopping. The staff confirmed that there is a menu available but it is discussed with the people living in the home regularly to change and update it as needed. The lunchtime meal observed being served was pasta and a choice of desserts including fresh fruit, yogurt and doughnuts. 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 . Staff were observed promoting independence and providing support to individuals promoting privacy and dignity at all times.Access to health care is maintained to promote the wellbeing of all who live in the home. Evidence: All personal support is recorded into individual care plans and these are easily accessible for staff. People who require assistance with personal care have clear instructions recorded to assist the staff were needed. The home currently has two double bedroom. However the manager confirmed that any personal support is carried out in private. One person has input from the District Nurse team and this is detailed in the individuals care plan and includes the treatment and times of visits recorded. These details held ensure consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. Other professionals involved in the home include the bereavement team and Learning Disability team and evidence on their input is recorded into individual plans. The Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: homes AQAA states on what they would have improved over the last 12 months, To continue to monitor health care needs to ensure that service users remain in optimum health. One person living at the home also requires specialist input and evidence was recorded that the District Nurse teams had assist in providing an assessment and input to the home to ensure this persons needs are met. One person attended a hospital appointment during the inspection and this person was able to state that they had received staff support for this and other hospital appointments and said of the staff, They really helped me. The home uses the blister pack administration system and currently holds controlled drugs. The home controlled drug record was checked and provided evidence that this was clearly recorded and the correct amount held. A staff member was observed administrating medication and showed a clear audit trail of administration administered, recorded and dispensed. The home holds clear records on staff designated to administer medication and that they had also received medication training. One staff member confirmed that they had received medication training. Medication training was due to be undertaken on the day of the inspection but has been proposed until a later date. 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 . The people living at Stoke View can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: The home has a complaints procedure in place and is displayed on the homes notice board in the kitchen. The home has an updated Statement of Purpose and Service Users Guide that also hold information on making a complaint. This information included how to contact the CSCI and the process of how a complaint is dealt with including timescales. The Commission had received no complaints. The staff on duty confirmed that they had completed the Safeguarding training with the local authority. The manager also sated that the home has recently received the new Safeguarding DVD and that some staff had watched this with the remaining staff team due too. One staff member was able to confirm that they had completed training in the Mental Capacity Act. A Safeguarding alert was made in November 2007 after an incident involving one person living in the home. This issue was satisfactory dealt with no further action required. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The owner of Stoke View continues to update and upgrade a clean and suitable environment for its stated purpose and people living at the home can be assured that they will live in a comfortable home that is regularly maintained. Evidence: A full tour of the premises showed that the home is suitable for its stated purpose. The home is well kept, safe and accessible for all the people currently living at the home. The manager was able to confirm that all maintenance and repairs are ongoing as is the general update of the home. The home has benefited from a stair lift since the last inspection to assist one person living in the home. One person living in the home stated that the home had purchased a new specialist bed to add their comfort. This equipment provides the people living at the home with a building that is appropriately adapted to meet their needs. The manager confirmed that some new carpets, shower tray and a new TV have been purchased since the last full inspection. The homes AQAA says, Continue to maintain the home under the plans for the next 12 months. A new admission to the home was able to state that they had chosen the colour scheme in their own room before admission. Several people were able to say that the home was always clean and warm. One person spoken to said, I like living here and Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: another said, I have been here for a long time and am happy. Individual bedrooms showed that peoples rooms contained personal items including furniture, ornaments and pictures that reflect their personality and interests. One relative wrote on a quality assurance survey returned to the home, Such pride they have in their room. The home has two double bedroom and the people who currently share these rooms have done so for many years. the manager stated that in time the home would like to change this room to a single. All bedroom doors now have locks fitted, however some people choose not to hold keys. Risk assessments are held on individual files reflecting these choices. The process for the removal of clinical waste was discussed and was satisfactory dealt with the manager confirming a contract with a local company paid for by the home. A certificate was held on one staffs file confirming they had undertaken Infection control training. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living in Stoke View are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: Throughout the inspection the staff on duty were observed responding sensitively and respectfully to each person living in the home and thus were able to use their knowledge of individuals to encourage choice and independence were possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and some of the activities sessions observed showed that the staff and the people living in the home having fun in a relaxed friendly atmosphere. Some of the people living in the home were able to confirm, as were the staff spoken with, that there were sufficient staff on duty to meet the current needs of people living in the home. On the day of the inspection there was the manager and two care staff with a third person coming in to take one person to a hospital appointment. The home provides 2 sleep in staff and an on-call system for the management. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Observation showed that the staff members on duty were aware of individuals needs and how best to support them. Some of the people living in the home were able to say that the staff team were very good and it was evident that there was a good rapport between everyone living and working in the home. Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Discussions with manager and the staff showed that all staff participate in and update training course when needed. The training recorded in individuals files show that Safeguarding, medication, Fire Safety and National Vocational Qualifications (NVQs) and courses related specifically to working with people with learning disabilities is regularly undertaken. The homes AQAA records, Robust staff recruitment procedures, induction and ongoing training, encourage personal development ensure that we have a knowledgeable and effective staff team. Several staff members were spoken with during this inspection and all confirmed regular training was offered. These staff also felt that they were able to express their view at staff meetings held in the home. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. One staff member said of the home, Staff meetings are a good opportunity to talk about issues. One person living in the home said, I go out with the staff and another said, the staff helped me when I went to the hospital. A relative recorded on a quality assurance survey returned to the home, Good mix of care staff and went onto say, they are caring helpful, good sense of humour. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The management of this home is very good and ensures that records are effectively maintained.And the staff team are well trained to meet the needs of people living at the home. Evidence: The Registered Manager, Mr Simon Jenkins continues to be manage the home and has for a number of years. Mr Jenkins currently oversees the companies other home based in Plymouth and the Registered Provider, Mr Paul Millard, is currently in discussion with the Commission to make this arrangement formal. Mr Jenkins has completed a level 4 National Vocational Qualification (NVQ) in Care and has completed the Registered Managers Award. Mr Jenkins also undertakes regular training including Fire Safety thereby demonstrating that he keeps himself up to date with current good practice in social care Discussions with the people living in the home and the staff on duty confirmed that the manager is approachable and is highly thought of by all spoken with. One staff commented, Best boss I ever had and went onto say, really approachable and Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: caring. The home held completed quality assurance surveys sent by the home. All show positive comments included comments from relatives. One relative wrote, One big happy family and another wrote, Couldnt have chosen a better home. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoist ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies and many staff were attending a fire safety training course during the inspection. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Care Homes for Adults (18-65 years) Page 26 of 29 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 1 34 19 Thorough recruitment 31/12/2007 practice must be put in place to ensure the protection of service users. 2 42 17(2)(3) The Registered Manager must keep records of which staff members have completed fire safety training. 08/11/2007 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 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 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. 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