Inspection on 11/11/08 for Sunnydale

This inspection was carried out on 11th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunnydale 15/11/06

Sunnydale 11/12/05

Sunnydale 23/08/05

Sunnydale 07/09/04

Sunnydale 04/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sunnydale Pontefract Road Featherstone West Yorks WF7 5HG     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: David White     Date: 1 1 1 1 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. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 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.csci.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: Sunnydale Pontefract Road Featherstone West Yorks WF7 5HG 01977790579 01977790579 sunnydale@mcare.info Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Millennium Care Services Limited Type of registration: Number of places registered: care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Sunnydale is a registered home, which supports 9 younger adults with a learning disability who may also present challenges to the service. The home is situated in the heart of the community on the main road in the village of Featherstone. There is a good range of local facilities nearby and there is good local transport as well as the home having its own transport arrangements. The company also provides a day resource centre within Featherstone, as well as arranging college courses, voluntary work placements and activities of choice. The home provides single bedroom accommodation for each person and all are welcome to bring their personal possessions. Communal space is of a good size with opportunities for quiet time as well as socialising with others. The service provider ensures that information about the service is available to people who are thinking about moving into the home and those who are already living there by way of the homes Statement of Purpose, the Service 9 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home User Guide and through CSCI (Commission for Social Care Inspection) inspection reports, which are available within the home, and upon request to Millennium Care Ltd. 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 peterchart Poor Adequate Good Excellent How we did our inspection: We went to the home without telling them we were going to visit. This report follows the visit that took place on 11th November 2008. The visit lasted from 09:15 until 15:00. The purpose of the visit was to make sure that the home is operating and being managed in the best interests of people living there. Information has been used from various sources for this report. These sources include reviewing information that has been received about the home since the last inspection visit. Prior to the visit information was provided by the manager on an Annual Quality Assurance Assessment (AQAA) questionnaire. Surveys were returned by people living in the home, staff who work there and a health and social care professional who visit the service. Care Homes for Adults (18-65 years) Page 6 of 29 During the visit time was spent talking to people who live at the home, care staff and the manager. There was observation of how staff interacted with people. Various documents and records were looked at and some areas of the home used by people living there were visited. The manager was available throughout the visit and the findings were discussed with him at the end of the inspection. At the time of the site visit on 11 November 2008, the fees ranged from 1371.05 pounds per week upwards. Additional costs are made for hairdressing, reflexology, activities and toiletries. The previous inspection visit took place on 15 November 2006. What the care home does well: What has improved since the last inspection? What they could do better: Staffing levels could be improved so that they consistently ensure that peoples needs are fully met. The new manager could undertake a management qualification to help enhance his Care Homes for Adults (18-65 years) Page 8 of 29 managerial knowledge and skills. 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Thorough pre-admission procedures are in place to make sure that people are only offered a placement at the home if their needs can be safely met. Evidence: The home has not had any new admissions since the previous inspection visit. At the last inspection the pre-admission procedures were found to be very good to ensure that people only moved into the home once a thorough assessment had been undertaken to show that their needs could be met. The manager said that on receiving a referral to the home he would visit the person and carry out a thorough assessment of their needs. Information would also be obtained through various other sources such as the placing authority so that the home were clear about whether they had the resources to meet the persons needs. People are invited to have a look around the home before moving in there. People already living in the home would be asked for their opinions about the persons suitability prior to a decision being made about whether to admit the person to the home. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The home is in the process of introducing the ROSYH (Regional Outcome Systems for Yorkshire and Humberside) assessment tool. This tool will provide more personal information about individuals so that care can be planned in a more person centred way. This takes into account peoples individuality about such things as their age, disability and sexual orientation. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to make their own choices about how they live their lives whilst at the home. This is supported by the care planning systems that take into account any risks from this. Evidence: Each person has an individual personal plan that clearly details their needs and how these are to be met. The planned introduction of the ROSYH assessment tool in December 2008 will link into new care planning and risk assessment documentation. This will provide more personal information about individuals to provide more person centred care planning. Staff said they had seen the new documentation and felt this provided more information about people and this would give them a better understanding of each persons individual needs. The care plans that were looked at contained the previous care planning documentation. They focused on peoples strengths and areas of need. The care plans Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: specified how people were to be supported to maintain and develop their independence. One person has epilepsy and their care plan documented clearly how support was to be given. There was some evidence that people had involvement in planning their care but this will be further enhanced through the new assessment tool. Care plan reviews are regularly held and involve the person using the service, relatives and professionals involved in the persons care. A survey returned by a social care professional said, care plans are regularly reviewed by all parties. People said that they could choose their own daily routines. One person was having a lay in bed at the time of the visit and got up when they chose to do so. Each person has a life skills day when they do self-help tasks such as cleaning their bedroom and shopping. Staff could be seen throughout the visit to be offering choice to people and encouraging them to make their own decisions. Those staff spoken to had a good understanding of peoples needs. Surveys returned by staff members indicated that they are always given up to date information about peoples needs and handover periods take place between shifts so that information can be passed on between staff. The care plans link well to the risk assessments. A range of individual risk assessments are in place to support people with their independence and safety. The risk assessments show why decisions have been made where restrictions could be placed on people. Risk assessments are regularly reviewed as needed to reflect any changes. In some cases Individual Reactive Strategy plans are in place for individuals. These plans provide good information to staff about signs that someones behaviour is deteriorating and actions to be taken in response to this. Staff said that in most situations de-escalation techniques are effective in helping to minimise any risks from peoples behaviour. The strategy plans clearly state when and how physical intervention is to be used. Staff said this is only used as a last resort and in most situations is not needed. All staff have had Timian training on the use of de-escalation and physical intervention techniques. A social care professional survey said, the home is good at understanding behaviours and devising strategies to modify behaviour that challenges the service. A health professional who visits the service commented the home is good at managing complex behaviours in a restrictive environment. People who live at the home said that staff treated them in a respectful way. At the time of the visit a reflexologist was visiting the home and provided treatments to people in private. The home has links with advocacy services so that people can access them for support with their decision making if they so wish. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a lifestyle to suit their needs. More consistent staffing arrangements would help in making sure that peoples social needs are met at all times. Evidence: People who use the service enjoy a range of activities. This includes day centres, fishing trips, shopping, pub visits, outings and holidays. One person helps out at a local newsagents. On the day of the visit arrangements were being made to take someone to the cinema. Some people had been abroad on holiday whist others had enjoyed breaks to London and Blackpool. Plans had already been made for people to go on a fishing trip to France next year. Events such as birthdays are celebrated as had been demonstrated the previous evening when all but one person from the home, staff and relatives had been out to the pub to celebrate somones birthday. One of the people at the home enjoys fixing things that are broken and has involvement with the Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: homes maintenance team. The home has an activity board to display forthcoming events and peoples achievements and has their own transport to support people to go out. Staffing levels are planned to accommodate peoples needs. However surveys returned by people at the home told us that because of staffing shortfalls they had not always been able to get out as much as they wanted, especially at weekends. People living at the home who were spoken to at the time of the visit said that this can be frustrating. People are encouraged to maintain relationships with their family and friends. One person said, staff take me to see my relative every week. Relatives and friends can visit the home whenever they want and are able see their relatives in private if they wish. Meals are planned with each individual. The individual then goes out with a member of staff to do their own food shopping. Staff do most of the cooking and people are able to have alternative meals if they change their mind about what they want to eat. People living at the home said they enjoy their meals. Healthy eating options are encouraged. One person is wanting to lose weight and staff have developed an incentive scheme to help the person to achieve their goal. Care Homes for Adults (18-65 years) Page 16 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. Peoples personal and health care needs are well met. Evidence: Peoples support plans detail the type of support that people need. People living in the home said, we are treated well and staff are respectful. Staff could be seen interacting with people in a calm and sensitive way. A survey returned by a health professional commented all attempts are made to maintain privacy and dignity. The care records contain good information about peoples health needs and health professionals that people see. Each person has a GP (General Practitioner), dentist and optician and a chiropodist visits the home. Referrals are made to specialist services as needed. A health professional who visits the home said, the home is usually good at seeking advice. Visits to appointments are well documented so that staff are clear about the reasons for the appointment and outcomes from them. One person at the home said, staff come with us to attend appointments. The organisation employs a nurse co-ordinator to assist the manager with any health issues at the home and people are encouraged to have annual health check ups. A survey returned by a social Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: care professional said, I am very happy with the care provided. Most of the bedrooms have been fitted with a locked medication cabinet to enable medication to be stored in there. All medication is currently administered by the staff team who have been trained to do so. The home had a recent incident where one type of medication could not be accurately accounted for during a monthly audit check. This was investigated by the manager and the reasons for the error were found. Since then measures have been put in place to minimise the risk of further incidents. Weekly medication checks are now undertaken. The introduction of the medication cabinets in individual bedrooms has made the medication process more personal and reduces the risk of medication errors. A random check of two peoples medication tallied with the records. Care Homes for Adults (18-65 years) Page 18 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. Proper systems are in place and are followed to make sure that any concerns are listened to and acted on to protect peoples interests. Evidence: People who live at the home said they would know who to speak to if they had any concerns. They are given a copy of the complaints procedure to help them with this. Since the previous inspection visit the home had received 1 anonymous complaint about some medication issues. This had been fully investigated and no further action was needed. The home has up to date safeguarding policies and procedures. Staff receive training on how to safeguard people from abuse and this is updated as needed. Staff spoken to were aware of their responsibilities in reporting abuse. Since the previous inspection visit there had been one incident which required safeguarding procedures to be followed. This matter was passed onto the appropriate authorities so that any actions could be taken to keep people safe. Staff support people to manage their own monies. People have their own personal bank accounts and cash cards. They receive monthly statements about their finances from the bank. Monies that are held by the home are accurately recorded and receipts are kept of any incoming and outgoing monies. People who use the service sign for Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: any monies that they withdraw from monies that are held by the home on their behalf. 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 home provides a clean and comfortable environment for the people who live there. Evidence: Accommodation is over two floors and can only be accessed via stairs so would not be suitable for people with mobility problems if neither of the two bedrooms on the ground floor were available. There is level access to the home via the rear yard so that people with mobility problems could visit. People are able to sit out at the back of the building and there is a shelter area to accommodate people wishing to smoke. People have their own bedrooms with sinks in them. Bathroom and shower areas are available on both floors of the home. New carpets have recently been fitted to communal areas and the downstairs bathroom has been newly decorated and the lighting has been updated. People said they liked the improvements and commented that they had made the home look more modern and brighter. One person recently took their wallpaper off their bedroom wall. With the support of the maintenance team the person has re-decorated their bedroom to suit their tastes. Since that time there have been no further incidences with the person. Bedrooms are personalised and people can have their own bedroom key if they want to. Each person spoken to said that they like living at the home. One person said, it is nice, I like living here. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Three surveys returned by people living in the home indicated that it was not always fresh and clean. On the day of the visit there was no evidence to support this and people who lived there said, staff keep the home clean. The home had employed a cleaner in the past but this post has been vacant for some time so in the meantime staff are undertaking cleaning duties. The home has recently achieved a five-star rating (excellent) from environmental health for their food and hygiene standards. 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 receive good support from a staff team with the right knowledge and skills to meet their needs. Staffing shortfalls mean that peoples needs are not always fully met. Evidence: Staffing rotas are planned around peoples needs. The staffing rotas showed that there are usually four or five staff on duty through the day to support the nine people who live at the home. People sometimes work middle shifts during the day. At night there is a waking member of staff and another member of staff who sleeps on the premises. Staff said that seven of the nine people at the home needed 1:1 support to go out. Another person needed three staff to be in the house when they were staying in. In recent months there have been a number of staff changes through staff leaving. One staff member said that the recruitment of new staff had made a positive difference to the home. Of the four surveys returned by people living in the home, three said that there are not enough on duty. One person said, there are not enough staff to support us two other people said, more staff are needed. People spoken to during the visit commented that staffing shortfalls meant they could not always get out when they wanted to, especially at weekends. Staff also said, staffing improvements Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: are needed. The lack of staff particularly on some weekends make it difficult for people to have individual activities. Staff commented that they often work extra hours and pool staff are used to cover vacant shifts. In addition to support and care duties, staff have also been doing cleaning and cooking tasks for some time as the home has not been able to appoint a cook/cleaner. This reduces the amount of time they are able to spend with people at the home. The manager did say that some new members of staff had been recently recruited and that this would help to improve the staffing levels, however, some other staff were leaving. Whilst the staffing shortfall needs addressing, it was clear that people do receive good care from a staff team who are committed to meeting their needs. Staff said morale is good. One staff member said, it is a nice relaxed place to work. Recruitment is properly managed by the home. Interviews are held and references and CRB (Criminal Record Bureau) checks are obtained before new staff start working at the home. Records of the interview are kept in staff files to show how decisions were reached. This shows the organisations commitment toward equality and nondiscriminatory practices. One person who lives at the home has been involved in the recruitment process for new staff and is part of the interview panel. The person attended an external course to prepare them for this role. Staff receive a good range of training to support them with their jobs. Some staff are in need of updated training and the training records showed that this had been arranged. One member of staff said, we have really good training. This includes training specific to peoples needs. The home has an ongoing NVQ (National Vocational Qualification) programme so that staff have up to date skills and knowledge to provide good support to people. The home has introduced a new induction booklet for staff to complete in their first twelve weeks of employment. This helps them to understand their responsibilities and the values and principles of the organisation. Staff said there had been improvements with the supervision arrangements and they are now having regular supervision to support them in their job and with their training needs. 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 home is run in the best interests of the people who live there and proper attention is given to maintaining their health and safety. Evidence: Since the previous inspection visit a new manager has taken over in post in July 2008. He has applied to register with the commission as manager of the home. The manager has no previous management experience and said that he is planning to undertake training to achieve a management qualification to help develop his knowledge and skills in management. People living at the home and staff were complimentary about the progress made by the manager since his arrival. A member of staff said, the environment seems a lot calmer and this was reflected in a reduction in the number of incidents in the home. Another staff member commented Neil is absolutely brilliant and will help in any way he can. Verbal and written evidence showed that the manager has a person centred approach to care that encourages people to make their own decisions and have control over their lives. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The organisations quality assurance system has recently been recognised with the Investors in People Award. This acknowledges the commitment of the organisation to improve the quality of life for people who use the service. The home has various systems in place to monitor and improve the service. The organisations Head of Care makes monthly visits to the home and reports on her findings. These reports were looked at and areas for improvement had been acted on. House meetings are held with people living at the home. These involve discussion around such things as menu and activity planning. Relatives and professionals are involved in care plan reviews and are encouraged to offer their views and opinions. Questionnaires are also sent out to people so that any areas for improvement can be addressed. Regular staff meetings enable staff to be involved in decision-making about the running of the home. The home has good systems in place to maintain peoples health and safety. The selfassessment form (AQAA) completed by the home indicated that all the required maintenance and safety checks were up to date and a sample of these records confirmed this. Staff receive health and safety training and updates are given as needed so that they are up to date with current and safe working practices. The organisation has a health and safety officer who carries out monthly audit checks. This compliments weekly environmental and medication checks that are undertaken by the manager. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 33 18 Arrangements must be put in place to make sure there are sufficient numbers of staff on duty at all times. This will help to ensure that there are always enough staff to fully meet peoples needs. 11/02/2009 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 1 37 The manager should undertake a management qualification in order to enhance his managerial skills and knowledge. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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