Inspection on 21/10/08 for Westhead Community Home

This inspection was carried out on 21st 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

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Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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:     Westhead Community Home 10 Forge Close 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: Phil McConnell     Date: 2 1 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 27 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 27 Information about the care home Name of care home: Address: Telephone number: Fax number: Email address: Provider web address: Westhead Community Home 10 Forge Close 01695573059 Name of registered provider(s): Type of registration: Number of places registered: Potensial Limited care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only: Code PC. To people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability: Code LD. The maximum number of people who can be accommodated is: 6. Date of last inspection Brief description of the care home Westhead Community Home is situated in a quiet residential area of Westhead village, Ormskirk, West Lancashire. The property is detached and provides twenty four hour accomodation and support for up to six adults who have a learning disability. The home has four single bedrooms on the first floor and two single bedrooms on the ground floor. There is a large lounge area, a dining room, which is adjacent to the kitchen, a laundry and a small office. The outside grounds consist of a paved area to the front of the premises and a secluded garden at the rear. The home has a Statement of Purpose and a Service User Guide, which provides information about the qualifications and experience of the owners, manager and the staff and the service people can expect if they choose to go and live at the home. A copy of the Service User Guide and the most recent Inspection Report from the Commission for Social Care Inspection (CSCI) is available to help people make an informed choice. 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 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: Various information was gathered in order to assess the standards that are identified in the National Minimum Standards for Younger Adults, including:an Annual Quality Assurance Assessment (AQAA)which is a self assessment of the service, that had been completed by the registered manager, an unannounced inspection visit to the service on the 21st of October 2008, some surveys that were returned to the Commission for Social Care Inspection (CSCI),an Annual Survey Review (ASR) that was completed in January 2008 by a CSCI inspector. During the inspection we were accompanied by an Expert by Experience. An expert by experience is a person who because of their experience of using services, visits a service, with a CSCI inspector to help them get a picture of what it is like to live in a Care Homes for Adults (18-65 years) Page 5 of 27 residential home. The expert has also received training in order to enable them to take part in the inspection process. This persons contribution was very positive and some of his findings are contained in this inspection report. The expert said I was made very welcome and if I needed to live in a residential home when I get older, I would like to live somewhere like this home Service users spoke about the staff a lot and they said, they are the most important people in their livesand peoples body language showed they are happy and it was a nice atmosphere. All of the service users files were examined and there was the opportunity to observe the care and support that is provided to the service users and the interaction with the staff on duty. There was a really good atmosphere in the home and it was evident that a good rapport existed between service users and staff. The registered manager was available throughout the visit and there was the opportunity to have conversations with the staff. Generally all of the discussions and feedback from staff was very positive, however there does appear to be some issue about the staffing levels. (The expert by experience also commented about this. (See staffing section). The homes documentation was observed to be really well organised and when possible the manager has made every attempt to ensure that all documents, care files, service users guide and statement of purpose are made accessible in an easy read/picture format. This helps to ensure that inclusion and equality is positively practiced. What the care home does well: What has improved since the last inspection? What they could do better: Some of the decor and some areas of the kitchen would benefit from refurbishment. The bathroom is in need of some attention. (See Environment section). Care Homes for Adults (18-65 years) Page 7 of 27 There is a need to increase the staff team.This would help ensure that continuity and the consistency of good quality support and care would be maintained. 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 27 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 27 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. There is a good pre admissions procedure in place, helping to give the assurance that individuals care needs will be fully known and met. Evidence: At the time of the inspection visit four people were living at Westhead Community Home and they have all lived at the home for many years, the most recent having lived there for five years. All of the service users files were examined and they were found to be very well organised, with relevant assessments in place. The original admission assessments are in place and there was evidence of more up to date assessment reviews having been carried out by the local Social Services Department. The Annual Quality Assurance (AQAA) states, Full assessments are carried out to ensure the home can meet the needs of each individual and to ascertain if that individual requires any specialist support, equipment or if the staff need further training in order to provide the care and support for the prospective service user. In the last twelve months the Service User Guide, the Statement of Purpose and a very informative Welcome Pack have been produced in an easy picture format, with the Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: information also being placed onto disks for people who have visual difficulties or difficulty reading. This demonstrates that the provider is committed to promoting equality. Risk assessments are also undertaken at the assessment stage. Individual risk assessments were observed and it was evident that regular risk assessment reviews also take place, helping to give the assurance that peoples support and care needs are continually monitored. It was apparent that good procedures are in place, which give the assurance that prospective service users would be satisfactorily assessed in order to determine if their needs could be provided. Care Homes for Adults (18-65 years) Page 11 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are empowered to make appropriate decisions and take assessed risks in their lives, demonstrating that people are enabled to be as independent as possible. Evidence: The four service users files contained concise, very detailed informative care plans, which are reviewed every three to six months depending on the individual. The AQAA states, Care Plans have been developed with input from the service users, their families and their friends.The plans contained detailed pen pictures, which gave the staff information regarding a persons history and background. Other available information was, daily activities and events, communication and social skills, leisure and recreation, home skills, culture, religion and work and training. There is a key worker system in place, which helps to give the assurance that any changing needs will be quickly identified. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: The manager has received training in Person Centered Planing (PCP) and it is planned that she will facilitate this training to the staff. The manager said, This will empower service users and will benefit staff, equipping them to be more motivated. I was really motivated after the training. It was evident that regular service user meetings are held to encourage participation in key decisions about the home. The service users informed the expert by experience, we have a meeting every month to talk about how things are going and to make plans for the future. The expert wrote, I thought that this is a good home where residents are well looked after. People seem very happy and they were happy to talk to me about their lives. The AQAA states,we are trying to move away from the Well look after you culture and provide more choice and support to promote independence. There were detailed risk assessments in place, demonstrating that people are encouraged, empowered and enabled to be as independent as possible. This was evident in the way that individuals are supported to obtain paid employment and to access the wider community. Care Homes for Adults (18-65 years) Page 13 of 27 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 are actively encouraged and empowered to access meaningful, appropriate and stimulating activities. Evidence: As previously mentioned peoples care plans were detailed and concise, giving clear guidance and information regarding an individuals various interests and activities that they are involved in. The AQAA states, service users are encouraged to access the community and take part in activities or continue with activities they had been involved in prior to living in the home. There was documented evidence to show that people are supported and encouraged to access meaningful activities, paid employment, voluntary work and to also access leisure pursuits away from the immediate area. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: The expert by experience had a long conversation with the service users and these are some of the things he discovered, One person goes alone into the next town by bus residents do different things, swimming, go to the local pub, go to discos, shopping , go ten pin bowling and go out in the staff cars at evenings and weekends.The expert wrote, If I was older, and needed to live in residential care, I would be happy to live in this home. It was evident that inclusion, community participation and community presence is positively and actively promoted, enabling people to maximise their independence, whilst also initiating self worth, confidence and wellbeing. During the inspection visit it was apparent that the staff team work very closely with individuals and there was an obvious rapport between them. Information was available,regarding service users being encouraged to keep links with family and friends. This helps to show that people are supported to maintain friendships and relationships. Records of of the meals being provided was observed and it was evident that consideration is given to promoting nutritious and well balanced meals. Care Homes for Adults (18-65 years) Page 15 of 27 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. It is apparent that the home works in partnership with other agencies to ensure that peoples health needs are fully assessed, monitored and met. Evidence: All of the service users care plans were examined and they contained specific information and guidance regarding a persons personal care needs. The AQAA says, All staff receive training regarding, respect, privacy and dignity. It was evident that people are treated respectfully and some of the comments from service users were, I am happy with the staff the staff are nice and friendly and the expert by experience said, I found the staff very friendly and they were happy to leave us on our own to talk and didnt try to interfere. This was very positive. The expert also commented that, each person has a key worker, who they could talk to if something was worrying them. Individual information was available with regard to service users specific health care needs, with documented evidence and health reference check lists of GP visits, dentist, Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: chiropodist, district nurse and a breast screening appointment. There were health action plans in place, which had been devised from a thorough health assessment. These plans were completed by the service user with support from the manager and the persons key worker. It is apparent that individuals health care needs are closely monitored, giving the assurance that peoples health care needs are consistently provided for. There was an up to date medication policy in place.The storage and administration of medication was examined and it was found to be secure, thorough and very well organised. Individualised medication information sheets were very detailed with a photograph of the prescribed medication,which had been obtained from the Internet and also relevant information for each medicine, giving potential side effects. The medication administration record sheets (MAR) contained photographs of each individual, helping to eliminate possible errors. Self medication assessment forms were available for inspection and one person with support, is self medicating. The manager said, This was decided after we sat down with the person and discussed what the dangers might be. So there is a joint risk assessment in place This was observed at the inspection visit. Overall the administration of medication is thorough and robust, giving people the opportunity to be as independent as possible. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The thorough policies and procedures regarding safeguarding adults, gives the assurance that people are protected from harm or abuse. Evidence: No complaints have been received since the last inspection. There was a policy and procedure in place regarding the safeguarding of vulnerable adults. As previously mentioned, whenever possible information is also produced in picture format promoting, inclusiveness and equality. The registered manager has been very proactive, compiling disks with the complaints procedure, the statement of purpose and the service users guide, with voice over reading. This is beneficial to anyone who may have reading or visual difficulties. All of the staff have received training in safeguarding adults and some of the comments were, we have had safeguarding/vulnerable adults training I am familiar with the whistle blowing policy and I wouldnt hesitate to report someone if I suspected any kind of abuse and we are all aware of the No Secrets document. This is a government document, which was published in order to give guidance and advice regarding the safeguarding of vulnerable people. Care Homes for Adults (18-65 years) Page 18 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The decor in some areas of the home is in need of being updated and maintenance repairs carried out on a regular basis. This will help ensure a safe, clean and pleasant environment. Evidence: During the inspection visit a full tour of the home was carried out. The communal areas of the home were observed to be comfortable, warm and homely, with sufficient space to meet peoples needs. The home was furnished with domestic style furnishings and equipment, with peoples bedrooms being individualised, with their own choice of decor, their own possessions and furnishings. Generally a reasonable standard of decor was evident throughout the home, however the decor in the kitchen is in need of being updated. New kitchen units have been fitted,which is an obvious improvement and the AQQA states, a new cooker is being purchased and new flooring will be provided in the kitchen. It was observed that one part of the kitchen floor was damaged and it is a potential hazard,that could cause someone to have a fall. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The ceiling in the staff sleep in room was badly damaged, which had been caused by a leaking shower on the first floor. Apparently the shower has been repaired but it is still causing some problems with continual leaking. There is a need to ensure that it is satisfactorily repaired or replaced. The bathroom suite on the first floor is looking quite worn, with the bath looking particularly poor with the enamel coming away in places. The manager gave an assurance that these issues will be addressed. One other improvement since the last inspection has been the installation of a grab rail in the downstairs shower and it planned to turn this room into a wet room, which will enable easier access for a person either using a wheelchair or someone with mobility problems. The laundry is situated adjacent to the kitchen, with sufficient equipment to meet the needs of the people living at the home. The expert by experience said, I thought the house looked nice it is well decorated, it is clean and there are lots of personal things and photos about. Overall the home is comfortable,homely and hygienic, however some decoration and repairs are needed to ensure that people live and work in a safe, pleasant and well maintained environment. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing levels need to increase, this would help ensure a continuity of the good working practices. Evidence: The staffing levels were examined and it was apparent that there has been a continual staff shortage, with only four members of staff (including the manager) who are regularly working extra hours to ensure that adequate support is maintained for the people receiving the service. The expert by experience commented,It seems there are only three members of staff. I wondered what would happen if a member of staff was off sick for a long time. How would the residents get on with someone they didnt know came in to support them? The residents are getting older and may need more support as well. Maybe they need relief staff?. The AQAA states, we need to employ a bigger and more diverse staff team and some of the comments from staff team members were, At the moment we are short staffed, a member of staff left over twelve months ago has not been replaced We have four service users and only three staff, this means sickness and holiday cover becomes difficult with two people sharing the entire shift pattern between them we need to employ more staff to ensure all staff are able to take leave without causing problemsand theres always another member of staff on call in the event of an emergency. The AQAA states, staff pull together to cover Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: sickness and holidays, which reduces the need for agency staff. The present staff have excellent relationships with the service users and it is evident that a good service is provided by staff who are both committed and dedicated, however it is necessary to recruit another staff member. This will help maintain the present good service that is being delivered. This staffing issue was discussed with the registered manager and an assurance was given that it will be addressed. The staff files were examined and they contained all of the necessary information that is required for inspection purposes including, Criminal Records Bureau checks (CRB), application forms, two references for each member of staff, supervision and training records. The policy and procedures regarding the recruitment of staff was observed to be thorough, helping to ensure that service users are protected and safeguarded by having a robust system in place. The training matrix was examined and it was apparent that regular,sufficient and relevant training is provided. All of the staff have obtained the national vocational qualification in care (NVQ). Some of the comments from staff were, I have worked in the care industry for nearly eighteen years,so I feel I am experienced enough to cope with most situations.Training is also given regularly to deal with all issues and we have mandatory training with annual refresher courses. It was evident that training is satisfactory and appropriate to help ensure that service users receive support from well trained carers. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and organised, ensuring as much as possible that service users receive a good quality service. Evidence: The registered manager has over twenty years experience in care work and she has been the manager at Westhead for the past twelve years. She is well qualified and since the last inspection visit she has been successful in completing the registered managers award, has undergone Mental Capacity training and Person Centered planning training. This training is to be facilitated to the staff team, which will hopefully further enhance the present good quality of care and support that is already being provided. The home is well run, with very good documentation and filing systems in place. As already mentioned the manager has ensured that when possible all information and documentation is available in picture format.This helps to show that inclusion and equality is positively demonstrated. Some of the comments regarding the manager were,I have a very good working relationship with the manager and she has always taken a personal interest in any concerns I may have The manager keeps us Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: informed and updated with issues relating to us form the the managers meetings she attends and the manager is always available and very supportive. The expert by experience said, The manager made me very welcome. In the last twelve months the manager has implemented a development plan and a marketing plan. Good quality assurance monitoring systems are in place including,daily, weekly and monthly quality checklists. The AQAA states,effective systems are in place to monitor staff compliance with policies and procedures, for example staff meetings and recorded discussions at supervisions. The quality assurance systems in place helps to demonstrate that opinions are sought from service users, family members and staff in order to ensure that the service being provided is of a good quality. Health and safety policies and procedures were examined and everything was in order and up to date including, all health and safety inspection certificates, gas, electric, portable appliance testing (PAT), emergency lighting and fire alarm tests and equipment. Staff have undertaken training in all aspects of health and safety,which helps to demonstrate that service users are protected and safeguarded as much as possible. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 2 24 30 The kitchen floor is in need of some attention in order to reduce the risk of falls. Some of the decor within the home is looking dirty. It is recommended that it is either cleaned or redecorated. This would improve the overall environmental standard. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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