Inspection on 17/02/09 for Sutton Court

This inspection was carried out on 17th February 2009.

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

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

Other inspections for this house

Sutton Court 23/10/06

Sutton Court 22/11/05

Sutton Court 04/07/05

Sutton Court 30/11/04

Sutton Court 20/07/04

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

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sutton Court 69 Chesswood Road Worthing West Sussex BN11 2AB 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: Annette Campbell-Currie Date: 1 7 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Sutton Court 69 Chesswood Road Worthing West Sussex BN11 2AB 01903234457 01903211071 courthomes@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sutton Court Nursing Home Ltd care home 10 Number of places (if applicable): Under 65 Over 65 10 0 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). The maximum number of service users to be accommodated is 10. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Sutton Court is a care home registered to accommodate up to ten people in the category LD, Learning Disabilities 18 to 65 years. The premises is a converted period house close to Worthing town centre, with access to public transport nearby. Accomodation is provided over two floors and all rooms are single occupancy. The service is privately owned and the registered provider is Sutton Court Nursing Homes Ltd. Mr Ramdin is the registered proprietor and Ms Michele Pretty is the registered manager in charge of the day to day running of the home. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The previous key unannounced inspection was carried out on 23rd October 2006 and an Annual Service Review (ASR) was carried out on 14th February 2008. The current fees are from 800 pounds to 1100 pounds per week. Annette Campbell-Currie carried out the site visit over five hours. Mrs Pretty, the registered manager assisted with the inspection and Mr Ramdin, the provider was also available for discussion. The information and documents required by us (the Commission) were available. There were ten people living in the home at the time, one person moved in recently. The manager completed an annual quality assurance assessment form (AQAA) before the inspection. The AQAA provided information that was used to help plan the site visit. During the site visit most of the people staying in the home were seen and three people were spoken with. Time was also spent with a member of the care staff. Surveys were sent out to people living in the home, staff and health and social care professionals, to find out what people think about the service. The people living in the home returned surveys, eight with help from staff; nine staff and three care Care Homes for Adults (18-65 years) Page 7 of 30 managers also returned surveys. The information gathered has been used to help make an assessment of the service. A tour of the building included communal areas, the kitchen, laundry, bathroom and toilet facilities and a number of bedrooms. The following documents were read: the case records of three people living in the home, the complaints policy and procedure, recruitment records for two recently appointed staff, training records, a sample of medication records and Regulation 26 reports. Time was spent in the dining room at lunchtime and the medication round was observed. The outcomes for people living in the home have been assessed in relation to twenty-three of the forty-three National Minimum Standards for Care Homes for Younger Adults; including those considered to be key standards to ensure the welfare of people living in the home. Care Homes for Adults (18-65 years) Page 8 of 30 What the care home does well What has got better from the last inspection The requirement and the recommendation that were made at the previous inspection have been addressed. Hot water taps have been fitted with safety valves to prevent the risk of people getting scalded. Cracked flooring in the upstairs bathroom Care Homes for Adults (18-65 years) Page 9 of 30 has been replaced. The communal areas of the home have been redecorated and the bathroom on the first floor has been refurbished and now has a shower in the bath. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 10 of 30 If you want to speak to the inspector please contact Annette Campbell-Currie 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. 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 11 of 30 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 12 of 30 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 . People have the information that they need about the home in a format that they could understand. People have their needs assessed before a decision is made about them moving to the home. Evidence: Everyone in the home has a copy of the service user guide and key information is provided in symbol format to assist people who use this form of communication. The information includes details about the service provided by the home and how to make a complaint if things are not going well. The manager said that people would only be admitted to the home following a comprehensive assessment of their needs. Nine of the people living at Sutton Court have lived there since the home first opened. The manager explained the assessment process for the person who has recently moved to the home. The provider and manager went to meet the person at his previous home and gathered information from the staff who worked with him. Information was also obtained from other health and social care professionals who Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: know him to make sure that staff at Sutton Court could meet his needs and that there would be compatibility with the other people living in the home. Mr Ramdin explained that he made sure that he had completed an assessment form that included details of the persons needs and that there is not yet a copy in the case file. There were copies of the assessment carried out by the social worker involved in the persons placement at Sutton Court. The manager explained that staff from the persons previous home had helped him to move, bringing his possessions to help him settle into the new room. Previous care staff worked closely with staff at Sutton Court to help the person when he moved in and to ensure that his care needs would be clearly understood by the new staff team. The manager said that people interested in moving to the home have the opportunity to visit and have over night stays to make sure that Sutton Court would be the right place for them. This was the case for the person who had moved in recently; there were two day time visits and then an over night stay before a decision was made. Care Homes for Adults (18-65 years) Page 14 of 30 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 have a plan of care that is kept under review and updated as required. People are supported to make decisions about their lives and to take risks as part of an independent lifestyle. Evidence: There is a care planning and review process. Each person has a detailed care plan drawn up from information gathered before they moved to the home and from observation of their needs. The case records of three people were read and included detailed guidance about every aspect of the persons physical, emotional and mental health care needs. There was detailed guidance to staff about the way people need or prefer their care to be provided. The manager said that everyone living in the home is able to express their wishes or indicate their agreement to a certain course of action about some aspects of their daily life. Care plans are signed to show their agreement to the contents by those who are able to do so. Care plans are reviewed on a three monthly basis and updated according to peoples changing needs. There was evidence on the case records seen to Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: show that peoples care plans had been reviewed. Staff from the local authorities that fund the placement carry out an annual review and one person spoken with said that he had been involved in this meeting. The manager said that she is in the process of transferring the care plans to a new format that provides the same detail but will be easier to update, as peoples needs change. Copies of the new care plans were seen and were typed with all the detail and guidance staff would need. Information in the case records included comments about peoples religious wishes. Staff who returned surveys and the person spoken with said that they have the information that they need about people to provide good care. A new member of staff was spoken with briefly and she said she was being supported to get to know people she would be providing care for and all the information she would need is in the care plans. It was not made clear in the care plans about each persons level of understanding and ability to make informed choices or to give their consent to major decisions made on their behalf by others. The provider said that all staff would be attending training sessions on the Mental Capacity Act and the implications for people living in the home. It was clear that people are offered choices in their day-to-day lives and the activities they wish to take part in, this was observed during the day as people were being supported to go out if they wanted to. The manager said that some people in the home have advocates to support them to make decisions about their lives. The staff team have a commitment to promoting independence and community presence for people living at Sutton Court. The case records showed that risk assessments had been carried in many aspects of peoples daily lives where a risk had been identified. Guidance had been provided about ways to minimise the risks so that people could maintain as much independence as possible. A risk assessment had been carried out for one person about going to the shops independently. Guidance was provided to staff and the risk had been reviewed with no changes made. Care Homes for Adults (18-65 years) Page 16 of 30 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 are supported to take part in activities of their choice and to pursue leisure activities that they enjoy. People are supported to maintain contact with relatives and friends. People are provided with a nutritious and healthy diet. Evidence: A range of activities is available including attendance at day centres, college courses, evening clubs, swimming and horse riding. Each person in the home has an activity programme. Some time each week is spent one-to-one with a member of staff. A copy of the weekly activity programme was in each case file and one-to-one time had been identified each day. The manager said that people can choose how to spend this time and some activities are available in the home including arts and crafts, games, puzzles and cooking. The manager was advised to include some guidance about how the one-to-one time should be spent and which member of staff would be allocated, so that this time would Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: provide a valuable experience for the person. People are supported to use community facilities and access local shops and cafes. The manager said that they encourage and support people to use local community activities rather than exclusively using services that are set up for people who have disabilities. Thought is being given to the provision of alternative activities at times when college courses or day centres are closed or not available. One person is assisted to attend a local church each Sunday and is involved in some of the social activities there. People have the opportunity to have a holiday away from home each year if they choose to. The manager said that some people prefer to stay at home and have outings of their choice arranged instead. People are supported to maintain contact with their families. The manager gave an example of support that has resulted in healing a rift between two family members. There are policies regarding supporting people with close friendships or intimate relationships. The case records seen showed that this aspect of a persons life is taken into account in care planning. It was evident that one person had received additional support and counselling from a professional in the local specialist multi disciplinary team regarding sexuality and relationship issues. There is a philosophy of respect and an awareness of peoples rights among the staff team at Sutton Court. Efforts are made to make sure that people have the opportunity to fulfil their potential and have the lifestyle they choose. People living in the home take responsibility for keeping their rooms clean with staff support. Residents meetings are held monthly and minutes kept. Issues affecting everyone in the house are discussed in this forum so that people can contribute their views. A nutritious diet is provided and the manager said that each Friday afternoon staff sit with everyone in the home to discuss the menu for the following week. There is always an alternative meal available. Care staff are responsible for preparing and cooking the meals and the main meal of the day is taken in the evening when everyone is at home. All staff who prepare food have attended a food hygiene course. Some people living in the home are able and interested in helping with food preparation and clearing up. Risk assessments were seen on file for some people who would be at risk in the kitchen. The manager said that often on Saturday afternoons there is a cake making activity that takes place in the dining room so everyone can join in if they wish to and later enjoy eating the food they have cooked. Peoples weight is monitored to make sure that any problems would be identified at an early stage. Care Homes for Adults (18-65 years) Page 18 of 30 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 . People receive the personal and healthcare support that they need. Medication policies and practices protect people living in the home. Evidence: The care plans that were read showed that peoples personal care needs and wishes were noted with clear guidance to staff. Where certain aspects of care should be provided specifically by a male or female carer, this was noted. Comments on one persons care plan were: staff to run her bath and assist X with washing her hair. X will continue to wash herself. Xs toiletries must not be left unattended as she will throw them away and/or water them down. X will choose her own clothes. Healthcare needs were noted with records of visits from the general practitioner (GP) and visits to the dentist, optician or chiropodist. Copies of letters on file showed that people are referred for specialist medical input as required. The manager said that the home works well with the local specialist team for people who have a learning disability, although sometimes decisions can take a long time to be made. Some people have visits from a community psychiatric nurse to provide support with mental health issues. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: It was clear that staff monitor peoples health and take action when needed. A note on one persons file said: Female staff to check X daily as to any infections as X has suffered from this in the past and ensure all care is given as necessary. Medication is stored in a lockable facility and all staff who administer medication have attended training. The medication round at lunchtime was observed and a sample of records checked. A local pharmacy provides advice and an annual check of the medication practices in the home. The manager said that none of the people living in the home have been prescribed controlled medication. If this situation changes then the home must ensure that storage facilities for controlled medication meets current legislation. Care Homes for Adults (18-65 years) Page 20 of 30 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 . People can be confident that their concerns and complaints will be listened to and acted upon. There are measures in place to protect people from harm or abuse. Evidence: There is a complaints policy that is provided in symbol format for people who understand this form of communication. The manager said that it is easier for the people living in the home if staff communicate directly with them to help them raise concerns or issues. There is a system for recording and investigating complaints. The Commission received one complaint regarding the home in the past twelve months. This was investigated by the home and no further action needed to be taken. The home follows the West Sussex multi agency safeguarding policy and procedure. All staff have attended training in safeguarding vulnerable adults so that they are clear about their responsibilities to report any concerns that abuse may have occurred. The home seeks the advice of specialist staff in the local multi disciplinary team for people who have learning disabilities regarding managing challenging behaviours. Guidelines were seen on some care plans so that staff are clear about the way to protect the person and others in the home in the event of an incident. Care Homes for Adults (18-65 years) Page 21 of 30 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 . People live in a comfortable, safe and well maintained home. Evidence: The environment is comfortable and meets the needs of the people living there. There is an ongoing programme of maintenance and refurbishment. The communal areas have been re-painted and new flooring has been laid in some areas of the home. The manager said in the AQAA that all the equipment is serviced as required and that the home meets the requirements of the fire and environmental health departments. New radiator covers have been fitted to radiators in the hallway. The manager was advised to ensure that risk assessments are carried out in other areas of the home where unprotected hot radiators could present a risk of burns especially for people who have mobility problems. Several people in the home are smokers and a room has been designated as a smoking room; there is direct access to the garden from this room. There is a garden for people to use in good weather and new furniture has been purchased to make it a pleasant area for people to sit and relax. A member of staff is employed for domestic duties in the mornings. At other times Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: care staff carry out cleaning duties. The home was clean and free from offensive odours. Care Homes for Adults (18-65 years) Page 23 of 30 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 are supported by trained and competent staff. The recruitment process protects people living in the home. Evidence: Samples of the staffing rotas were seen and showed that there are three or four care staff on duty in the mornings and two or three in the afternoons. Day time staff work until nine oclock at night so that evening activities are covered. The manager is available on weekdays and said that she gets involved in the day-today care of people in the home so that more opportunities are available, for example for trips out. There are two staff on duty at night, one person waking and the other sleeping and on call. The manager said that additional staff could be called on for activities where more staff might be needed. Staff from other homes in the group also share some of the driving and provide cover at times. The home does not use agency staff who would not be aware of peoples needs. The home operates a thorough recruitment process. People interested in working in the home complete an application form and if they are short listed and attend for an interview the manager makes sure that everyone in the home has an opportunity to meet them on an informal basis. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: The recruitment records for two newly appointed staff were seen. The manager was advised to ensure that a full employment history is requested in line with current requirements so that all gaps in employment can be explored. The manager said that she asks people during the interview about their full employment history and the reason for any gaps. The records seen showed that two written references had been received for each person and that an enhanced Criminal Record Bureau (CRB) had been received before the person began work in order to protect people living in the home. A new induction process is being introduced. This new programme will meet the Skills for Care standards and will include elements of learning relating to working with people who have a learning disability. There is an ongoing programme of training and staff working in the organisation attend training in small groups so that they have an opportunity to exchange views with colleagues working in other homes. Every member of staff has two days training that they are paid to attend every eight weeks. Training topics include: working with people who have epilepsy, dementia and people who have learning disabilities, safeguarding and adult abuse, mental health issues, equality and diversity rights, the role of the support worker and working with people who have challenging behaviours. These subjects are in addition to the mandatory health and safety training. There have been some changes in the staff team and currently two of the twelve staff have achieved a National Vocational Qualification (NVQ) at level two or above. The manager said that all other staff will be registered for the award through Chichester College. A senior care worker is studying for an NVQ at level four. Care Homes for Adults (18-65 years) Page 25 of 30 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 . People benefit from living in a home that is well run. Peoples views are taken into account in the development of the service. The health, safety and welfare of people living in the home and of staff are promoted and protected. Evidence: Mrs Pretty has been managing the home since it first opened nine years ago. Mrs Pretty has achieved the Registered Managers Award (RMA) and has the skills and experience to run the home well. She is committed to her own ongoing training and development and said that the organisation is good at supporting managers and providing training that will meet their needs. Mrs Pretty also said that managers of all the homes meet on a regular basis and this provides a forum for them to exchange ideas and keep up to date with new legislation and good practice. Mr Ramdin visits the home regularly and provides support and encouragement to the manager and the staff team as well as keeping in touch with the people living in the home. There are quality assurance systems in place including written reports of Regulation 26 Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: visits carried out by the provider. Questionnaires have been devised in a format that people living in the home can understand and these are completed once a year. The manager said that it is easier for most people to communicate directly with a member of staff to give feedback about how they feel about their life in the home. Residents meetings are held each month and minutes of the meetings are kept. It was clear that the views of people in the home are taken into account as part of the development of the service. Health and safety measures are in place to protect people living in the home and staff working there. Equipment is serviced as required and a fire risk assessment has been carried out. All staff have attended training in health and safety topics. Incidents are recorded and monitored. Risk assessments were seen on individual case files to show that risks are identified and measures put in place to minimise risks. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 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 30 of 30 - 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!