Inspection on 29/09/08 for Stonecroft

This inspection was carried out on 29th September 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Stonecroft 08/09/09

Stonecroft 05/12/06

Stonecroft 16/11/05

Stonecroft 23/05/04

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Coopers Mill Ltd

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Paradise Lodge

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Upaya Ananda

Newton Court (1-2)

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Pemdale

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: Stonecroft Leywood Close Braintree Essex CM7 3NP 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: June Humphreys Date: 2 9 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 33 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Stonecroft Leywood Close Braintree Essex CM7 3NP 01376347389 01376347389 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Thera Trust Name of registered manager (if applicable) Helen Wilson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 3 persons) Date of last inspection 0 5 1 2 2 0 0 6 A bit about the care home Stonecroft is a detached bungalow situated on the outskirts of Braintree in a Care Homes for Adults (18-65 years) Page 4 of 33 quiet residential area. The registered manager is Helen Wilson. The property is owned by Essex County Council and is leased to the Thera Trust to manage the service. The aim of Stonecroft is to provide care for up to three adults with learning disabilities, who stay at the home for short periods of respite care and that they will attend a local Centre during each weekday. Stonecroft is closed between 9.00am and 3.30pm each weekday but people that use the service are able to stay at the home at the weekend. The property is homely in appearance, well decorated and furnished and spacious. There are 3 single bedrooms, a bathroom, a separate Care Homes for Adults (18-65 years) Page 5 of 33 toilet, lounge/dining room, kitchen, laundry room, conservatory and a large garden. Access to the property is good and parking facilities are available on the drive at the front of the house. The manager stated that fees for accommodation are dependent on the length of stay and the persons needs. Care Homes for Adults (18-65 years) Page 6 of 33 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 33 How we did our inspection: This is what the inspector did when they were at the care home The inspection process included talking to two service users who were currently staying at the home. The inspection process included talking to two service users who were currently staying at the home. One of the service users showed me around the building, so that I was able to look at the facilities and the environment where people stay. They both were able to talk about their experiences of using the service. Discussion was undertaken with staff about what happens when people come to stay at Stonecroft, and the information that is given to service users prior to their stay. The manager completed the Annual Quality assurance Assessment form (AQAA) which is a self assessment which indicates how the home considers it is meeting the Care Homes for Adults (18-65 years) Page 8 of 33 National Minimum standards, and what improvements they will make in the next 12 months. Information from this document is used within this report. A sample of documentation maintained in the home was looked at to ensure the health and safety of service users is considered at all times; including a sample of care plans, supervision records, the staff rota, complaints, medication and accident records. As part of the inspection the manager was telephoned, and contact was made with three relatives, and two care managers. Comments were positive and people value the service, and what it is able to offer. Care Homes for Adults (18-65 years) Page 9 of 33 What the care home does well The service has a dedicated team of staff, most of whom have achieved NVQ level 2 in care. Service users spoken to were satisfied with the service, stating I like it here, the staff are kind and helpful. Another person stated that staff were friendly, and never rushed them, enabling them to take things at their own pace; this had clearly been important to them. The service aims to be flexible, and provide what people who use the service want. This is achieved by clear, person centred care plans that are regularly reviewed to provide a consistent and well-managed service. Staff consulted were confidant that they had the skills to do their work, having received a good level of training, and felt that they were well supported, both by their manager and by each other. Care Homes for Adults (18-65 years) Page 10 of 33 What has got better from the last inspection The two requirements, and one recommendation made at the last inspection in December 2006 had been met. Extra heating has been provided in the conservatory area, and one service user said that this was regularly used for music and entertainment. The service user guide has been updated to include pictorials, and the manager advised that the service is continuing to make all service users documents more accessible. The registered manger has completed the registered managers award (N.V.Q 4) in March 2008. The service has listened to relatives requests and tried to make the booking of short stays easier, by introducing a number of different ways that they can do this. Care Homes for Adults (18-65 years) Page 11 of 33 What the care home could do better Service users and relatives expressed satisfaction at the quality of the care provided. People who use the service said they look forward to, and enjoy their stays at Stonecroft. The Manager and staff continue to listen to what service users want, and try to meet these needs. A recommendation has been made that the statement of purpose and service user guide must state clearly that whilst people who already use the service, over the age of sixtyfive can continue to use the service if their needs can be met. The service does not intend to take new referrals from service users who will be over the age of sixty-five when receiving their first short-stay at the home. Care Homes for Adults (18-65 years) Page 12 of 33 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 June Humphreys CSCI CPC1, Capital Business Park Fulbourn Cambridge. CB21 5XE 01223 771350 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 13 of 33 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 14 of 33 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 service users can be assured that prior to admission a full assessment will be completed, which will take into consideration individual personal preferences and needs; and a placement will only be offered if their needs can be met. Evidence: The statement of purpose and service user guide provides adequate information on what the service offers. The service user guide has been updated since the last inspection and now is presented in a pictorial format. The service provides respite to exsisting service users who are over the age of sixty- five. The statement of purpose would benefit from being updated to ensure that it clearly states that it is exsisting service users only, and not new referrals of older people who are able to use the service. A through assessments of each prospective person needs is completed prior to respite being offered. Care Homes for Adults (18-65 years) Page 15 of 33 Evidence: When stays are being allocated, close attention is also given to the compatibility in age, vulnerability and any friendships the adults may have. Information relating to the persons home environment is documented at the assessment stage and wherever possible consistency of care is provided. Care Homes for Adults (18-65 years) Page 16 of 33 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from personalised care plans that enable them to undertake activities, both personal and social in the way they chose. Evidence: A care plan was available for each person who uses the service for respite. All service users have an allocated key worker to ensure that the right amount of support is provided when they are staying at the home, and that care plans are updated when necessary. Three care plans were looked at as part of the inspection. Each persons needs were clearly identified, and information was clearly writtern to ensure staff working with the person was aware of personal preferences and requirements. The manager stated that the service places a high priority on regular reviews and updates, and on each occasion that the person has a period of respite, a new arrival checklist is completed. The service user, relatives and professionals are involved, to ensure the information is the most current. The service only provides respite care, and therefore admissions are for only short periods of time. Most of the service users attend day services, placements, and work during the day so staff are not usually on duty Care Homes for Adults (18-65 years) Page 17 of 33 Evidence: between 9 am and 3.30pm. Service users are encouraged to continue with their usual daily routines when attending respite. Interaction between staff and residents was seen to be relaxed and friendly. Service users are involved in a range of activities they had chosen to do, and are encouraged to take reasonable risks according to their assessed abilities. Service users have regular opportunties to be involved in the running of the home and this is part of the stay. A person involved in cooking their meal was observed as part of the inspection. There are no restrictions imposed on residents and they are free to come and go within the house as they please, and to spend time in their rooms in private if they wish. Care Homes for Adults (18-65 years) Page 18 of 33 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff recognize and support individual rights and responsibilities, and involve and encourage service users to interact, and join in with local community activities; which is both enjoyable and fulfilling for people who use the service. Evidence: Daily recordings in the home showed that routines in the home are flexible, and varied according to individual choices, and needs. The manager stated in the AQAA we are inhibited by staffing levels of a 1 to 3 ratio, and are reliant on all people staying to compromise on their choice of activities. The member of staff on duty said that this is usually not a problem as people often have a short stay at the same time as their friends. Activities are always discussed at the beginning of each persons stay, so they are aware of what they will be doing. The service works to ensure that peoples individual and cultural needs are considered both by including health professionals regarding health and and disability issues, when new people start the service, and also through on going training, and regular staff updates relating to the provision of person Care Homes for Adults (18-65 years) Page 19 of 33 Evidence: centred care. It was evident from discussion with staff, relatives and the manager that the home enables and encourages people to participate in the community and to make use of the facilities available on a regular basis. Minibuses are available daily to assist service users in attending their daily placements, and public transport is used when shopping and using local amenities One service user talked about the activities they had been involved in whilst staying at Stonecroft, stating how they liked to go to the local pub, and go shopping with support from staff. The person said I like it here, the staff are kind and helpful. Menus checked showed that people are offered an interesting and varied diet. Service users can make choices by going through a book made up of pictures of food cut out from different magazines, which they continue to add to if they find a picture of food they think they would enjoy. During weekdays a hot meal is served at tea- time, and on the day of the inspection gammon, fried eggs, chips and beans were cooked. From observation, the meal was appetising and well presented with sufficient portions, and both service users indicated that they enjoyed the meal. Staff prepare the hot meal, with assistance from service users. Dependent on the choice of the day, and how complicated it was to cook, meant how much the service users were encouraged to do. This was a very positive system allowing everyone to do as little or as much as they were able. The fridge, freezer and cupboards were seen to be clean and tidy and contained good levels of food and fresh fruit. Care Homes for Adults (18-65 years) Page 20 of 33 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 care plans are active working documents, which provide staff with the information they need to make sure that service users health, personal care and social needs are met. Evidence: Care plans demonstrate that service users privacy is respected, with clear guidance on support with personnel care. Key workers involve people in reviewing their care plan to provide opportunity to change things they don’t like. Health care needs are defined as part of the individuals plan to ensure the safety of the person when receiving a short stay, but as the stay is usually only for short periods of time, the responsibility remains with the family/relatives. The Staff member on duty had good knowledge of the different needs of the two people on placement, and files showed clear evidence that monitoring is given priority to ensure the well being of people at all times.Relatives are regularly updated. If there is a health issue, or concern during a persons stay the main carer is advised immediatly. One relative said the staff are very good at keeping me informed, which i find helpful as i dont worry. Medication is kept in a locked cupboard and records showed that procedures had been Care Homes for Adults (18-65 years) Page 21 of 33 Evidence: followed. An individual medication sheet is kept for each person using the service. All staff had received the designated training to enable them to safely administer medication when necessary. The two service users stayingat the home at the time of inspection were not being administered medication, so it was not possible to fully assess the current practice. Care Homes for Adults (18-65 years) Page 22 of 33 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. Service users are confident that their complaints and concerns will be listened to sympathetically, and that will be protected from any form of suspected abuse. Evidence: The service has a comprehensive complaints procedure in place, which details that all complaints are responded to within 28 days. Staff was aware of the policy, which clearly advises on the procedure to follow. The manager stated in the AQAA that we encourage everyone using Stonecroft to express there wishes and concerns freely. Staff work hard to build trusting relationships with each person. The record of complaints maintained within the home was seen, which recorded the actions and outcomes as necessary. All service users have been informed about the complaints procedure. This is also on display in the home. There had been one complaint since the last inspection. A service user had made a complaint about not being able to watch sky T.V. Staff tries to assist service users, if they feel they wish to make a complaint. In this instance the person had written a letter. The regional manager responded to their request, explaining why this was not provided in the home. The service has now installed free view T.V to try to address the person’s request. Service users feedback was that they are able to raise any issues and concerns with the staff at all times. The ethos and culture promotes an open transparent approach to complaints. Service users stated that they are listened to and appropriate actions are taken. The staff member on duty showed me several letters/cards stating satisfaction and thanks received by the service from family and carers. Care Homes for Adults (18-65 years) Page 23 of 33 Evidence: The manager was not present on the day of the site visit, but the support worker was fully familiar with the policies and procedures of the home, and the location of all the documents including those relating to safeguarding. Care Homes for Adults (18-65 years) Page 24 of 33 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. Service users are provided with comfortable, well-maintained accommodation that meets the assessed needs of the current people who use the service. Evidence: The unit is decorated and equipped to a good standard and is furnished to try to provide a homely atmosphere. The location and layout of the home is suitable for the service users who are accommodated. There is three comfortable, well-decorated, and furnished single bedrooms. Service users are able to bring a limited number of personalised items with them when having a short stay at Stone croft, and staff make every effort to make them feel at ease, and relaxed as they are aware of the difficulties, some people experience being away from home. There is a large dining/sitting area, which are cheerfully decorated and large enough for service users to socialise. There is also a conservatory area which extra heating as been added, to ensure the facility can be used fully in the winter months. The kitchen was maintained to a good standard of hygiene and cleanliness, and service users were encouraged to clear away after meals. There is one bathroom which has a specialist parker bath fitted. This appeared inappropriate for the type of people using the service. There is one person who has a Care Homes for Adults (18-65 years) Page 25 of 33 Evidence: physical disability who uses the service, but does not require specialist-bathing equipment. When talking to service users and staff about the bath this did not appear to be a concern. They said that the bath was good as it felt safe, and was an enjoyable experience Care Homes for Adults (18-65 years) Page 26 of 33 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. Service users receive care and support from a well-motivated and committed team of staff that ensure that people who stay at Stonecroft receive a service that meets their needs. Evidence: Observation of care practice at the time of inspection suggests that the people are offered assistance in a sensitive and caring manner, conducive to good practice. The level of support being offered was consistent with what was documented in the care plan. One relative said, I have been very pleased with the staff at the home, they always contact you, and update you when necessary. A service user said, the staff sit and talk to you, and they are very friendly. Staff duty rotas demonstrated that staff are available to support people with planned activities, and also the level of individual support each person requires. Extra staff are available at weekends to ensure service users can go out in the community and socialise. The team at Stonecroft is a small group of staff that appear to work well together. The service has good daily recording systems in place to try to ensure staff communicate effectively. The handover sheet was completed in detail with information on financial expenture, medication and any updates in relation to the service users receiving respite. The team usually have an opportunity to meet at weekends, and team meetings and supervision were recorded to show frequency and duration. The rotas seen demonstrated that Care Homes for Adults (18-65 years) Page 27 of 33 Evidence: staffing is consistent with adequate numbers of competent staff being provided to meet peoples needs. Two relief workers were part of the rota, and had been part of the team as cover for sometime. Staff files kept within the home have basic information to evidence that appropriate recruitment checks have been made, but the checks are completed by the personnel based at the head office, which is in Grantham. One member staff stated, I had to wait for my CRB check to come through before I started work. My references were also checked. I think this is a good idea. The service had a completed training matrix, which showed staff had attended mandatory training, and updates as required. The staff member on duty was currently completing the homes induction pack. It was dated and signed when individual sections had been completed. The member of staff had previously worked at the home, but still completed the induction pack to ensure she was aware of any service updates. The manager supports staff to complete an N.V.Q qualification as soon as possible to ensure staff have the knowledge, and understanding to support service users appropriately. The new staff member stated that she was currently undertaking N.V.Q 2. Care Homes for Adults (18-65 years) Page 28 of 33 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 registered manager is committed to providing a service, which takes into consideration individual preferences, and needs; and best meets the interests of the people who use the service. Evidence: Service users spoken to during the inspection said that were happy to stay at Stonecroft. They said that they had found staff to be caring, friendly, kind and helpful. Comments received from both relatives and professionals also expressed positive views about the ethos, and management of the service. One relative stated they like staying there because they listen to peoples views, and try hard to make sure they do the things they want to do. A number of surveys stated that service users benefit from the structure and consistency that the service offers. A clear commitment is made to equal opportunities within the home; the relationship between the service users and the staff is well balanced with interactions observed being appropriate and supportive. Care Homes for Adults (18-65 years) Page 29 of 33 Evidence: The home has appropriate systems and procedures in place to ensure service users are kept safe; as part of the inspection, recruitment, training and supervision records were looked at. Service users financial records, and recording of expenditure was also checked and found to be accurate. Staff are regularly supervised, and the manager is also working with new staff to ensure the induction process includes all mandatory areas of training. The manager of the home has completed the Registered Managers Award (N.V.Q 4) since the previous inspection in 2006, and stated that this had proven to be a useful learning process. The Manager has started to address the need for training relating to the Mental Capacity Act, to ensure staff understand the legislation, and how it may affect the service provided. A sample of health and safety documents was examined and these were up to date. Fire drills and tests of fire systems had been carried out regularly. Portable electrical items and fire extinguishers are checked annually. The monthly regulation 26 reports were detailed, and informative, providing information as to which outcome groups had been addressed, what the findings were and what actions were to be taken to address any identified shortfalls in the service provision. As part of the inspection files were checked to verify that appropriate action was taken both during, and after an incident to ensure service users and staff protection. The service notifies appropriate agencies and the CSCI when a significant event has occurred in the home. Care Homes for Adults (18-65 years) Page 30 of 33 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 31 of 33 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 1 Refer to Standard 1 Good Practice Recommendations Prospective service users would benefit from the statement of purpose being updated to clearly state that exsisting service users over the age of sixty-five only, can receive respite care at the home. Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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