Inspection on 06/10/08 for Watchbell House

This inspection was carried out on 6th October 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

Watchbell House 14/11/06

Watchbell House 03/02/06

Watchbell House 17/05/05

Watchbell House 21/09/04

Watchbell House 01/04/04

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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: Watchbell House 14 Watchbell Street Rye East Sussex TN31 7HA     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: Sally Gill     Date: 0 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Watchbell House 14 Watchbell Street Rye East Sussex TN31 7HA 01797222059 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jayne Shilling Type of registration: Number of places registered: Canterbury Oast Trust care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home Watchbell House is registered to provide care and accomodation for up to six adults with a learning disability and admits people with mild to moderate needs. The Canterbury Oast Trust owns the home and the registered manager Jayne Shilling has day to day control. Accommodation is on three floors. All bedrooms are singles and four have a wash hand basin. Service users have access to a large lounge, dining room, spacious entrance hall with seating, three bathrooms, kitchen and laundry. At the rear of the premises there is a small courtyard garden with raised beds, ornaments, garden furniture and barbeque. The home is not suitable for those with Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home mobility problems. Watchbell House is a listed building situated in an elevated position with extensive views. The town centre with all its amenities is a short walk away including train and bus stations. The home has its own vehicle which is used for service users. The staff compliment consists of a registered manager, team leader and support staff. The team leader and support staff work a rota that includes a minimum of two staff on duty during the day and one person sleeping in at night. Previous inspection reports are available from the home or can be viewed and downloaded from www.csci.org.uk. 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: The previous inspection took place on 14th November 2006. This inspection was carried out over a period of time and concluded with an unannounced visit to the home between 09.15am and 4.15pm. The manager and staff assisted during the visit. People that live in the home and staff were spoken to. Observations were made throughout the day. Five people were living at the home on the day of the visit. Surveys were sent to the home for the manager to distribute to residents, staff and health and social care professionals. Six were returned from residents, six from staff and three from health and social care professionals all of whom were very positive Care Homes for Adults (18-65 years) Page 6 of 28 about the care and support received. The care of two people was tracked to help gain evidence as to what its like to live at Watchbell Street. Various records were viewed during the inspection and a part tour of the home undertaken. The home sent their annual quality assurance assessment (AQAA) to the Commission within the required timescale. The AQAA is a self-assessment picture of how the manager thinks they are doing against the national minimum standards. At the time of the visit current fees charged were 891.98 pounds per week. Additional costs would include some activities, toiletries, hairdressing, newspapers and magazines. 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 Care Homes for Adults (18-65 years) Page 8 of 28 240 7535. Care Homes for Adults (18-65 years) Page 9 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 10 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 excellent 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 and their representatives have the information needed to choose a home that will meet their assessed needs. Evidence: People have the information they need in order to make an informed choice as to whether this home is right for them. People confirmed they were asked if they want to move into this home. They also said they got enough information before they moved in to decide if it was right for them. A statement of purpose and service user guide is in place. The format for the service user guide uses written, symbols and photographs and is given to people prior to moving into the home. A copy of the service user guide is also displayed within the dining room of the home. People have their needs assessed. The home undertakes their own assessment usually in the persons own environment. The assessment is a tick list and covers all areas of care and support. Assesments could be enhanced if additional comments were recorded in addition to the tick list. An assessment seen was not dated or signed by Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: the person completing it, which would be good practice. Copies of care management assessments are obtained and held on file. One care manager had encouraged a service user to write to a previous placement and obtain copies of their care plans and risk assesments which was successful and informative for the home. People are able to test-drive the home before moving in. The manager described the arrangements, which had taken place for a person currently considering moving into Watchbell House. These had included short visits, staying for meals and a weekend stay. The parents of the person have also been to look round. People are protected by contracts in place with the home. Each person has agreed a contract of terms and conditions. A copy of which is held on their file. The contract is in written and symbol format. The details of the homes contact persons within the Commission need up dating in the document. Increases in fees and allowances are advised in writing annually. These are then explained and agreed (signed by both parties) as an appendix to the contract. Care Homes for Adults (18-65 years) Page 12 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. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. Introducing pictures to some care plans will make them more meaningful to individuals. Evidence: Peoples know their assessed needs and personal goals are reflected in their individual care plan. Two care plans were examined in detail. These clearly reflect the way people wish to be supported. Care plans are reviewed regularly and there was clear evidence of updates. It would be good practice to sign and date any changes made. It is pleasing to see pictures currently being introduced to one care plan to make them more meaningful to the individual. Once this is in place for all those people where this format is more meaningful it is anticipated the standard would be scored as commendable. A formal review is held annually where people can invite whom they wish to attend. During this review people decide goals they want to achieve and agree any other action needed. Most goals and actions were clearly detailed with a step-byCare Homes for Adults (18-65 years) Page 13 of 28 Evidence: step plan. One was not, which was in relation to newspaper storage although the manager advised what work had already started to wards this. People are able to make decisions about their day-to-day lives. People feel they are able to make decisions about what to do, three people felt this was only sometimes. As a group it has been decided to hold resident meetings every two weeks. Minutes confirm people are able to chose outings and trips out and have a say in how the house runs. Individuals are also representatives for the home at the Kent Partnership group and the Residents Panel meeting within the Trust both of which are held quarterly. People are supported to take appropriate risks to aid independence. Where there is a risk this is clearly recorded in an assessment, which was evidenced as reviewed regularly. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use services are able to make choices about their life style, and supported to develop their life skills. Social, educational and recreational activities meet individuals expectations. Evidence: People have opportunities for personal development. During the visit it was apparent that people have many opportunities to develop their skills and abilities. The location of the home is ideal for people to be able access the community easily as well as public transport. One person was training to travel independently on the train. Two others have already achieved traveling independence. Another was working to-wards accessing the town independently. Four people are already able to do this. Other independent living skills are also encouraged. Examples seen and discussed during the visit included menu planning, shopping, cooking, laundry and other household chores. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: One person is undertaking a City and Guilds recognized practical daily skills qualification, which will be assessed shortly by a recently trained member of staff. Staff have attended a talking mats training session. This is now being implemented for one individual to enhance their communication further. Pictures to aid communication are being introduced by staff using the Internet in several areas including menu planning, todays menu board and care planning. People have opportunities for appropriate education and work activities. One person has two volunteer jobs within the town. Others attend work or training opportunities organized by the Trust. These include working in the Granary and Mariners restaurants and attending computer, craft, literacy and music workshops. Other activities provided by outside organizations include life skills workshops for woodwork, computers and literacy and chi ball sessions. Two staff members surveyed felt people may on a rare occasion miss their day activity due to staff sickness. People are actively involved in the local community and enjoy plenty of leisure activities. Records and discussions confirmed that people visit the local pubs to socialize and the leisure center for swimming and aqua aerobics was to be tried for the first time on the evening of the visit. Menus have been obtained from local pubs and restaurants and everyone is planning a Christmas meal out. One person said they attend a local church each week. Recent trips out have included a picnic at the beach, bowling, cinema, Drusillas, Lego Land, Eastbourne, Bexhill seafront, Saturn disco and Sealife Center. In house leisure pursuits include television, radio, playing the keyboard, computer with Internet, radio and Nintendo wii. Surveys confirmed that people feel they can do what they want in the day, in the evening and at weekends. People are supported to have appropriate personal and family relationships. Staff confirmed that individuals go home on visits and also on holidays with family members. The manager describes an example where after discussions the staff and family were working closely to develop one persons budgeting skills. People are supported by professional advice and guidance when involved in relationships. Peoples responsibilities are recognized in their daily lives. Daily routines promote independence and choice. One person confirmed they have a key for their bedroom. People were observed to have a choice in what they did through the day and plans in place were flexible. People treat the home as their own, one perosn was observed to freely come and go as they pleased throughout the visit. Although people have lots of activities planned into their week free time is also planned so people are able to chose other activities, just pop into town or chill. Staff interactions with individuals was relaxed and often with good humour. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: People plan, cook and shop for their meals. Menus are planned weekly with individuals choosing a meal each day, which they then cook with assistance, if needed. Two people cook their own individual meals three days a week, which they prepared in advance due to their busy schedules. Staff talked about encouragement to have a healthy diet and one person was planning their menu choosing dishes from slimming books on the day of the visit. Lunch is a snack, which people get for themselves as they come in. Lunch on the day of the visit was relaxed and fitted in around people routines. The main meal is in the evening. The evening meal on the day of the visit was tuna pasta bake, which was being cooked as the inspector left. Care Homes for Adults (18-65 years) Page 17 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. The health and personal support that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Medication systems should be strengthened to fully protect people. Evidence: People receive support in the way they prefer. A key worker system is in place. People are independent in their personal hygiene. People confirmed that times for going to bed are flexible. People routines and likes and dislikes are recorded in their care plan and these are also flexible. Peoples health care needs are met. Records confirmed that people have access to regular appointments such as dentist, optician, doctors, well person clinics and chiropodist. Some people see a therapist for massage or reflexology. Discussions confirmed where there are health concerns such as someones diet professionals are consulted and good health promoted and encouraged. People are being encouraged to work toward self-administration of their medication. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: There is currently a goal plan in place to move towards total independent administration for one person. Others are already self-administering prescriptions such as creams. Risk assessments should be in place for the storage of prescription creams that is not secure. Risk assessments for self-administration should include a system to audit and track medicines brought into the home. The medication systems were examined. The storage of medication has changed since the last visit and is secure. However the monitoring records of the temperature of the cupboard shows it has been on several occasions over the recommended temperature of below 25 degrees. This must be addressed. The Medication Administration Record (MAR) charts were examined. These showed good use of codes and signatures for administration. Handwritten entries or changes should be dated, signed and witnessed. Currently the stock of homely remedies are listed on the MAR charts this is confusing and indicates that the medicines are prescribed as required when they are not. This should be reviewed. The manager agreed to address all of the shortfalls found so a requirement has not been made at this time. The manager advised that all staff that administer medication have received training and this is up dated every three years. Care Homes for Adults (18-65 years) Page 19 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 the service are able to express any concerns. The format of the complaints procedure could better inform people. People may be better protected from abuse with further training. Evidence: People feel their views are listened to and acted on. Regular residents meetings are held where people are asked specifically about any concerns they may have. People surveyed said they knew who to speak to if they are not happy and they know how to make a complaint. A complaints procedure is displayed although this is not pictorial and, as three people cannot read this would be good practice. The manager agreed to address this. The manager advised that the home has received no complaints since the last visit. The Commission has received no complaints. People are protected from abuse. People confirmed they feel safe living in the home. The home has procedures in place to manage any abuse. Most staff have received training in safeguarding vulnerable adults. All staff should receive safeguarding training. The trust aim to up date this every three years although two staff were overdue. Two staff spoken to was very clear of the routes to report abuse within the Trust but not outside, which they should be. Care Homes for Adults (18-65 years) Page 20 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 have a home, which is well maintained, comfortable and enables them to live safely whilst encouraging independence. Evidence: People live in a pleasant, well-maintained and homely environment. A tour of all communal areas was undertaken. All areas were clean, tidy and decorated to a good standard resulting in a very pleasant home. The manager advised since the last visit the kitchen has been completely refurbished include microwave, dishwasher and fridge freezer. A bathroom has also been refurbished. All bathrooms and toilets have had new flooring. A bedroom has been redecorated and a further wash hand basin installed in a bedroom. The garden has been improved with furniture, a barbecue, ornaments and bark chippings. New carpets have been fitted in the lounge and dining room. Two new televisions have been purchased and new lighting fitted. One person commented that they felt one bedroom had the potential to be developed into a bedsit to further aid independence. People surveyed confirmed the home is always fresh and clean. 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. Staff in the home are trained, skilled and sufficient in numbers to support people who use the service and the smooth running of the home. Formal supervision could enhance the team. Evidence: A qualified team supports people. Four of the six staff have obtained a National Vocational Qualification (NVQ) level 2 or above and another is shortly to complete. This is above the recommended 50 and is commendable. There are sufficient staff to meet the needs of five people who live in the home. The manager advised that in addition to her there is a minimum of two people on duty 8am to 9pm. At other times there is one member of staff who would also sleep in. The manager advised her management hours are now recorded on the staff rota. People surveyed said staff always treat them well and always or sometimes listen and act on what they say. One commented I like all the staff and I like to go out for a drink with staff. Good interactions were observed during the visit often with good humour. One person spoken to said they liked all the staff and they were very kind and caring. People are protected by good recruitment practices. Three staff files were examined. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: These showed checks were in place such as completed application forms, references and Criminal Records Bureau (CRB) checks. For two people the manager advised their CRB had included a Protection of Vulnerable Adults (POVA) check this could not be evidenced which would be good practice. The manager agreed to follow this up with the human resources department. The other staff member had evidence of a POVA check on their file. Staff receive training to develop their skills for the job. Records confirmed that staff receive mandatory training (fire, first aid, infection control, moving and handling and food hygiene). The manager advised this is updated every three years. In addtional fire training is refreshed using a DVD each year. The Trust has an induction to Skills for Care specification and when a staff member moves within the Trust, staff advised they had undertaken a further orientation induction. All staff have undertaken health and safety training. Some staff have also undertaken training in dementia and dealing with challenging behaviour. See earlier comments regarding a shortfall in safeguarding adults training. Staff surveyed felt they are well trained and there are good opportunities for training. Staff are well supported but formal supervision is lacking. Staff spoken to feel they are well supported. One survey said although there are formal supervisions in the diary we can discuss anything on a daily basis as needs arise. Records examined for three staff confirmed that only three supervision sessions had taken place in the last twelve months and six is recommended for good practice. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect. It has effective quality assurance systems. Peoples health and safety is protected. Evidence: People benefit from a well run home. The manager has several years experience managing learning disability homes within the Trust. She has obtained her Registered Managers Award (RMA) and an NVQ level 4 in care. Staff spoke highly of the manager. Comments included the whole team get on with her, she is professional, competent and has a sense of humour, she is relaxed and easy going but no push over, she has a good rapport with clients and she is approachable and easy to work with. Staff felt the paperwork is more efficient in the home since the manager has taken up post. Since the last inspection the manager has taken six months out and the team leader managed the home with the support of another home manager and the area manager. The home appears to have run smoothly during this period. One staff member surveyed said the team leader had done an excellent job in sharing all the relevant information. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: People can be confident their views underpin the development of the home. People who use the service are asked to complete a quality assurance questionnaire each year usually around the time of their formal review. Relatives also complete annual questionnaires. Some of these completed were seen and contained very positive feedback. Regular residents meetings are held to give people the opportunity to voice their views. Staff confirmed that people that live here are very vocal would ensure they get a say in how the house is run. The area manager undertakes monthly visits to the home in order to assess the standard of care being provided. Copies of their reports were seen on file. The home completed their Annual Quality Assurance Assessment (AQAA) which was received by the Commission with the required timescale. Information was adequate. It did not cover all areas of the National Minimum Standards (NMS) and could have much better reflected the quality service delivered. This was discussed with the manager. The heath, safety and welfare of people is promoted and protected. The AQAA confirmed that equipment is regularly serviced and it is evident the home is well maintained. Staff have undertaken mandatory training. People who use the service have undertaken health and safety training. The fire safety logbook confirmed all tests are carried out to the required frequency. Accidents are recorded and reported appropriate and did not warrant further investigation. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (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. 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!