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Inspection on 17/10/08 for The Tamarind
Also see our care home review for The Tamarind for more information
This inspection was carried out on 17th 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.
Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: The Tamarind 112 Ramsey Road Dovercourt Harwich Essex CO12 4RN 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: Ray Finney Date: 1 7 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. 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: ï· Put the people who use social care first ï· Improve services and stamp out bad practice ï· Be an expert voice on social care ï· 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 31 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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 31 Information about the care home
Name of care home: Address: The Tamarind 112 Ramsey Road Dovercourt Harwich Essex CO12 4RN 01255507283 01255507283 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): A G L Care Limited Name of registered manager (if applicable) Mr Steven Brian Lingley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 care home 5 learning disability Additional conditions: Date of last inspection 0 2 1 1 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home The Tamarind is owned by AGL Care Limited and provides accommodation and care for five people with learning disabilities. The home is a detached house situated on the main road into Harwich and offers single accommodation on two levels. All communal areas are situated on the ground floor, and include a lounge, dining area and a kitchen that includes laundry facilities. The dining room has access to the enclosed garden to the rear of the premises. Tamarind is situated on the main bus route and leads to local amenities. Parking is available to the front of the property. Information about the service may be obtained by contacting the manager. The home charges between £941.00 and £1,723.00 a week for the service they provide. Service users pay extra for personal items such as toiletries and admission fees to leisure and recreational activities of their choice; the cost for these is normal retail prices. This information was given to the Commission in October 2008. Care Homes for Adults (18-65 years) Page 5 of 31 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 31 How we did our inspection: This is what the inspector did when they were at the care home We looked at lots of different evidence for this report. We looked at paperwork like care plans, staff files and menus. The manager sent us information called an Annual Quality Assurance Assessment or AQAA. This gave us information about how they run the home. We visited the home on 17th October 2008. We looked around the home. We talked to people living in the home and staff. We watched to see if people were happy with what goes on in the home.
Care Homes for Adults (18-65 years) Page 7 of 31 What the care home does well The staff treat everybody with respect and treat them well. They help people to keep in touch with their families and friends. They listen to what people want and help them choose. Care Homes for Adults (18-65 years) Page 8 of 31 People have comfortable bedrooms with their own things in them. What has got better from the last inspection Some of the paperwork has got better. Peoples care plans have got lots of details in so staff know how to care for them. Care Homes for Adults (18-65 years) Page 9 of 31 There has been painting and decorating and there are new carpets. What the care home could do better They could continue to do more decorating and make the bathrooms better. Care Homes for Adults (18-65 years) Page 10 of 31 They could have a better cupboard for keeping peoples medication safe. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Ray Finney CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 31 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 31 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
. Through the comprehensive admission process people choosing to live at The Tamarind can be confident that their needs will be met. Evidence: As previously reported, The Tamarind continues to have an appropriate Service Users Guide and Statement of Purpose. The manager stated in the AQAA, The home has a Service User Guide that details its aims and objectives and philosophy. Details of the accommodation facilities are given as well as the support to be expected. There have been no new admissions since the last inspection and all the people living in the home have been there for a number of years. The manager stated in the AQAA, There is a pre-admission assessment of any prospective service user that is carried out by a competent person whilst involving the service user, relatives, friends and independent advocates as appropriate. A sample of records examined on the day of the inspection contained comprehensive assessments of peoples individual needs. Through discussion, the manager was able to demonstrate a good awareness of the importance of a thorough pre-admission
Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: assessment of the needs of anyone wishing to move in to the service. Care Homes for Adults (18-65 years) Page 14 of 31 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 living in The Tamarind receive good quality care based on their assessed and identified needs. Evidence: The manager stated in the AQAA, The home has individualised care plans for all service users which are devised following assessment of individual needs. A sample of three care plans was examined on the day of the inspection. These have been updated and improved since the last visit to the home. The manager explained that they carry out a comprehensive risk assessment and the care plans are developed from this. Care plans contain ample detail and guide staff through the persons day from getting up, bathtime, meal times, likes, dislikes, occupation and night time needs. There is a section on significant things to be aware of. Care plans identify monthly goals for the individual. Through discussions on the day of the inspection, it was evident that the manager and the staff team have a good knowledge of peoples individual needs. A completed
Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: survey from a Community Nurse Specialist stated that the home is, Very responsive to individual needs. Personal and healthcare needs are identified and well documented in care plans. Other areas covered in the sample of care plans examined included expressing sexuality, finances, religion and end of life wishes. It was evident from observations that people living in the home are listened to and their wishes and opinions are valued. One person spoken with was able to describe many of the choices they make about how they spend their time and how the home supports them when they make decisions about their lifestyle. A completed survey from a Community Nurse Specialist stated, The clients are invariably happy and the staff always strive to support them in the life they choose. Guidance is given to enable them to make informed decisions. Records examined also contain comprehensive risk assessments. The risk assessments identify the risk to the individual and what measures need to be taken to minimise the risks. There are risk assessments in the sample of records examined relating to road safety, travelling in vehicles, self neglect, self harm, inability to access treatment and medication, community access and risk of personal injury. Risks from others and to others are also identified. Through discussions the manager and staff were able to demonstrate how they try to minimise risk without restricting peoples lifestyle. Care Homes for Adults (18-65 years) Page 16 of 31 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 living in The Tamarind can expect to enjoy a lifestyle that meets their wishes and interests. Evidence: No one living in The Tamarind has the capacity to hold down full time paid employment, either because of their learning disability or their behaviour, although one person does some part time work. However, the service supports people to participate in a range of meaningful actvities, including college courses. The manager stated in the AQAA, The home ensures that each service user has an individual plan of activities which is formulated after an assessment of needs to determine service users abilities, choices, interests and skills. Service users are involved in decision making on outings and holidays. The home also provides opportunities and support for service users to pursue their own interests and hobbies including keeping pets.
Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: There is a good range of individual activities available both in the home and in the local community. Individual files examined contain evidence that people go to drama at the local adult education college, The Harwich Centre, Aqua Springs, Bounceability, Music and Movement, Progress Club, swimming, walks and drives out, shopping, cooking and bike trips. People were seen to be coming and going during the course of the day and one person spoken with explained how they go out independently every day. The manager stated in the AQAA, The home provides support for service users to develop personal relationships of their choice and assistance is given for them to make appropriate decisions about their relationships which can be intimate. Information in the care plans confirms that people are supported to maintain contact with relatives and friends. Through discussion the manager was able to demonstrate how most of the people living in The Tamarind have regular visits from family and are supported to keep in touch. There are home visits and overnight stays with parents. One person spoken with told us about their friendships and socialising. One person showed us their room and explained how they try to keep it tidy and enjoy having their personal space. The manager stated in the AQAA, Service users are involved when planning and reviewing menus and they can express their views over what they want to eat. We observed that meals continue to be enjoyed by people living in The Tamarind. This is a small home where the cooking arrangements are domestic in nature and people are encouraged to help with food preparation. On a tour of the premises, food stocks were seen to be plentiful and of good quality, including fresh fruit and vegetables. Care Homes for Adults (18-65 years) Page 18 of 31 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 using the service can expect their personal and healthcare needs to be identified and provided with the support to ensure these needs are met as they would wish. Evidence: The personal hygiene sections of the sample of care plans examined contained good information about what the person is able to do for themselves and what input or support is needed from staff. One care plan had details such as, x should be encouraged to develop and maintain their self help skills, hence staff should prompt [them] to wash [themselves] when in the bath and staff should prompt x to dress with minimal input from staff. Staff spoken with were able to demonstrate a good awareness of peoples health and personal care needs and the ways in which they wish to be supported. A completed survey from a Community Nurse Specialist stated, The home is an extrememly happy and friendly one where everyone is treated with respect. Completed surveys from relatives also contained positive comments about the standatd of care provided by the home. One person stated, Over the past year [my
Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: relative] has been through a very difficult time but throughout this The Tamarind has continued to provide the best possible care. The manager stated in the AQAA that people, are supported to access NHS healthcare facilities and their health is monitored and potential complications are dealt with by referral to appropriate professionals. Health and medical needs were appropriately documented in the sample of individual records examined. Care plans contain evidence of how the home meets peoples healthcare needs. There is input from optician, speech and language therapy, and GP visits both to the home and visits by the individual to the surgery. There was regular recording of peoples weight. Records contain evidence of regular reviews with the consultant who is part of the Tendring Learning Disabilities Community Health Team. A completed survey from a healthcare professional stated, Excellent communication skills and professional care. A Community Nurse Specialist was also complimentary about the healthcare provided by the home. They stated, Advice always sought from the appropriate professionals and Manager and staff team have consistently followed recommendations. The medication processes were examined. There is a monitored dose system in place. Medicines Administration Record (MAR) sheets were all completed appropriately. The records were well organised with photographs of the individual. The manager was able to demonstrate a good awareness of peoples needs around medication. There are protocols in place around prescribed medication including detailed guidelines for staff around the use of diazepam that include information on why the medication has been prescribed. Individual records show that peoples medication is reviewed 6 monthly or when changes occur. Medication is securely stored in a locked cupboard. There is no separate controlled drugs cupboard and the lockable cupboard were drugs are stored would not meet current requirements around the storage of controlled drugs. Recording of controlled drugs is appropriate. Care Homes for Adults (18-65 years) Page 20 of 31 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 confident that their concerns about how they are treated are listened to and acted upon as stated in the complaints and safeguarding procedures. Evidence: As previously reported, The Tamarind continues to have an appropriate process in place for dealing with concerns and complaints. The manager stated in the AQAA, The home has a complaints procedure that details the process and timescale to deal with complaints. The procedure is also part of the service user guide. It was evident from discussions with the manager that he was aware of his responsibilities around dealing with concerns and complaints appropriately. No major complaints have been recorded since the last inspection. Minor concerns are dealt with informally and this was seen to be happening on the day of the inspection. There are policies and procedures in place around safeguarding people. The manager stated in the AQAA, Staff are given training on the protection of vulnerable adults and abuse in the care home. The home ensures that service users physical, financial, psychological and emotional needs are not neglected by deliberate intent and negligence. Staff spoken with were aware of their responsibilities around recognising and reporting any concerns about abuse. The home has a whistleblowing policy in place so that staff
Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: may be confident that they will be protected if a situation arose where they raised concerns or made an alert about any abusive situation. Personnel records contain evidence that people undergo Criminal Record Bureau (CRB) enhanced checks before commencing work. A sample of staff training records examined contained evidence that staff have had safeguarding training. A completed survey from a healthcare professional stated that they had, No raised concerns, and another from a Community Nurse Specialist stated that they had, Never had any cause for concern. Care Homes for Adults (18-65 years) Page 22 of 31 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 can enjoy living in an environment that suits their lifestyle and which is well maintained and clean. Evidence: The manager stated in the AQAA, the home has recently been redecorated with new flooring in the lounge, hallway, stairs, landing and one service users room. All service users rooms have had new double glazing fitted. A tour of the premises confirmed that there have been improvements in the decor since the last inspection. There is new carpet throughout the communal rooms and hallways and many of the rooms have been redecorated since the last inspection. The bathroom was in the process of being repainted, although the older mismatched bathroom suite that was noted at the last inspection is still in place. There is a large, bright lounge diner with good quality furnishings. Peoples individual rooms reflect their interests and tastes and there is ample evidence of peoples personal possessions. One person has an exercise bike and a rowing machine that they enjoy using. Other rooms contain lots of family photographs and arts and crafts. One person was pleased to show us their room and took pride in how they had personalised it. Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: The manager stated in the AQAA, The home provides appropriate laundry and hand washing facilities and staff are given training on infection control. A tour of the premises confirmed that there was a good standard of cleanliness including in the bathrooms and toilets. There were no unpleasant odours throughout the home. A completed survey received from a Community Nurse Specialist stated, the physical environment is improving, new windows and doors have been installed which make a huge difference. Care Homes for Adults (18-65 years) Page 24 of 31 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 living in the home can be confident they are cared for by a competent staff team who can meet their needs and who have been employed following thorough recruitment checks to ensure people are protected. Evidence: Information provided in the AQAA dataset states that out of a total care staff team of 14 people, 8 have a National Vocational Qualification (NVQ) at level 2 or above and a further 3 are working towards the award. We observed good interactions between staff and people living in the home and staff spoken with were knowledgeable about their role. It is evident that there is a good rapport and people living in the home are comfortable with staff. A member of staff spoken with was able to discuss peoples needs and staff responsibilities in a knowledgeable manner and displayed a commitment to providing a good service to the people they support. One person showed obvious pleasure when talking with a member of staff; they were smiling, evidently were relaxed and talking about going out. A healthcare professional who completed a survey was complimentary about the staff team. They stated, Staff will always seek advice if unsure and I have been very impressed with the care and commitment shown by the staff team. It has been a
Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: pleasure working with them. Relatives who completed surveys also made positive comments about the staff team. One stated, Staff always friendly and helpful when we visit and another, The staff are friendly and easy to talk to. As at last inspection there continues to be a robust recruitment process in place. A sample of staff files examined was well organised and contained all the documentation required by regulation. Through discussion the manager was able to demonstrate an awareness of the importance of ensuring good practices around recruitment so that people are safeguarded. The manager stated in the AQAA, The home has a training and development plan that starts from induction period onwards. On the day of the inspection we discussed training with the manager, who explained that established staff who have already had training around essential areas such as safeguarding and manual handling receive top up training, referred to as six pack training. This covers top up information on infection control, food hygiene, safer moving and handling, basic life support, COSHH (Control of Substances Hazardous to Health) and safeguarding (previously referred to as Protection of Vulnerable Adults or POVA). Records examined also contain evidence of training around supporting people with behaviours that challenge and medication training provided by the Monitored Dose Provider. Recent training includes Mental Capacity Act training that has so far been attended by eight members of staff. The manager and two other members of staff have also attended a workshop about Deprivation of Liberty. A member of staff who completed a survey stated, I think generally the service runs very well. We all work very well as a team and as individuals. Care Homes for Adults (18-65 years) Page 26 of 31 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 appropriately managed in the interests of people living there. Evidence: As previously reported, the manager has a number of years experience of managing The Tamarind and he has completed the RMA (registered managers award). The manager stated in the AQAA, The home continues in its efforts to keep up to date with relevant legislation. Through discussions the manager was able to demonstrate a good awareness of his responsibilities around managing a registered care service. He also demonstrated a good knowledge of issues relating to people with learning disabilities and to the individual needs of the people living in The Tamarind. Positive comments were received about the management of the home from relatives who completed surveys. One person said, We are very grateful to the manager and staff for their ongoing support and another stated, Manager keeps us informed. Completed surveys from members of staff also indicated that they feel well supported by the manager. One person stated, I have regular supervisions and if I need to speak to my manager about something he is always available. Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: The manager stated in the AQAA, Service users, relatives and advocates views are considered in determining and improving practices at the home. The home has further developed the quality assurance process since the last inspection. Records examined contained completed surveys that have been returned to the home by staff, families, healthcare professionals and social workers and the information had been collated into a report. The Tamarind has a range of policies and procedures in place relating to health and safety. A sample of health and safety records examined were all in good order, including the landlords gas certificate, electrical system certificate, fire alarm maintenance and Portable Appliance Testing (PAT). There is a fire risk assessment in place. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes ï£ No ï 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 29 of 31 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 1 20 13 An appropriate facility for the 28/02/2009 storage of controlled drugs must be available. This will ensure that people who have been prescribed medication that requires this level of secure storage are adequately safeguarded. 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 30 of 31 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.
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