Inspection on 03/12/08 for Treetops Residential Home

This inspection was carried out on 3rd 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

Treetops Residential Home 07/01/08

Treetops Residential Home 08/01/07

Treetops Residential Home 25/01/06

Treetops Residential Home 30/06/05

Treetops Residential Home 07/02/05

Treetops Residential Home 14/09/04

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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: Treetops Residential Home Old Ipswich Road Claydon Ipswich Suffolk IP6 0AE     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: Jan Sheppard     Date: 0 3 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. that people have said are important to them: They reflect the things 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: Treetops Residential Home Old Ipswich Road Claydon Ipswich Suffolk IP6 0AE 01473830829 01473833057 sheila@cephas-care.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Jane S Hewson Name of registered manager (if applicable) Mrs Sheila Mildred Gillians Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Treetops Home provides care for seven adults with learning disabilities. The home which is one of the services of the Cephas Community Care organisation was first registered in 1996. Treetops is a detatched two storey dorma style bungalow set in its own grounds at one end of the village of Claydon.Residents can have easy access to the village and its community facilities.The home has a safe garden area and an indoor heated swimming pool. All the residents are provided with single room accommodation which is decorated and furnished to their individual tastes and needs. Treetops provides day services for the residents planned to meet their indiviual interests and learning skills. The home has its own transport enabling easy access into the local community. Care Homes for Adults (18-65 years) Page 4 of 28 care home 7 Over 65 0 7 Brief description of the care home Fees range from £750 to £1.500 per week. 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: We visited the home in December 2008 and we met the manager, staff and people who use the service. We asked the manager and the staff about what they do for people how they care for them. We asked them how they learnt to do this. We looked at peoples records. We wanted to see if people agree with the information about them. We wanted to see if people were happy with their service. We also looked at staff files to see if they are safe to work with people and if they have good training opportunities. We looked at other paperwork, like any complaints people have made. We spoke to some people who use the service and we also spoke to some family members as well. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 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. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to receive an assessment of their care needs prior to their admission to the home. Evidence: The home has not admitted any new residents since the last inspection nor in fact since July 2005. At a previous inspection the inspector described the admission assessments and processes as good. The Manager confirmed that there have been no changes to these processes and procedures since that time. She said that any prospective applicant would make at least three visits to test out the home prior to admission and that any family members or carers would also be encouraged to visit. Care Homes for Adults (18-65 years) Page 10 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to the service. People who live at the home can expect to have a detailed care plan that will reflect their needs and abilities. They can expect to be given good opportunities to make day to day decisions about their lives. Evidence: Since the last inspection all the care plans have been reviewed and arranged in a new format which being divided into sections is clear and accessible. These care plans were seen to be reviewed by the home every six months and dates for social services to review the service and plans of all seven residents who they fund had just been arranged. The care plans of three residents were examined it was seen that these included a plan of their daily care needs, behaviour management plans ,risk assessments and the Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: method of monitoring any behaviour changes.The recording was found to be maintained up to date with entries dated and signed. Where possible goals and aspirations for the residents were also recorded. One comment seen was encourage x to be as independent as possible and to access the community on a regular basis and to maintain good relationships with their family and friends. As many of the residents have little or no speech and are unable to fully express their feelings or wishes it is important to monitor changes in behaviour so that their happiness and satisfaction with the service they are receiving can be judged.The home consults with other services who assist them to manage changing behaviours and management problems.It was seen that a daily log of the behaviour patterns of one resident was being maintained and that the home was working closely with local psychiatric unit staff in planning a care routine which would meet their needs and keep them safe whilst giving them opportunities as far as is safely possible for them to exercise their own choices. A risk assessment sent as a Notification to the Commission since the last inspection evidenced that any possible potential risk for one service user who is able to make their own way in the community unaccompanied by staff had been anticipated and the risk assessed without restricting the residents right to make their own choices and yet remain safe. Care Homes for Adults (18-65 years) Page 12 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 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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to the service. People who use this service can expect to beable to choose to access a range of activities both inside and outside of the home which meet their needs and interests. People who use this service will be supported to maintain links with their families and with the local community. People who use this service can be confident that they will be offered choices from a varied diet of nutritious home cooked food. Evidence: Since the last inspection the home has greatly expanded the range of activities and classes that are available to the residents and information about each persons activity Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: programme was seen to be recorded in the daily logs.Staff reported that the art group the music group and the drama group are very popular and on the morning of this inspection residents and staff were involved in a dress rehearsal for the nativity play which is to be performed in a local hall for an external audience.Bowling ,skiing,swimming , horse riding and chilling out in the snoozelum room are other popular activities.One service user showed the inspector her knitting and said that she enjoys sharing this activity with the homes manager. The homes records evidenced that the majority of the residents are able to maintain regular contact with families and friends and a number spend every weekend staying away with their families.Comments received from one family said that We are happy with all aspects of the home it meets our relatives needs very well and maintains very good contact with us During the past year all the residents had enjoyed a planned holiday at varied locations chosen by them these included Disney Paris,an Activity Centre in Hampshire and a Caravan holiday in Kessingland. One resident who chose not to stay away from the home enjoyed a weeks programme of days out in the locality visiting places of their choice.The home does not have its own bus transport but hires this when needed. Two residents have their own mobility cars and by using these and staff cars all the residents can be accommodated for group outings. During this inspection it was seen that staff accompanied individual residents out to the local shops and to the pub for lunch.The lunchtime meal served in the home was observed and individual choices were seen to be accommodated.Staff assisted residents who needed help,in a manner which promoted their own abilities in a respectful manner.Residents were seen to use eating aids appropriate to meet their accessed needs. Throughout the time of this inspection the atmosphere in the home was relaxed with staff heard to be patiently giving residents choices about the manner in which they lived their lives. One resident who likes to spend the mornings in bed is allowed to do so and staff explained that their programme has been adjusted so that activities for them encompass the afternoon and evening hours. Care Homes for Adults (18-65 years) Page 14 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to the service. People who use this service can expect that their individual care and social needs will be assessed and recorded on their care plans and that their health and welfare will be promoted by the staff. Evidence: Since the last inspection all the residents care plans have been reviewed and updated with particular care being given to ensuring that all the assessed care needs can be evidenced as being met and how the meeting of these needs can best be achieved. Advice and additional support continues to be given by the local health service Intensive Support Team for one resident with complex needs. Records of this service and progress made were seen to be being recorded in their care plan. Staff spoke appreciatively about the service and the support that they receive from it. It enables us to provide a better quality of care for our service users one said. Following the last inspection when it was found that not all the care practises promoted privacy and Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: dignity the manager spoke about how the home had raised their awareness of these issues and during this inspection it was observed that staff were treating residents with kindness and curtsy Staff were seen to knock on doors and ask for a reply before entering and one resident who needed gentle persuasion to eat their lunch was seen to be being given this in a kindly manner and allowed to complete their meal at a speed which they could comfortably manage.Staff explained that they were currently trying out some new dishes in an effort to expand the range of the menu.The residents are given choices of food and the staff do get to know their preferences and accommodate a lot of preferred food and meal time variations .The reducing dietary requirements for one resident were seen to be being handled very sympathetically and the weight loss achieved being praised and further encouragement given. None of the people living at the home are able to self medicate.The manager explained that staff who administer medication had all been trained to do so. The home continues to use an MDS monitored dosage system supplied by a local pharmacy. The MAR sheet administration records were seen to be carefully recorded with no omissions found.Variation codes and written explanations of any required changes were also seen to be properly recorded.Evidence was seen that weekly management checks of the accuracy of the administration records are made and records kept of the amounts of medication received into and disposed out of the home. The home has a designated area for the storage of medication which was seen to be properly secure. However this area is a small dark under stairs cupboard with a door opening onto the main hallway which being the main passageway to many of the residents bedrooms is a busy thoroughfare.During this inspection it was seen that the staff member who was checking the new medication into the home had very little space in which to work and was constantly being interrupted by residents passing by to go to their rooms. Whilst they were seen to be dealing competently with all these interruptions they agreed that this was not a good location for them to have to carry out tasks which require close attention and accuracy. The inspector discussed with the manager whether a larger sized and more safely located place for the storage of medication could be found. The home does not have a Controlled Drugs cupboard.The manager explained that so far the home had never had any controlled medication prescribed so had never considered the need for a Controlled medication storage facility.The home must consider whether they could meet the storage requirements and safely keep controlled medication if any were suddenly prescribed for a resident . A small fridge specially designated for the storage of medication would also be an advantage as the present arrangement of keeping medication in a food fridge located in the kitchen is not ideal. Care Homes for Adults (18-65 years) Page 16 of 28 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using this service can be confident that the policies and procedures in place will ensure that their concerns and complaints are listened to and investigated. People who use this service can expect that the policies and procedures in place will protect and safeguard them from abuse and harm. Evidence: This service continues to work with people who are likely to find it difficult to articulate complaints.During the inspection it was observed that staff observed closely the service users reactions both verbal and non verbal and because of their close knowledge of the service users usual patterns of behaviour they could interpret these. Family members confirmed that staff work well with them in ensuring the well being of their relatives.All those who completed the pre inspection surveys confirmed that they knew about the homes complaints procedure and would be able to use this. The Commission has not received any complaints since the last inspection. One complaint received by the home was seen to have been dealt with properly and within the prescribed time limits. Staff consulted were able to evidence good knowledge and awareness of Safe Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Guarding issues and had an understanding of what their role should be if these ever had cause for concern. All staff have undertaken training covering this and the Manager said that further refresher training is being arranged for all staff in the new year. 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 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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to the service. People who use this service will find that it is homely comfortable and clean and that its facilities, physical design and layout will meet their needs and are safe. Evidence: A tour of the building was undertaken as part of this inspection. It was found to be clean and tidy and to have no unpleasant odours. The communal rooms were seen to be well appointed and the manager pointed out the various items of new furnishings carpeting and redecoration that have been completed since the last inspection. Residents rooms were found to be attractively decorated and furnished with items that reflected their tastes and interests. Staff explained that one resident who is able to stay at her family home at the weekends has her Treetops room decorated exactly like her own room at the family home this to give her continuity and to meet her wishes. Treetops has a programme for redecorations and refurbishment and the manager evidenced a number of items of replacement furniture ,seating for the lounge and eight new dining chairs,for which they are waiting delivery. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Since the last inspection the kitchen has been completely refurbished and on the day of this inspection workmen were completing the fitting of additional secure storage in the dining area for files and paper work. Risk assessment for all aspects of the building and its environment were seen to have been recently reviewed. Overall the home provides a good quality environment which is comfortable and safe.Comments on the surveys from relatives confirmed this one said Treetops provides service users with a home as near to a family home as is possible. Every service user is loved and well cared for. 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to be cared for by sufficient numbers of trained staff and to be protected by the homes recruitment procedures. Evidence: During this unannounced inspection it was seen that there were sufficient staff on duty to meet the residents needs in an individual manner. Information given by relatives in the pre inspection surveys confirmed that there were enough staff to meet the residents needs. One said There are always sufficient staff and they are knowledgeable friendly and helpful . They meet our sons needs in an individual manner. The home continues to retain a stable core group of staff and the Manager explained that the three staff who had left since the last inspection had in fact been promoted to other jobs within the company. The recruitment records for three new staff were examined and it was seen that all the required checks , an application from, two references, copies of certificates, personal Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: identification records evidence of domicile, Criminal Record Bureau and POVA first checks along with recorded evidence of the interviews were all seen to be maintained.The Manager confirmed that references are always obtained from the last employer and that she recognised the importance of these being fully authenticated by a company stamp or other form of official verification.The results of all CRB checks must be seen by the registered Manager even if the records of these checks are then stored in the company head office.The home is now fully staffed and the manager confirmed that agency staff are never used. Staff spoken with were all very positive about their work and about the training opportunities that are afforded them.One comment on a pre inspection survey said Treetops is a friendly caring and fun place to work. All the staff clients and families have good relationships. Another said We have good training opportunities with regular updates. An annual training matrix is prepared for the home and evidence of courses attended is recorded in the individual staff files. Future training planned includes courses on Nutrition and Health, The Mental Capacity Act and Epilepsy. 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to the service. People who use this service can expect it to be responsively managed including the addressing of any concerns or worries by a qualified and experienced manager and a trained care team. People who use this service can expect that their health safety and welfare will be promoted and protected. Evidence: The home benefits from having a stable management team who are well qualified and experienced and whose shared ethos is very clearly to put the needs of the residents first. Their confident and calm approach to their work positively influences the homely and relaxed atmosphere of the house. The manager holds NVQ qualifications at level 4 and has attained the Registered Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Managers Award.All the management team continue to undertake regular training to update their knowledge and to keep abreast of new developments. The records evidenced that a supervision matrix is in place to ensure that all staff receive formal supervision at least six times a year. Staff spoken with confirmed that they are well supervised and managed and that being a small home they can speak to the manager at any time. Regular staff meetings are held with appropriate minutes and agendas kept. A representative of the owner makes regular visits under regulation 26 and minutes of these meetings were seen. The home has a policy and procedure for the management of residents finances and the records examined evidenced that the amounts held and the records kept tallied.The Manager explained that only small amounts up to fifty pounds were held in the home and that these accounts are externally checked during the regulation 26 visits. Quality assurance systems are in place and discussions with the manager evidenced that she is proactive in addressing quality issues within the home.Quality surveys are regularly sent to relatives and to other professionals and the results of these are regularly fed back to the staff as part of their ongoing learning process to continually improve the service they offer. The responses from relatives and health care professionals were very positive about the support given. They all stated they were kept well informed by staff and had prompt responses to any requests they made. They felt that residents were always treated with respect. All the residents have limited communication skills and understanding of care issues. Staff are clearly familiar with the different methods the residents use to express any wishes and respond accordingly. The manager is committed to promoting equality and diversity in the service through the meeting of the individual needs of the residents. A number of service certificates and maintenance records were inspected including fire alarm testing water temperature monitoring and the servicing maintenance records for hoists and other equipment. Risk assessments were seen for hazards around the home such as electrical items and COSHH products.These records were seen to be well maintained and kept up to date this giving protection for the service users. 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 1 20 To further improve the existing good practise it is recommended that the home acquires a Controlled Medication Cupboard which complies with current regulations and guidance issued by the Royal Pharmaceutical Society and also acquires a small medication fridge with temperature control. 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!