Inspection on 02/03/09 for Valley Road Care Home

This inspection was carried out on 2nd March 2009.

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

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

Other inspections for this house

Valley Road Care Home 29/11/06

Valley Road Care Home 09/12/05

Valley Road Care Home 10/08/05

Valley Road Care Home 13/12/04

Valley Road Care Home 19/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Valley Road Care Home 1 - 7 Valley Road Gedling Nottinghamshire NG4 1LS 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: Steve Keeling Date: 0 2 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Valley Road Care Home 1 - 7 Valley Road Gedling Nottinghamshire NG4 1LS 01159562309 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Royal Mencap Society Name of registered manager (if applicable) Lisa Rooks Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 11 0 care home 11 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Valley Road care home is a comprised of two separate buildings, which accommodate a total of 11 adults with a learning disability. These houses are situated adjacent to one another and set within their own grounds, with a shared garden to the rear with seating and shaded areas. There is also parking for vehicles at the rear. Service users have single rooms on ground and first floors. The ground floor has level access, but there is no lift to the first floor. The home is sited within the local community in a residential area close to a leisure centre. Service users are supported and encouraged to use all local amenities and public transport. The manager stated in the pre inspection questionnaire that the fees for the service are £359.18 per week. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home We spoke to people who use the service to see what its like to live at the home. We observed peaople who use the service and interacting with member of staff. We read peoples records and asking staff about peoples needs. We looked at the building which included peoples bedrooms and communal to make sure that the environment is homely and safe. We aldso used the information we have received about the service since the last key inspection was performed on the 12.12.2008. We also used an Annual Quality Assurance Assessment which was provided by the manager and six responses to the have your say pre inspection questionnaires which were sent to people prior to the inspection. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well What has got better from the last inspection The cupboards that were showing signs of damage in the laundry have been replaced. Sleeping in night staff can be contacted by Care Homes for Adults (18-65 years) Page 8 of 30 residents if a need arises. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Steve Keeling 33 Greycoat Street London SW1P 2QF 02079792000 Care Homes for Adults (18-65 years) Page 9 of 30 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 10 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Effective needs assessments are performed prior to people being admitted to the home to ensure peoples needs can be identified and met. Evidence: The pre inspection questionnaires asked did you receive enough information about this home before you moved in so you could decide if it was the right place for you five respondents said yes and one respondent stated No. Information provided by the registered manager within the Annual Quality Assurance Assessment states We have an assessment process that involves gathering information from the person we are supporting, people who are important to them and any other professional involved in their support, including assessments completed by care management. Records were available to support this. Potential residents are also provided with an opportunity to visit the home prior to admission so they can meet people currently residing at the home and integrate in to the service. Overnight stays are also encouraged prior to offering a placement to provide the opportunity for people to determine the suitability of the service in Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: meeting their needs. The service has also implemented a Family Charter to engage with families, prior, during and following any new placements at the service to ensure that the assessment process is effective in identifying peoples needs. Care Homes for Adults (18-65 years) Page 13 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service are assured that their changing needs and aspirations are reflected in their support plan. People are supported to make their own choices, take risks and have an active independent lifestyle. Evidence: Information provided by the registered manager within the Annual Quality Assurance Assessment states We support people to take a lead in their support planning and help to arrange individual meetings on a regular basis to review these plans. We provide support to make sure key people are invited, enabling the people we support in the development of their plans. Where the development of plans identify that there is a change in the support someone needs, we make sure that we have informed them what this means for them, and work with them to implement these changes. At Valley Road every service user has an up to date Health Action Plan and Person Centred Plan in an accessible format. The manager stated in the Annual Quality Assurance Assessment that All support plans have been updated in the last twelve months, incorporating photos of their Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: choice and implemented a Health Action Plan for all service users. Records were available to support this. Care planning documentation showed, and people confirmed that the care plans are developed in consultation with people who use the service and are based on the needs assessments. The care plans were well presented, person centred and stored securely to promote peoples confidentiality. Peoples care plans also included effective risk assessments to promote peoples safety in the home and in the community. The care planning and risk assessment documentation had been reviewed appropriately to ensure peoples needs and aspirations can be identified and met. The have your say surveys asked people Do you make decisions about what you do each day, five respondents stated always and one respondent stated sometimes. People spoken with confirmed that can take control of their lives and are encouraged to be as independent as possible whist being supported by the care staff. One person commented I can do what I want really, I can come and go as please, go to the shops or get on the bus for a trip out, they [care staff] do ask me to tell them where I am going and what time I will be back, but thats fine. I go to my room and watch television which I like. I also enjoy going to a work two afternoons per week at the charity shop. Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service can participate in a comprehensive range of social activities. Peoples rights and responsibilities are upheld and they can maintain contact with their family and friends as they wish. A well-balanced menu is provided which is based on peoples needs and preferences. Evidence: The pre inspection questionnaires asked Do you make decisions about what you want to do each day five respondents said yes and one respondent stated sometimes. The questionnaire also asked can you do what you want during the day, evening and weekends. All respondents stated yes. Information provided by the registered manager within the Annual Quality Assurance Assessment states As a service provider, Mencap aims to enable and support people who use the service to actively engage with and participate in their local community, Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: and develop and lead lifestyles that enable them to achieve the things that matter to them. Our families charter encourages and guides our staff in supporting people to maintain and strengthen family connections that are important to them. As part of a person centred approach to support planning, we actively encourage the people we support to be health aware and provide support in healthy eating and lifestyles particularly where people have identified a need or wish to improve their health. All support plans have a leisure section indicating the activities that people like to be involved in on both a regular occurrence and one off activities. Rotas reflect additional support during evenings and weekends to ensure that service users are able to undertake these activities safely. People spoken with stated that they enjoyed the social activities provided at the home and within the broader community. Records showed that social activities such as rambling, attendance at a local Salvation Army centre on both leisure and work placements, attending the cinema, going out for meals at a local pub and pottery lessons. People are also provided with annual holidays to destinations of their choice. The home also benefits from a small garden area which is used in the summer months for social activities such as BBQs. A rota has been formulated to guide people in relation to performing domestic tasks within the home. Staff confirmed that people are supported in this area to promote peoples Independence. A person who uses the service said sometimes my room can be a little untidy, I try and keep it clean and tidy and staff support me if needed. The manager and staff said that an open door policy is encouraged at the home. People who use the service confirmed the open door policy and said that their friends and relatives are always made welcome. One person said that the staff provide support to maintain relationships beyond the homes immediate environment. To promote peoples choice a set menu is not provided, residents are encouraged to choose what they want eat on a daily basis and records showed that the meal provision was varied and accommodated peoples specialist dietary needs when required. We asked a person if they liked to meals provided at the home. The person stated that the meals were good, that they can have a drink or snack whenever they wish and choice is always respected in this area. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Peoples health and personal care support is of a good standard. Medicine management promotes the peoples safety and independence. Evidence: Information provided by the registered manager within the Annual Quality Assurance Assessment stated As a service provider, it is Mencaps policy to tailer the support we provide around the unique needs and wishes of the people we support. This means that we focus on the individual and agree the support and how this will be delivered with the person and those that are important to them. We aim to support people in being more aware of their health needs and use health action plans to support people in doing this. This is not just about physical needs, it also means helping people to feel good about themselves. Support plans showed and people confirmed that they have access to health care services from members of the multi-disciplinary health team, both within the home and the local community such as dentists, opticians, general practitioners, district nurses and psychiatry service. A person spoken with said I have only just come back from the opticians, and I can see the doctor when I want to. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Information provided by the registered manager within the Annual Quality Assurance Assessment stated Our policies and processes around medication actively encourage our staff to demonstrate safe working practices and to fully involve the person in taking as much control as possible over their medication. When we support someone in administering their medication, we develop and use pen pictures to inform our understanding and practice about their specific needs. People who use the service said that they receive their medication on time and expressed no concerns. Records showed and staff confirmed that appropriate training has been provided in relation to medication management. Peoples medication is stored in a secure environment to promote safety and medication administration records showed that peoples medication had been administered safely. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People feel their views are listened to and acted upon and systems are in place to protect people from abuse, neglect and self harm Evidence: Information within the Annual Quality Assurance Assessment stated, As a service provider organisation, we aim to ensure that the people we support are encouraged to raise any concerns they may have about the service they receive or anything that could threaten their health or wellbeing. We recognise that in supporting people who can be vulnerable and who may also have difficulty expressing their feelings and fears, that the awareness and vigilance of staff is key to protecting people with a leaning disability. Our policies and processes require staff to actively engage with local vulnerable adult processes and ensure that any threat to people with a learning disability is identified and reported promptly and appropriately within our organisation, so that appropriate action can be taken. A Compact Disk accompanies our complaints procedure which is issued to all service users together with a photo procedure showing who people may report complaints to. We actively engage with local Community Learning Disabilities Teams and Adult Protection teams in dealing with complaints and concerns, and follow these through using both Adult Protection and internal procedures. Most staff have received local authority accredited Adult Protection Training within the service with a plan to ensure 100 compliance. The pre inspection questionnaires asked Do you know how to make a complaint. All Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: six respondents stated yes. We examined the complaints/concerns book which showed that no complaints have been made since the last unannounced inspection was performed in November 2006. The manager stated that there has not been any reported incidents of abuse whatsoever and the Commission for Social Care Inspection has not made any safeguarding adult referrals in relation to service provision at the home. A person said, I am very happy here, I cannot complain about anything, I feel safe and well looked after. If I had any concerns or complaints I would speak with the manager and she would sort it out for me. Staff training records also showed, and staff confirmed, that accredited training in relation to Safeguarding Adults has been provided. We discussed issues relating to Safeguarding Adults with a member of staff. The member of staff had a clear understanding of her roles and responsibilities in this area and remonstrated a clear knowledge of Safeguarding Adult issues. The member of staff also stated that the revised Nottinghamshire Safeguarding Adult procedure is available to all staff for further guidance and reference should it be required. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People live in a homely well maintained environment which is clean, pleasant and hygienic. Evidence: The pre inspection questionnaires asked Is the home fresh and clean, five respondents stated yes and one respondent stated sometimes. one person commented It looks fresh and clean all the time. Information provided by the registered manager within the Annual Quality Assurance Assessment states As a service provider organisation we aim to provide an environment that is capable of meeting individual needs, is safe, secure and promotes the wellbeing of individuals. We aim to work constructively with the housing provider to ensure that the environment is properly maintained, decorated, equipped and furnished to a comfortable standard. Our policies and processes ensure that staff undertake all required tasks and duties to promote and achieve safe working practices and support people in being aware of the need for safety within the home. We aim to encourage and support people to be involved in the upkeep of their home and take pride in where they live. We asked a person who used the service if they were satisfied with the standard of cleanliness at the home, the responce was, Its nice and clean all the time, we help Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: but we also have a cleaner. We performed a partial inspection of the premises, which included peoples bedrooms, communal areas and the kitchen facility. All areas were very well maintained, clean and fresh. Peoples bedrooms were homely, safe and personalised with many personal possessions such as family pictures, small items of furniture, a television and family pictures. Staff said that protective aprons and gloves are available in the bathroom areas which are used when providing people with personal care. Staff also confirmed that training in the principles of infection control has been provided to promote peoples safety. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are support by competent qualified staff and staff recruitment practices promotes peoples safety. Evidence: The pre inspection questionnaires asked Do staff treat you well the six respondents stated always. One person commented I am very happy with the way things are, I love the staff and think they are great. A person who uses the service said staff are always available when I need them, they are a great, I trust them all. Information provided by the registered manager within the Annual Quality Assurance Assessment stated As a service provider organisation, we recognise that the people who provide support critically influence the quality of service that people receive. Our policies and processes in recruitment and training, guide and inform effective recruitment practices ,that include thorough pre employment checks, induction and ongoing training to ensure staff fully understand their responsibilities and how to effective support people with a learning disability. We examined staff recruitment records, they were very well maintained, stored securely and showed that members of staff only commence employment once Criminal Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Record Bureau checks have been obtained, together with two satisfactory references, proof of identity and the individuals qualifications, thus promoting the safety and wellbeing of people who use the service. The manager has developed the staff recruitment process by actively involving people who use the service. We spoke to a person who uses the service about her experience on the interview panel, she said it made her feel valued and respected. Information provided by the manager, within the Annual Quality Assurance Assessment showed that 90 of staff have a National Vocational Qualification (NVQ) level two and above in care to ensure a suitably qualified workforce is employed at the home. Staff training records showed, and staff confirmed that a comprehensive stafftraining programme is also provided. A person who uses the service stated all the staff are very well trained and had every confidence in their abilities. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People benefit from a well run home and service provision which takes into account peoples views. The health, safety and welfare of people is promoted and protected. Evidence: The manager has been in post for many years, has completed the degree level Registered Managers Award and is also National Vocational Qualification (NVQ) assessor. Information provided by the registered manager within the Annual Quality Assurance Assessment states As a service provider, Mencap has a continuous improvement framework that sets out how we promote and assure the quality of service to the people we support. The pre inspection questionnaires asked people Is there anything else you would like to tell us. One person commented Im very happy here, Im looking forward to my birthday tomorrow, the staff always make it special. We have nice gardens when there arent the leaves and I like the home the way it is and wouldnt want it to change. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: People who use the service expressed a great deal of confidence in the managers abilities, one person said she is fantastic. Staff employed at the home also stated that they feel the manager is supportive and very competent in performing her managerial duties to the full. Records showed and staff confirmed that the manager provides effective staff supervision on a six weekly basis together with annual performance reviews to encourage a supportive, focused approach to staff performance and development within a service. Records showed that the manager initiates effective quality auditing process to ensure the service is meeting its aims and objectives and those of the people accommodated there .It was also confirmed by people at the home that resident meetings are performed on a monthly basis and people are encouraged to contribute to the agenda so they can influence service provision. Policies and procedures are available in the managers office which have been reviewed appropriately to ensure they remain pertinent, staff confirmed that the policies could be assessed at any time for reference and guidance. Information provided within the AQAA showed that peoples health, safety and wellbeing is promoted by the provision of effective routine maintenance. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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