Inspection on 04/12/08 for The Green

This inspection was carried out on 4th December 2008.

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

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

Other inspections for this house

The Green 17/01/07

The Green 09/02/06

The Green 18/05/05

The Green 01/03/05

The Green 09/09/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Green Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ     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: Julie Willis     Date: 0 4 1 2 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 28 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 28 Information about the care home Name of care home: Address: The Green Nine Mile Ride Ravenswood Village Crowthorne Berkshire RG45 6BQ 01344755568 Telephone number: Fax number: Email address: Provider web address: green@norwood.org.uk Name of registered provider(s): Name of registered manager (if applicable): Norwood Ravenswood Ltd T/A Norwood The registered provider is responsible for running the service care home 15 Type of registration: Number of places registered: 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: 15 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 disabiilty (LD) Date of last inspection Brief description of the care home The Green cares for 15 adults with learning disabilities. It is set in Ravenswood Village, which is a community operating within the Jewish faith, although it also caters for nonJewish residents. The home is unique in that it is a complex of individual bungalows built around a green, with a separate building that provides the communal facilities of the home, including the lounge and dining space, laundry and kitchen. The current fees at the time of inspection were from 39.000 to 67.644 per annum. Care Homes for Adults (18-65 years) Page 4 of 28 15 Over 65 0 Care Homes for Adults (18-65 years) Page 5 of 28 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: This inspection of the service was an unannounced key inspection. The inspector arrived at the service at 11:30am and was in the service for five hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the services Manager and any information that CSCI has received about the service since the last inspection which took place on 17th January 2007. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for staff, residents and visiting professionals. Any replies were used to help form judgments about the service. Consideration has also been given to other information that has been provided to the commission since the last inspection. Care Homes for Adults (18-65 years) Page 6 of 28 The inspector toured the building, examined records and met many of the residents. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen and comments received the inspector considers that this home has a good awareness of equality and diversity issues and would be able to provide positive outcomes for residents in the areas of race, ethnicity, age, gender, sexuality, disability and belief. The inspector gave feedback about her findings to the Senior person on duty at the end of inspection. There were no legal requirements or good practice recommendations made as a result of this inspection. The Commission has received no information concerning complaints or safeguarding issues about this home since the last inspection. 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. 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 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are fully assesswed before admission to ensure their needs can be met by the home. Evidence: From examination of documentation and discussion with staff it is clear that the home has a comprehensive admissions policy in place, which details the holistic assessment undertaken prior to new residents admission. It is evident that the Organisation understands the need to fully involve the person to be admitted, their families, advocates and a multi-disciplinary team of professionals. The assessment ensures that the facilities, staffing and specialist services provided by the home can meet the cultural, ethnicity and diversity needs of the individual and that staff have the skills knowledge and experience to effectively meet the residents need. The service is efficient in obtaining up-to-date information about each person using the service. It insists on receiving a copy of the Care Management needs assessment and Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: care plan at the time of referral. The AQAA states that three people have been admitted to the home in the past year. Files for two of these residents were sampled during the site visit. They were both highly individualised. Information contained within the files evidenced that the residents had moved from other homes within the village. The transition process for their move had been well managed and it was clear that the residents were involved in the process and had been involved fully in the decision to move to the Green . Where necessary, an external advocate had been provided to the resident by Webcas to assist in the decision making process. Care Homes for Adults (18-65 years) Page 11 of 28 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. Residents needs are reflected in their individual care plans and they are encouraged to make decisions and take risks as part of an independent lifestyle. Evidence: Examination and case tracking of two peoples care plans evidence that the records were up to date and well documented. It was evident that the staff had tried to involve people that use the service in the care plan process from the outset and their input was clearly recorded in the case files. If people need someone to advocate on their behalf assistance is sort from appropriate organisations to provide the support needed and their input was clearly documented. The care records were comprehensive and holistic in detail and provided sufficient information for staff to provide the appropriate care. Discussions with people living at the home confirmed that they had helped to write Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: their care plans and had agreed the content with their keyworker. The home carefully follows the principles of person-centred planning and people are involved fully in all aspects of their care. The IP (individual plan) included personal goals and objectives, lifestyle opportunities and copies of reports that detail the residents progress and participation in various activities. The personal programs and goals had been jointly agreed between staff and residents and appeared realistic and achievable. The personal goals are split into short term, mid term, and long term goals. In the case of one resident these were to purchase a double bed, to undertake road safety training and to participate in a charity bike ride in South Africa like several of their friends. From examination of documentation and discussion with staff it was evident that the home positively encourages people to develop independence and to learn life skills. This has lead to a degree of risk taking. The content of care plans evidenced that people are supported to take risks as part of their every day lifestyle and to experience new things. These risks have been fully assessed and guidelines have been put in place to minimise the risk to people using the service. Any limitations on freedom that had resulted from the risk assessments had been agreed and set with the individual resident. People are fully supported to make decisions about their everyday lives and are encouraged to make new friendships and develop personal relationships. The people that use the service confirmed that they are encouraged to make choices and are supported in their decisions by the staff. All of the residents are supported to manage their own money and make choices as to how they spend it. Care Homes for Adults (18-65 years) Page 13 of 28 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 that use the service take part in activities that provide opportunity for personal, practical and emotional development and are encouraged to be a part of the local community. People are provided with a menu that is nourishing, varied and meets their individual and cultural need. Evidence: It is evident that the home positively promotes residents rights to live a normal and meaningful life. The homes operational policies and procedures promote residents rights to be involved in decisions that affect the running of the home. Residents confirm that they feel part of the local community and are encouraged to make new friends and contacts outsides the confines of the Green. Several residents visit family members at regular intervals and are supported to keep in telephone contact. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: The residents lead very active lives and this was evidenced in the activity records. Several of the current residents are in paid employment such as working in the village coffee shop, delivering post, cleaning other homes and working in the flower shop. Several residents regularly attend college where they learn new skills. A wide range of activities are available to residents both in the village and externally including horse riding, carriage riding, aerobiking, swimming, athletics, dance, drama, gardening, pottery and various clubs and societies including challenge club, railway club, marmalade club and a nightclub called Mayhem. There was evidence that residents of the Green participate in many of these as well as having the opportunity to go on annual holiday. The inspector was invited to look around the bungalow of one of the residents. The resident clearly liked living at the Green and enjoyed an active social life. They told the inspector that they had been on many bike rides for charity around the world and the residents room was decorated with photographs, certificates and other memorabilia that reflected their exploits. Residents are free to roam unhindered in the village and four of the residents returned to the home for lunch during the inspection. One resident told the inspector that they enjoyed living at the Green. They said they particularly liked their own bungalow which had been decorated and furnished to their own personal choice. Residents are supported to fulfill their spiritual needs. The underpinning ethos of the village is the Jewish faith. There is a synagogue on site and the Rabbi is a regular visitor to the home and knows the individual residents well. Residents from other faiths are supported to attend their own churches and clubs as required. The home provides a nourishing menu, which meets the needs of residents. All meals provided in the Green are Kosher. The meat is purchased from selected outlets in Golders Green and purchased 6 weekly. The village Rabbi makes regular checks on the Greens food storage areas to ensure that food stuffs are purchased from certified sources. The home is able to purchase certain food items from Tescos but this is strictly controlled. The on site stores provide a range of staple foods that are sourced corporately. Care Homes for Adults (18-65 years) Page 15 of 28 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 physical and personal support needs are well met at this home and medication is dealt with safely and appropriately by well trained and competent staff. Evidence: Systems are in place to ensure residents receive the personal and health care support they need to remain fit and healthy. From examination of care records it is evident that residents physical and personal care needs are well met by the home and that residents personal wishes and preferences are respected and fully documented in the care plans. Keyworkers produce a quarterly summary on the residents, which includes health, accidents, incidents, food and fluid intake, communication, choice and leisure activities. The summary feeds into the yearly IP review which gives and overview of the residents health and welfare. All care and support provided to individuals is well documented in the daily records. The staff ensure that personal support is provided flexibly, consistently and in response to the changing needs of the residents. All residents are supported to remain independent by showering and bathing in privacy, except where staff supervision in Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: deemed essential for the maintenance of resident safety such as those residents with epilepsy. Comprehensive risk assessments underpin how each resident is individually supported and are reviewed at frequent intervals. Residents told the inspector that their care is provided in a manner, which maintains their right to dignity, privacy, independence and choice. Residents have freedom to choose what they do and when they do it and any restrictions or limitations are agreed as part of their on-going care plan. Aids and equipment are provided to encourage maximum levels of independence and specialist advice and support is sought when necessary. People are supported to visit health care professionals for routine appointments and to attend these supported only minimally by staff. The staff of the home are aware of the importance of routine health screening and pro actively encourage residents to attend their appointments. The home has in place a robust medication policy, procedure and practice guidance. Staff are aware of their responsibilities in relation to safe administration of medication and have been properly trained. None of the current residents fully self medicate. The system used for the safe administration of medication is the Monitored Dosage system. This system reduces the likelihood of medication error and provides an accurate record. Care Homes for Adults (18-65 years) Page 17 of 28 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. The residents are safe and protected by the policies and practices within the home and residents views and comments are listened to and acted upon. Evidence: The home has an easily accessed complaints procedure, which has been produced in an easy to read pictorial format. Each resident has been provided with a copy of the the homes Service User Guide that contains details of the complaint process and time scales for action. There have been no complaints received by the home and no information about complaints about this service have been received by the CSCI. Examination of staff training records indicated that all staff received training in the protection of vulnerable adults and are made aware of their responsibilities in relation to whistle-blowing. Protection of adults is a core module in staff induction training and National Vocational Qualifications at levels 2, 3 and 4. The home has a copy of the Interagency Safeguarding Adults strategy and staff demonstrated awareness of its content and how to respond to suspected abuse. All staff have received the necessary training to protect residents from harm. There have been no complaints or safeguarding issues at this home since the last inspection. People at the home confirmed they felt safe and well cared for. Care Homes for Adults (18-65 years) Page 18 of 28 Care Homes for Adults (18-65 years) Page 19 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortably furnished and pleasantly decorated providing a homely environment for the residents. Evidence: A tour of the home evidenced that the home was clean and hygienic throughout. The main communal area is provided separately to the residents bungalows. The communal facilities consist of a kitchen, a laundry, dining and lounge areas. The storage of two freezers and a fridge in the dining room detracts from the overall appearance of the room. The home is appropriate to the residents lifestyle and is homely, clean and comfortable. All of the bungalows are highly personalised to reflect the interests and preferences on the residents. Each bungalow is large enough to be a bed sitting room. A number of residents have their own fridge and tea making facilities in their room. All residents have their own television and audio equipment. Each room has a newly refurbished en suite shower and toilet and several bungalows have new carpets and curtains. The communal accommodation is equipped with two additional toilets. The home was Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: found to be clean and free from offensive odours. Staff clearly demonstrated that they take pride in their work and surroundings. Residents are encouraged and supported to participate in cleaning and tidying their own rooms and carrying their own washing to and from the communal laundry. The red sack system is in operation to reduce the risk of cross infection when transporting soiled laundry. The staff team are mindful of the need to involve residents with the choice of decoration and furnishing in the home. Bedrooms have been decorated to the residents own particular colour choice and theme. The gardens are extensive and well kept and well used by residents. Residents are encouraged to see it as their own home and may invite friends to visit whenever they like. The home is situated in a complex of other homes in a small village community. Many positive comments were made about the facilities at the Green. One resident said I like living here, I have all my own things its my home. Care Homes for Adults (18-65 years) Page 21 of 28 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. The residents benefit from being cared for properly recruited and trained staff in sufficient numbers to effectively meet their needs. Evidence: The home has a robust and well-developed recruitment procedure that ensures the safety and protection of residents. Residents are positively encouraged to participate in recruitment and take part in the interview process of prospective employees. All staff files are held centrally and during this site visit the inspector spent time in the human resource department to look at files and discuss general recruitment issues with personnel. Examination of the staff recruitment and training files two workers at the home evidenced that staff were appropriately recruited, inducted and trained. All necessary checks are carried out on staff to ensure that they possess the necessary attributes to care efficiently for the residents. Records were well kept and met the required standard. One resident said that they thought the staff were kind and helpful and another said lovely. Observation of practice and discussion with staff on duty confirmed that staff had built an excellent rapport with the residents and knew their needs well. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The Green has a stable staff team. Staff have the opportunity to express their opinions openly in weekly staff meetings and staff hand overs. They are provided with plenty of opportunity to express concerns, share information and to feel included and involved in the way service is delivered. The staff team are offered opportunities to gain professional qualifications to further their knowledge and skills. Several staff had already achieved a National Vocational Qualification at Level 2, 3 and 4 and a number of staff were near completion. Several staff also hold LDAF qualifications. All staff have refresher training in core skills at regular intervals, including fire safety awareness, first aid, medication, safeguarding adults, healthy and safety, manual handling and infection control to ensure the residents safety. Throughout the inspection the staff were able to demonstrate that they have the necessary skills and experience to effectively meet the needs of people in their care. There approach was consistent, professional and based on establishing and maintaining residents independence and autonomy. Staff supported and enabled residents to maximise their quality of life, to take risks and to make appropriate decisions. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed by a competent team leader and professional staff team. The home seeks and focuses on the views of its residents on an on-going basis. Evidence: The Manager of the home Chrissy Terry is experienced and competent and runs the home in an enthusiastic, open and transparent way. She holds an NVQ 4 in care, RMA and is a qualified NVQ assessor and verifier. The Manager is supported in her role by an experienced and caring staff team. The home has its own quality assurance system in place. The most recent survey was sent to relatives, professionals and residents in December 2007. The results were collated by management and have helped the service to measure its success in meeting its stated aims and objectives. Additionally the Organisation has Lay Monitors to carry out a quarterly audit of the home. Reports are written and recommendations made. The most recent quality assurance audit recommended that a conservatory be built to provide a quiet room for residents and that a new call bell Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: system should be installed. Residents confirm that they feel management is approachable and will listen to their views, comments and suggestions and will act upon them appropriately. This was evidenced in Residents Meeting Minutes and in daily records. Examination of a number of health and safety records indicated that all necessary checks and servicing of equipment is routinely undertaken to safeguard the health and welfare of people using the service. Unnecessary risks to residents are identified using a comprehensive risk assessment. So far as possible the risks are reduced and eliminated by putting in place effective guidelines, policies and procedures. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 27 of 28 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 28 of 28 - 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!