Inspection on 21/10/08 for Sunnyview

This inspection was carried out on 21st October 2008.

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

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

Other inspections for this house

Sunnyview 15/11/06

Sunnyview 10/12/05

Sunnyview 05/10/04

Sunnyview 21/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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: Sunnyview 25 Doncaster Road Ferrybridge Pontefract West Yorks WF11 8NT     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: David White     Date: 2 1 1 0 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: Sunnyview 25 Doncaster Road Ferrybridge Pontefract West Yorks WF11 8NT 01977676530 01977676530 sunnyview@mcare.info Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jean Tovey Type of registration: Number of places registered: Millennium Care Services Limited care home 6 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 Sunnyview is situated in Ferrybridge, with easy access to local facilities and motorway networks. The home provides services to 6 individuals with learning disabilities and associated mental health needs. The home is on two floors, and person has their own room. There is an enclosed garden, which appeared to be well maintained. The home is generally well staffed and people are supported not just in the home but also to access their local community. 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We went to the home without telling them we were going to visit. This report follows the visit that took place on 21st October 2008. The visit lasted from 09:00 until 14:00. 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 different sources for this report. These sources include reviewing information that has been received about the home since the last inspection visit. The manager of the home provided information in their Annual Quality Assurance Assessment (AQAA) questionnaire. Surveys sent out to a health and social care professional were not returned. Care Homes for Adults (18-65 years) Page 5 of 29 During the visit time was spent talking to people who live at the home, the health and safety manager, care staff and the manager and assistant manager. Various records and documents 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 her and the assistant manager at the end of the inspection. At the time of the site visit on 21st October 2008, the fees ranged from 1735 pounds per week upwards. Additional costs are made for hairdressing, activities and toiletries. The previous inspection visit took place on 15th November 2006. What the care home does well: What has improved since the last inspection? The organisation has introduced a new assessment tool that provides more detail about each person who lives at the home. The tool encourages people to be more involved in planning their own care so that care is more person centred to suit their individual needs and preferences. The introduction of Individual Reactive Strategies have helped staff to have a better understanding of peoples behaviour and how to manage this in a way that minimises peoples anxiety and distress. The home has achieved a five star (excellent) rating from environmental health for Care Homes for Adults (18-65 years) Page 7 of 29 their food and hygiene standards. A shelter has been built in the garden area where people can smoke if they choose to do so. A new and more detailed induction workbook has been introduced so that new staff are fully clear about their roles and responsibilities and are supported to meet peoples needs. The home has achieved the Investors in People Award for continuing to look at ways of maintaining and improving the quality of care and services on offer to people at the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 8 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 9 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. Very good pre-admission procedures are in place. This helps in making sure that people who use the service have their needs fully met. Evidence: People living in the home said they were given a range of information before and since moving into the home. This includes updated information about the care and services on offer. The manager said that each person is given a contract on moving into the home and people sign to say this has been agreed with them. Any changes to the contract is explained to the person so they are aware of these. There have been no recent admissions to the home. The care records of those people already living in the home showed that thorough pre-admission assessment procedures had been followed in the past. These assessments were detailed and focused on peoples individuality and their abilities. When a person is being considered for a placement, assessment information is gathered from all available sources and the person who is considering moving into the home and their family are involved in this Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: process as much as possible. The manager said that when someone is referred to the service, staff would go out and visit the person to carry out an assessment of their needs. People are also invited to visit the home to meet the other people living there and staff. The manager said that when a vacancy occurs people who are already living at the home hold a meeting and record their views about the person who is being considered for a placement and their suitability. This enables them to be involved in decision-making about who is admitted to the home. The home has recently introduced the ROSYH (Regional Outcome Systems for Yorkshire and Humberside) assessment tool. This will provide more detail than the previous assessment information and will encourage people to be more involved in the assessment process. This means that the care plan that is developed from the assessment will be more person centred. Care Homes for Adults (18-65 years) Page 11 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 clearly involved in decision-making and make their own choices about how they live their lives. Evidence: The ROSYH assessment tool helps to provide person centred care planning in helping people to achieve their goals. People said that they feel they are involved in their care. One person said, I regularly meet up with my key worker to discuss how things are going. Another person said, we can do what we want with our time. Throughout the visit people could be seen making their own decisions about what they wanted to do and there were good staffing levels to support people to do what they wanted. The care plans are individualised, easy to understand and focus on peoples strengths as well as areas of need. The information includes peoples likes and dislikes and details how the person wishes to be supported in the way they prefer. Care plans look at encouraging people to be independent and to achieve their potential. One person is Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: being supported by staff to move into supported living accommodation. All staff receive training in person centred care and those spoken to had a good understanding of what this entailed. Care plans are regularly reviewed with the person at the home and other more formal reviews take place and involve family and professionals who are involved in the persons care. Where possible care plans are signed by people at the home to show their agreement with what is written in them. A key worker system is in place to enable staff to spend individual time with people. The care plans link well to the risk assessments. The ROSYH tool uses a scoring system to assess peoples progress, areas of need and level of risk. The home has a positive attitude to risk taking and this encourages people to have greater independence. Most people need staff support to go out and staffing levels were good to ensure this happened. Risk assessments were in place for such things as people using transport and to enable people to pursue hobbies and educational opportunities so they can maximise their potential. One person has to have regular blood tests to monitor possible side-effects from the medication they are taking. The risk assessment identified that the person may be at risk of deterioration to their mental health if they do not have the blood tests as the medication can not be prescribed without confirmation from the blood test results that it is safe to do so. A risk management plan was in place to encourage the person to engage with the blood testing regime. The risk assessments clearly indicated why decisions have been made that could restrict peoples choices. An example of this could be seen in one persons care records where it had been identified that the person could be at risk through misuse of monies. A plan was in place to support the person with this and this had been signed to show the persons agreement with the actions being taken. The home had Individual Reactive Strategy plans to identify and manage individual physical and non-physical behaviour. This information was very good and identified possible trigger factors for someones behaviour and indications that the behaviour may be about to happen. This enabled areas of concern to be addressed at an early stage so reducing anxiety and distress to the person and others. The strategy plans also stated what actions were to be taken in response to the behaviour to minimise any risks and was clear about when physical intervention was to be used as a last measure. Individual Reactive Strategy plans and risk assessments were regularly reviewed so that staff were up to date and aware of any changes to the way people were to be supported. People living at the home signed the strategy plans to say that they were in agreement with them. Staff said that on nearly all occasions the use of de-escalation techniques were effective and that physical interventions were only used as a last resort. All staff receive BILD accredited training on the use of de-escalation techniques and physical interventions. One person living at the home said, if I get agitated and upset staff help me to calm down. Care Homes for Adults (18-65 years) Page 13 of 29 Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported very well to follow their chosen lifestyle. Evidence: The care records gave good information about peoples hobbies and interests and staff supported people to pursue these. One person enjoyed computers and had a laptop in their bedroom. There was also a computer in a lounge area for other people to access. People using the service enjoy a range of activity. This included college courses, day centres, shopping, fishing trips and visits to the local pubs and clubs and holidays. A person living at the home said, I enjoy doing my photography course at the college. Another said, I really enjoyed my holiday to Spain. One person said they had recently been to London and another person commented the trip to the Norfolk Broads was very enjoyable. People talked about their nights out to the local pubs. Staffing rotas were flexible and based on the needs of people using the service. This means that Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: people are not restricted in what time they have to return to the home from a night out. One person who lives at the home works with the organisations maintenance team and the person said how much of a positive impact that this had made on their life. Two people who live at the home play for a local football team every weekend and another attends the local gym. Some people enjoy playing on the Nintendo Wi computer. A person living at the home commented we never get bored, there is always something going off. On the day of the inspection visit most people were going out to attend activities. One person liked to go out on impulse but needed staff support to do this. It was observed that there were always enough staff to accommodate this persons wishes at all times. Staff are good at making sure a wide range of peoples needs are met. People are supported with any needs relating to their age, disability, sexual orientation and beliefs. People who live at the home have a mixed range of abilities and this is taken into account when providing support to individuals. People said that they were encouraged to keep in touch with relatives and friends who can visit the home at any time. There are telephone facilities if people wish to contact people through this way. One person is making efforts to cook their own meals but generally people need support from staff with this. The menus showed that there were always different choices of meals at mealtimes with healthy eating options always available. The menu options include food from different cultures. Advice is sought from specialist agencies if needed about any specialist dietary needs. Mealtimes were flexible and people could eat alone if they chose to do so. People using the service said, the food is good, there is always plenty of choice. 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 by a respectful staff team. Evidence: Each persons care plan described clearly how they wished to be supported with their individual needs. During the visit staff treated people in a respectful and dignified manner. People were addressed by their preferred names and staff said they would not enter peoples bedrooms without their permission. People were registered with a GP (General Practitioner), dentist, chiropodist and optician. Referrals to specialist services were made as appropriate. Some people with mental health needs have involvement with the local mental health services. People were encouraged to have an annual health check. People were supported to go the gym and to eat healthily if they chose to do so. Peoples weight was monitored and recorded. Records from health care appointments were very well documented so that staff were clear about outcomes from appointments and any actions they were to take from these to make sure peoples health needs were properly met. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: The medication systems are satisfactory. A new system has been introduced for the storage of individuals medication at the home. Peoples medication is now kept in a locked cabinet in their bedroom. This helps to encourage peoples individuality and to minimise risk from medication errors. Staff currently keep a key for each cabinet and administer medications. Assessments are being undertaken on individuals to assess whether they are safe to look after and administer their medication. 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. Peoples concerns were listened to, taken seriously and acted on. Systems were in place to safeguard people from abuse and staff had a good understanding of these. Evidence: The home had a complaints procedure that clearly detailed how complaints would be dealt with. Copies of this were given to each person living in the home. People using the service were clear about who they would need to speak to if they had any concerns and had full confidence that the management would deal with any issues in a proper manner. The home had received five complaints. These were all made by the same person about another person living in the home. These had been properly investigated within agreed timescales and the complainant was satisfied with the outcomes. The organisation had adapted a new safeguarding adults training plan that incorporated the new local authority safeguarding procedures so that staff had up to date information about their responsibilities in the process. Those staff spoken to had a good knowledge of their roles in reporting suspected or incidents of abuse. Since the previous inspection visit there had been one incident in which abuse was alleged. This was reported to the appropriate authority and investigated. Following this investigation the local authority decided that no further action was needed. People had access to advocacy services if they needed support with decision-making Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: and to make sure their rights were protected at all times. 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 environment was comfortable, pleasant and suitable for the people living there. Evidence: There is easy access to and from the home to accommodate people with mobility problems. Accommodation was over two floors and could only be accessed by stairs so may be unsuitable for people with mobility problems if no ground floor bedrooms were available. There are communal lounges where people can watch television, listen to music or play on the computer. One of the lounges was used as a quieter area if people preferred to relax on their own. There were bathing facilities on each floor with a walk-in shower on the ground floor to support people who have mobility problems with their hygiene needs. The home had a garden area where people could sit out. A shelter had been built in the garden to accommodate people wishing to smoke. People living at the home all said, it is a good place to live, we like it here and staff are good to us. At the time of the visit members of the maintenance team were completing some work on a new cooker that had recently been installed. The home was clean, tidy and well maintained. It had a very friendly atmosphere and there was lots of humour which people enjoyed. One person said, we have a good laugh here. People said they liked their bedrooms, which were personalised to suit Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: their individual tastes. The home employed a cleaner who worked three days a week to help maintain standards of hygiene and cleanliness in the home. The home had recently been given a five star (excellent) rating from environmental health for their food and hygiene standards. There were separate laundry facilities where staff supported people to do their own washing and ironing. Hand washing facilities and soap and alcohol sanitisers were available throughout the home. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive very good support from a well trained staff team who are employed in sufficient numbers to meet their needs. Evidence: The home had a settled staff team, most of whom had worked at the home for a number of years. Those staff spoken to had a good knowledge and understanding of the people who use the service and a person centred approach to meeting their needs. Staffing levels were good at all times. In a morning and afternoon there were at least 4 people on each shift to support the six people living in the home. In addition to this staff worked middle shifts and the assistant manager and manager were on site. Staffing rotas were based on the needs of people using the service and staff worked in a flexible way to accommodate this. One member of staff said, staff morale is great. I really enjoy it. Staff work as a team and team spirit is brilliant. This was evident at the time of the visit and helped to create a very welcoming, friendly and relaxing environment. The majority of staff have either completed or are doing the National Vocational Qualification (NVQ). This helped to ensure that people who use the service receive Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: care from staff with the said the right skills and knowledge. Staff said they received good training to support them in their jobs. One staff member said, training is very good and we are well supported. A new induction workbook had been introduced for staff to complete in their first 12 weeks of employment. The workbook was detailed and helped staff to understand the values and principles of the organisation to prepare them for their new role. The workbook formed the basis for peoples personal development and supervision. Although this booklet was intended for new starters, the manager said that all staff had been given the induction workbook to work through to help keep them updated. Staff received a good range of training that included training specific to the needs of people living in the home such as training about autism. Three staff recruitment files were looked at. In each case all the necessary preemployment checks had been undertaken before people started working in the home. Three of the people who live at the home were involved in the interviewing process for new staff. Prospective employees attended an initial interview and were then asked to have a second interview. At this interview people who are using the service were involved in asking questions to the prospective employee. These questions were available in picture format to help support people with communication difficulties. The decision to employ prospective employees was made by all the people involved in the interview process. This means that people living in the home are involved in decisionmaking about who works at the home. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was very well managed in the best interests of people living there and proper attention was given to their health and safety. Evidence: The registered manager was experienced in running the home and had the required competencies and skills. She was supported in her role as manager by an assistant manager. People who live at the home and staff spoke positively about the manager. One person using the service said, the manager and her assistant are brilliant. A staff member commented the management is very good and supportive, another said, Jean is a brilliant manager. You can go to her at any time about any problem. The home had recently achieved the Investors in People Award for their commitment to improving the care and services on offer. The organisations Head of Care made regular visits to the home to monitor the servicer and made a report of her findings and any actions to be taken from these. The home used various systems to look at ways of improving the service. Questionnaires were sent out to people using the Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: service, relatives and professionals who had involvement with the home to seek their views and action was taken from comments made. At the request of people using the service the questionnaires had been amended so they were more user friendly. House meetings were held regularly to discuss issues about the home and to plan for events. People from the home represented the home in health and safety meetings across the organisation. Feedback from these meetings are incorporated into the day to day running of the home. Staff meetings take place to enable staff to be involved in decision-making about the home. Staff also said they have regular supervision to discuss how their work was going and to identify any training needs. Before we visited the service we received very detailed information from the manager in the homes AQAA (Annual Quality Assurance Assessment). This told us where improvements had been made to the service and what else needed to be done. The self-assessment form (AQAA) told us that the required health and safety checks were up to date and the records looked at confirmed this. Staff received a range of health and safety training and fire safety checks and procedures were carried out regularly and recorded. Monthly health and safety audits are undertaken by the organisation. Staff carried personal alarms in case they needed assistance with a situation. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!