Inspection on 01/10/08 for Tanglewood

This inspection was carried out on 1st October 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 05/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Tanglewood 66 Leaves Green Road Keston Kent BR2 6DQ     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: James OHara     Date: 0 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 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Tanglewood 66 Leaves Green Road Keston Kent BR2 6DQ 01689850642 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Avis Reene Type of registration: Number of places registered: Totem Care Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - Code 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 - Code LD Date of last inspection Brief description of the care home Tanglewood is a large detached bungalow located in the quite residential area of Keston not far from Bromley. The home has its own transport and there are bus routes within walking distance to Bromley and Croydon town centres. Tanglewood provides support for up to six people with learning difficulties. There are currently three people living at the home. Tanglewood is furnished and decorated to a high standard and offers ground floor accommodation making it suitable for people who use wheelchairs. The home has a large lounge, separate dining room, conservatory, activities room, and kitchen and laundry room. All bedrooms rooms are single, five of which have en suite Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 6 Brief description of the care home facilities. To the rear of the home is a large well maintained garden with a decking area and good quality garden furniture. This is very popular with people who use the service in the summer months. The starting fee for a placement at the home is £1650.00 per week, the current fees paid by people living at the home range between £1900.00 and £2120.10 per week. 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 peterchart Poor Adequate Good Excellent How we did our inspection: We spent three and a half hours at the home and talked with one person who uses the service, two members of staff and the registered manager. Records and documents looked at included the homes Statement of Purpose, Service User Guide, contracts, care plans, staff files, training records and health and safety records. Information was taken from a number of surveys returned to the Commission from people who use the service. The home completed an Annual Quality Assurance Assessment to tell us about the Care Homes for Adults (18-65 years) Page 6 of 30 service provided, how it makes sure of good outcomes for the people using it and any planned developments. What the care home does well: What has improved since the last inspection? 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. Care Homes for Adults (18-65 years) Page 8 of 30 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 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 10 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 planning to use the service have good information about the home and they can be sure that the home can meet their needs because their needs are fully assessed before they move in. Evidence: The home has a Statement of Purpose a Service Users Guide that give good information about the home. The registered manager told us that the Statement of Purpose would be kept under review. People who use the service are provided with a copy of the Service Users Guide when they are admitted to the home. The Service Users Guide is completed in words and pictures making it easier for some people who use the service to understand. The home has an admissions procedure. Prospective residents are assessed by the home and care managers from the placing authority to see if the home can meet their needs before they are offered a service. Potential residents are offered an opportunity Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: to visit the home and have overnight stays prior to making a decision to move in. The home opened in January 2008 and three people moved into the home over the period between January and June. One persons file was examined, the person had a number of transitional visits to the home, an overnight stay and a weekend stay before they moved in. The person was supported by their care manager and an advocate. The registered manager told us in the Annual Quality Assurance Assessment that we invite families to visit and to attend transition meetings so we can discuss all aspects of the move. We can then discuss with the new client and everyone else involved if they feel that this is the right home for them. It is imperative that prior to admission that we have completed a full needs and aspirations analysis on any prospective client so that we are fully trained and prepared to care for them once they move in. If we are going to admit a client that has any conditions that staff are unaware of or not experienced in dealing with, we will ensure that they attend relevant training courses prior to the client moving in. People who use the service have written a contract that includes details of the cost and the provision of services and facilities offered by the registered provider. Each person or his or her representative has signed and agreed the contract. Care Homes for Adults (18-65 years) Page 12 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 who use the service can be sure that they are properly supported because care plans and support plans give good information about their support needs and how the home can meet these needs. Risk plans are completed so that people can live as independently as possible. Evidence: The home currently provides support to three people. All of the people who use the service had a recently completed care manager needs assessment. We examined one person’s personal file at random. The file included an admissions profile, a weekly activities time table, health issues and medication information, risk assessments and support guidelines, dietary needs, communication methods, blank incident reporting forms, a body map for recording any marks or bruising, daily diary notes. The file also included a Care and Support Plan this included information on Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: personal care needs, meal preparation, in house tasks and housework, safety awareness, access to professionals, finance, using transport, recreation and leisure and details of family and friends. People also had a pen picture that included their likes and dislikes, do’s and don’ts, a communication passport, family circle, religion, advocates and a copy of the homes complaints procedure. Appropriate risk assessments and support guidelines have been completed for all of the people who use the service. Risk assessments examined had been kept under regular review and the staff team had read and signed that they understood the risk assessments and support guidelines. Care Homes for Adults (18-65 years) Page 14 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 who use the service can be sure that their social and leisure needs are met because they are offered a varied programme of activities that reflects their individual interests. Appropriate arrangements are made so that people can have regular contact with their friends and families. Evidence: People have a varied programme of social activities with an emphasis on using community facilities. People have weekly activity timetables. People attend regular activities such as church, swimming, arts and crafts, aromatherapy, tennis, bowling and cinema. One person Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: attends the Bromley Autistic Club, the Gateway Club and the Victoria and Albert Museum Project. People are also able to use the homes mini bus to go on regular outings. In house activities include cooking, hairdressing and manicures, take away meals and DVD nights and people are also supported to do some housework and their laundry. Two people have reading support and makaton sessions. The registered manager told us that staff is also learning makaton so as to improve their communication skills. The registered manager told us that all of the people who use the service are going on holiday to Cheshire at the end of October. People who use the service hold regular monthly residents meetings. The home has an open visitors policy and staff just ask that people phone ahead of any visit to check that people are at home. The home manager told us that all of the people who use the service have regular contact and visits with their family and friends. One person spends most weekends at her family home. Menus at the home are based on people’s likes and dislikes and health needs are taken into consideration when planning meals. Menus examined included balanced meals with lots of fresh fruit and vegetables. The registered manager told us in the AQAA that the home has have flexible mealtimes and the space for clients to have their meals in private if they so wish, they also encourage clients to invite families to share mealtimes with them in private or with others. The home can provide special diets and resource advice when needed. The home provides a varied, healthy balanced diet and offers this in picture format as well as written. If clients do not wish to eat what is on the menus, they can choose what they like. The home received a four star hygiene rating from Scores on The Doors for good food safety management and a high standard of compliance with food safety legislation. One person living at the home told us they liked living there and they liked their room and furniture. The staff and the manager were friendly. The food was good and they liked going out. Care Homes for Adults (18-65 years) Page 16 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 can be sure that their health care needs are met because medication is well managed by the home and they have good access to appropriate healthcare professionals. Evidence: The registered manager told us in the AQAA that the home provides a comprehensive care plan and a You and your health plan that people keep in their own folder. The home provides a clear and concise medication profile with explanation sheets on each medication. The home has professional visit forms so that vital information is not missed. If the home were going to admit a person that had any conditions that staff are unaware of or not experienced in dealing with, the home would ensure that staff attended relevant training courses prior to the client moving in. The registered manager contacted the Commission in June 2008 for advice on one resident who had previously needed to be restrained in order to have a blood test for thyroid issue. She said that this resident had been restrained in the past at her previous placements but that Tanglewood had a policy not to restrain residents. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: The registered manager told us that the home has worked with the persons General Practitioners and district nurse and have a programme in place where restraint is not used for when blood tests need to be carried out. This information is located in the persons care plan. All staff has attended Team Teach Non Restraint Training. Medication is stored in a locked cabinet in the office. Medication administration records were checked on the day of the inspection and were up to date and accurate. The medication file included individual medication profiles and photos and peoples consent for staff to administer medication. People are registered with a local General Practitioner and have their medication regularly reviewed. People have access to other health professionals when needed such as psychologists, the district nurse, and dentist, chiropodist, dietician, occupational therapy, incontinence advisor, and behavioural therapy and speech and language therapists. One person living at the home has been diagnosed with autism. The registered manager told us that staff would attend training on autism in October and November 2008. The home has the support of a local pharmacist for advice and support. The pharmacist last visited the home in January 2008. During that visit the pharmacist also trained staff on the administration of medication. Care Homes for Adults (18-65 years) Page 18 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 who use the service can be sure that their complaints and concerns are listened to because the home has a clear complaints procedure that that they can understand. People who use the service can be sure that they are protected from harm and abuse because the home has policies in place for safeguarding adults and staff has completed training on adult protection. Evidence: The homes complaints procedure was examined, the procedure was completed in words and pictures making it easier for some of the people who use the service to understand. The complaints procedure explains how to make a complaint, who to make it to, the process undertaken and timescales that the complaint will be dealt within. The registered manager told us that no complaints had been made to the home. A number of comment cards were returned to the Commission as feedback from people who use the service. All indicated that staff had supported them to complete the form and none made written comments about the service however people ticked boxes indicating that they can make decisions about what they do each day, they can do what they want to do, that the home is fresh and clean and staff treat them well and listen and act on what they say. One person indicated that they did not know how Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: to make a complaint. It is recommended that the registered manager discuss the complaints procedure with all of the people who use the service. The home has a book that records suggestion and comments from visitors to the home. There were a number of positive comments and a card about the quality of the service provided. All of the people who use the service have an advocate. Staff training records indicated that all staff had attended adult protection training. The registered manager told us that all staff had applied for safeguarding adults training with Bromley Council. The home has a policy on adult protection, this included the contact details of the Commission for Social Care Inspection however the policy made no reference to contacting the local authorities, Bromley Council, safeguarding adults team in the event of abuse or suspected abuse of people living at the home. The registered manager told us that she did not have a copy of Bromley Council Safeguarding Adults protacol. During the inspection the registered manager accessed this information from the Bromley Council website. The registered manager must develop the homes adult protection safeguarding adults policies and procedures incorporating Bromley Council Safeguarding Adults protacol and relay this information to the staff team. Care Homes for Adults (18-65 years) Page 20 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. The home is well maintained so that people can live in a clean, comfortable and homely environment. Evidence: The home is all on one level and the outside areas are all wheelchair accessible. To the rear of the home is a large well maintained garden with a decking area and good quality garden furniture. This is very popular with people who use the service in the summer months. The home is furnished and decorated to a very high standard; there are six bedrooms, a large lounge, a separate dining room conservatory, an activities room, a kitchen, a laundry room, COSHH room, an office and staff have a private room which provides lockers for their personal items. There is a separate bathroom and a separate shower room. All six bedrooms rooms are single, five of which have en suite facilities. The registered manager told us in the AQAA that people who use the service have been able to decorate their bedrooms with personal belongings, and are encouraged to keep their rooms tidy and clean. Two bedrooms are adapted for wheelchair access. Each room has its own lockable cupboard and drawer and all have their own keys. A Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: card key can be provided for wheelchair users if required. There is a laundry room where staff can support clients to do their own washing. Environmental adaptations and specialist equipment e.g adapted baths, shower trays, hoists, nurse call systems etc are in place to promote independence and facilitate lifestyle choices. All of the people who use the service bedroom doors were wedged open on the day of the inspection, the registered manager told us that this was so that two people who use wheelchairs can access their bedrooms when they liked. The other person has expressed a wish to keep his bedroom door wedged open. The registered manager told us that she has agreed with the provider to install doorguards to peoples bedroom doors. The doorguard would hold the door open and release the door when the fire alarm was activated. The registered manager must complete a risk assessment for keeping peoples bedroom doors wedged open until such times as doorguards are fitted thus reducing the risk of the spread of fire. The home is kept clean and hygienic, and checks are carried out regularly to ensure health and safety requirements are maintained. The bathroom, shower room, laundry area and toilets were well maintained and hygienic with COSHH procedures available to staff and materials retained in a locked room. The home has a washing machine that washes at high temperatures to reduce the risk of infection. Care Homes for Adults (18-65 years) Page 22 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 can be sure that they are safe because there are enough competent well trained staff on duty at all times. They can have confidence in the staff because checks have been done to make sure that they are suitable to care for them. Evidence: There are six full time and three part time staff currently working at the home. The home also has a pool of bank staff that cover additional shifts when required. The registered manager told us that one person living at the home has been involved in interviewing and the recruitment of staff. Staff files were examined and all included Criminal Record Checks, proof of identification, two written references, qualifications, an employment contract, a medical questionnaire and a completed application form and interview questions and answers. All staff has completed a National Vocational Qualification 2 or National Vocational Qualification 3 in care. One senior member of staff holds a National Qualification level 4 in Care and the Registered Managers Award. All staff completed a full induction when they started working at the home and all staff has completed the Skills for Care Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: Common Induction Standards in Social Care. Staff’s training records were examined. These indicated that all staff has attended training on health and safety, moving and handling, fire safety, food hygiene, first aid, administration of medication, adult protection, infection control, non restraint training and working with hoists and slings. The registered manager told us that staff would attend training on autism in October and November 2008. The homes records show that there are regular team meetings and staff receives regular formal recorded supervision. Two senior staff has had an appraisal. The registered manager told us that other staff would receive an appraisal once they are settled in. One member of staff told us the induction was helpful and I have had a lot of training, I am happy to work here and the manager is supportive, I can talk to her about things at any time. Another member of staff told us I completed an induction and get supervision regular, the home is run quite well and I think we have a good team, any hurdles we have come across we have sorted them out. The registered manager told us in the AQAA, we have been fortunate with regards to having plenty of time to recruit our team of staff. We have conducted several recruitment drives where potential employees have been throughly vetted and interviewed. We are happy with our selection of our staff team and each member is proving to be commited to the job and an asset to the succesful running of the home. Care Homes for Adults (18-65 years) Page 24 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 can be sure that their needs are met and wishes are taken into consideration because the home is well managed. Evidence: The registered manager has completed a National Vocational Qualification 4 in care and the Registered Managers Award and holds a Higher National Diploma in Social Science. She has fifteen years experience working with people with learning disabilities, challenging behaviours, physical disabilities and mental health conditions. Prior to opening the home in January she has spent 11 months setting up the home. The registered manager told us that she planned to send out satisfaction surveys to people who use the service, their relatives, professionals and staff in January 2009 as this would be one year after the home opened. Any feedback from the surveys would be used to improve the service. Copies of monthly Regulation 26 Visit reports were available in the home for Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: inspection. The registered manager carries out a regular pre inspection check on the homes systems and administration, this looks at the homes Statement of Purpose, Service Users Guide, medication, finance, staffing records, food and accidents and incidents. This is to make sure that everything is in place should an inspection take place. All staff has attended fire safety training. Weekly fire alarms checks are carried out by the home and full fire evacuations take place every three months. The registered manager told us in the AQAA that the homes electrical circuts, portable electrical equipment, fire detection and fighting equipment, emergency call equipment heating system and gas appliances were checked in June and July 2008. The homes hoists were checked in January 2008. Care Homes for Adults (18-65 years) Page 26 of 30 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 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 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 23 13 The registered manager must develop the homes adult protection safeguarding adults policies and procedures incorporating Bromley Council Safeguarding Adults protacol and relay this information to the staff team. So that people who use the service can be sure that they are safe and protected from abuse. 31/12/2008 2 24 23 The registered manager must complete a risk assessment for keeping peoples bedroom doors wedged open until such times as doorguards are fitted thus reducing the risk of the spread of fire. To reduce the risk of the spread of fire. 30/11/2008 Care Homes for Adults (18-65 years) Page 28 of 30 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 22 It is recommended that the registered manager discuss the complaints procedure with all of the people who use the service. 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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