Inspection on 12/05/09 for Wey House Nursing Home

This inspection was carried out on 12th May 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wey House Nursing Home 24/04/08

Wey House Nursing Home 08/11/07

Wey House Nursing Home 27/06/07

Wey House Nursing Home 17/01/07

Wey House Nursing Home 01/06/06

Wey House Nursing Home 28/10/05

Wey House Nursing Home 09/06/05

Wey House Nursing Home 14/01/05

Wey House Nursing Home 11/06/04

Similar services:

The Vicarage

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Trevaylor Manor

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Stallcombe House

Stepping Stones

Cornerstones

Extracts from inspection reports are licensed from CQC, this page was updated on 26/11/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Wey House Nursing Home Wey House Nursing Home Norton Fitzwarren Taunton Somerset TA4 1BT     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: Barbara Ludlow     Date: 2 2 0 5 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.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: Wey House Nursing Home Wey House Nursing Home Norton Fitzwarren Taunton Somerset TA4 1BT 01823337391 01823326652 helen.smith@robinia.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Robinia Group PLC care home 37 Number of places (if applicable): Under 65 Over 65 0 physical disability Additional conditions: 37 The maximum number of service users who can be accommodated is 37. The registered person may provide the following category of service only: Care home with nursing- Code N to people of either gender whose primary care needs on admission to the home are within the following category: Physical disability- Code PD Date of last inspection Brief description of the care home Wey House is a Registered Care Home with Nursing for adults with physical disabilities, acquired brain injuries and progressive neurological diseases. The home is on the outskirts of Norton Fitzwarren, 5 miles from Taunton and is set in large grounds. There is an area of fenced garden to the front of the house. The accommodation is divided into three units. The home has wide corridors and good size communal rooms. All bedrooms are 12 sq.metres or more in size. Two bedrooms in unit one have steps and are accessible by stair lift. All other areas of the home are accessible by lift. The home is suitably adapted for the client group accommodated. The home has a large hydrotherapy pool and dedicated physiotherapy staff. There is a skill mixed team of professional staff and care workers. The current fee ranges from: #560 to #1600 per week (Nov. 2007) Care Homes for Adults (18-65 years) Page 4 of 30 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 peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced key inspection was conducted over two days by regulation inspectors Barbara Ludlow and Alison Philpott. As part of the inspection process, CQC are using Experts by Experience to help inspectors get a picture of what it is like to live in a social care setting. The term Expert by Experience used in this report describes the people who also visited the home during the inspection and who have knowledge about social care. The expert said This was the first time I had visited a Home with such a wide range of ages (currently 22 - 66) and with such high levels of dependency among the residents, so I had no idea of what to expect. However my first very favourable impression was confirmed as I looked around the building, talked to staff and residents, and spent some time Care Homes for Adults (18-65 years) Page 6 of 30 observing an activity session and the service at lunchtime. On the day of the inspection, 28 people were living at the home. We were given unrestricted access to all parts of the home and all records requested for this inspection, were made available to us. We were able to meet with people using the service and staff. The home completed its Annual Quality Assurance Assessment (AQAA) and this was received by the Commission within agreed timescales. The AQAA is a self assessment which focuses on how well outcomes are being met for people using the service. It also provides us with some numerical information. We received completed surveys as follows; 10 from people who live at the home; one from staff who work at the home; and one from a social and health care professional. Extracts have been included in this report where appropriate. The term we, used throughout this report, refers to we the Commission. We would like to thank all involved for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. 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. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 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 10 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. The home provides a range of information including its Statement of Purpose and Service Users Guide to people before they move into the home so that they can make an informed decision that it is the right place for them. The home carries out comprehensive pre admission assessments to ensure that it can meet the needs of the prospective person. Evidence: The home told us on their AQAA, we have an up to date comprehensive statement of purpose ..our service guide has just been revised and produced by the service users at Wey House. They used a variety of communication styles they felt were most effective for them and others joining the home. Seven people who completed surveys told us that they received enough information about the home before they moved in so that they could decide if it was the right place for them. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: The AQAA stated all service users interested in coming to Wey House have a full pre admission assessment conducted by 2 senior staff. We looked at the initial assessment for a person who has moved to the home since the last key inspection. This contained a good level of detail. The home had also obtained information from the placing authority and other health care professionals. We also looked at transition plans that had been put in place to oversee the introduction of the person to the home. Care Homes for Adults (18-65 years) Page 12 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. Care plans are person centred and contain good detail. People are involved in the development of their care plans. People are encouraged to make their own decisions and choices wherever possible. Risk assessments are carried out to support people to take responsible risks and increase independence. Evidence: The AQAA says support plans are individualised to ensure that all areas of need are addressed. Service users support plans identify the level of need and areas of development such as increasing college time or working towards independent living. We looked at the new style person centred care plans. These contained a good level of detail and include a support profile. The support profile covers the following areas; Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: people who are important to me; people who work to support me; person centred information for support needs including communication; what I like. There was detailed information for staff to follow so that they know how to support people. Weights were recorded on a monthly basis and care plans had been reviewed on a regular basis. The AQAA says all service users are actively encouraged to take part in the running of the home. Projects are encouraged; - development of service users guides, painting of new equipment and gardens. People who live at the home told us they can generally choose what they want to do at the home. The home told us on their AQAA risk assessments are used to support service users and to ensure that health and safety are paramount at all times. We looked at detailed risk assessments relating to falls, fire, food allergies, choking, manual handling, and cot sides. Care Homes for Adults (18-65 years) Page 14 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 are offered a wide range of activities. People are encouraged to maintain contact with family and friends. The home offers a healthy diet and promotes choice. Evidence: A health care professional said the service works well to keep its service users involved in the community, giving the opportunity to attend college, day centres..etc.. The home has two minibuses to take people to college, activities and on outings. The expert said On the day we visited a number of residents had gone to the Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Somerset College of Arts and Technology for their regular classes.. Apart from some residents going to SCAT there was a regular programme of activities including art, cookery, games and gardening, and several people enjoyed going shopping. One part of the house has been converted to a sensory lounge, a very attractive area which I would guess is a welcome haven. The home told us on their AQAA we have a library service in the home..are able to request books that service users want to read. We have a volunteer reader every Thursday and we have a computer suite which enables service users to use the internet. The home holds regular church services for people. Individuals religious beliefs are acknowledged and people are supported to attend the service of their chosen religion. People who live at the home told us that their visitors are made to feel welcome. The home told us all meals and snacks are cooked fresh in the kitchen by qualified chefs who use fresh organic products to produce highly nutritious meals. The Expert reported the kitchen was clean and very well organised, and I spent some time talking to the chef who apart from being very good at his job (we had lunch!) typified this caring attitude. He showed me four weeks core menus and then his own daily list which was often quite different after allowing for the personal preferences of each resident. Everyone was asked each day what they wanted to eat and if this differed from the set menu then they could have it. Although residents could eat in their rooms if they wished they were encouraged to come to the dining room which helped to reinforce the family feeling. Help was given to those who needed it. I thought it was a nice touch that one person was encouraged to help with laying the table and also with choosing where a poster showing the result of the mornings activity should be displayed. Care Homes for Adults (18-65 years) Page 16 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. People are supported in their preferred way. People are supported to access a range of health professionals. Individual health action plans are in place. The homes medication policies and procedures protect people from risk of harm. Evidence: We found that peoples preferences relating to personal support are recorded in their individual care plans. Each person who lives at the home has a key worker. The home told us service users are able to choose their key workers. It was evident from care plans that people have access to appropriate health care professionals to meet their individual needs. This included district nurse, speech & language therapist, Holistic therapist, registered mental health care nurse (RMN), occupational therapist, physiotherapist. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: We looked at one persons health action plan. This contained detail of the persons specific needs and who would meet these needs. The home told us on their AQAA we also run a clinic once a week and all service users can see the GP if they wish to and annual health reviews are undertaken by the GP. A health care professional said the therapy team work to keep service users as independent as possible and keep individual interest and hobbies as well as maintaining relationships they had prior to their illness/accident. The home employs a physiotherapist, registered mental health care nurse (RMN) and occupational therapist (OT). We looked at one persons physiotherapy programme. This included exercises and instructions on position with photos. The home has employed a RMN since the last inspection. He works two days a week and provides specialist input into care planning. We were able to meet with the RMN and he was able to explain the work that has been doing with individual people who live at the home, to improve outcomes for them. The home has also employed an OT since the last inspection. She was at the home and went out to carry out a home visit and assessment during the afternoon. On the second day of inspection we looked at the home visit report, this contained a good level of detail. We were able to talk to a GP who visits the home. They told us that they were happy with the care at the home and the management of any problems. People who completed surveys told us they look after me well and they care for me. When we asked people who live at the home do care staff listen and act on what you say?; seven said always, one said usually and one said sometimes. We observed that people were dressed nicely in their preferred choice and style. We looked at medication and records. The home has introduced a monitored dosage system since the last inspection. The medication administration record sheets (MAR) were generally well maintained. There was one gap in the records where a medicine should have been administered and signed for. Where a medication error had taken place at the home, the manager carried out a full Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: medication audit. The action plan was sent to the Commission for information. 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. The homes has a complaints policy. The homes policies relating to abuse and whistleblowing protect people from the risk of harm. Evidence: The home has a complaints policy and procedure in place. The home said we have looked at trends and complaints and used the outcomes to develop and enhance services. People who live at the home know who to talk to if they have any concerns. A log of complaints is maintained. We looked at the two complaints that the home had received. The home had responded to the complainants. The home told us on their AQAA we have good working relationships with the adult protection team in Somerset, are able to access advice and share good practice. When issues have arisen, the home has followed the vulnerable adults strategy and worked in partnership with the local authority. The home keeps personal monies for some of the people who live at the home. We checked the monies, records and balances of three peoples monies. These were found to be correct. Care Homes for Adults (18-65 years) Page 20 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. The environment is homely, comfortable and safe. The home has ongoing plans for maintenance and improvements. Peoples bedrooms are personalised to reflect their individual tastes and interests. Evidence: The Expert said Wey House is a large old building on the edge of Norton Fitzwarren, a village on the outskirts of Taunton but within easy reach of the town. It has quite extensive grounds with a variety of areas, all well maintained, which can be used by residents and visitors. The interior of the house was clean and fresh with imaginative use of colour in the corridors and public spaces to make everything as cheerful as possible, and residents were encouraged to choose their own colour schemes for their rooms. I thought it was very good that special efforts had been made to include personal items, particularly photographs, to serve as a reminder of their families and of their lives before they had come into the home. We looked at a number of bedrooms. These had been personalised to reflect peoples tastes and interests. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: The home has introduced a sensory room since the last inspection. We observed three people using the room. There is good use of colour and lighting. Calming music was playing in the background. People who live at the home benefit from a hydrotherapy pool and physiotherapy facilities. On the day of the inspection, the pool was out of use and was due to be repaired. Equipment provided is individualised to meet each persons needs appropriately. This included chairs, slings, and mattresses. The home employs maintenance staff to deal with day to day repairs. We observed that hand washing facilities are available in all areas of the home. Care Homes for Adults (18-65 years) Page 22 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. Staff have a good knowlege of the people they support. Recruitment procedures are robust to ensure that residents benefit from good staff support. The home provides a comprehensive training and development programme for staff to ensure they are able to meet peoples needs. It appears that some staff have some gaps in their training. Evidence: The expert reported After the initial very friendly and helpful conversation with the Deputy Manager, and a tour of the building with the occupational therapist, I spent some time talking to residents and staff, and observing an activity session and the lunch-time routine and I was very impressed by the attitude of the staff, some of them quite young, all of whom showed a real understanding of everyones needs and the best way to respond when speaking to them - sometimes with some light-hearted remarks but always with great gentleness and respect. I really cannot commend them too highly. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: The home told us on their AQAA we operate good service user ratio within the home and staffing levels are good. Staffing levels have been determined by the residential forum tool and were increased as a result of this audit. Thirteen staff were on duty on the first morning of the inspection. In addition to this there was a driver, chef, kitchen porter, physiotherapist, RMN, occupational therapist, housekeeper, gardener, maintenance and laundry staff. We looked at three staff recruitment files. These contained all of the required checks and information. We spoke with a member of staff from the agency who was working at the home for the first time. They confirmed that they were given a short induction to the home before commencing duties. Staff commented we are updated for all the training, it gives us enough knowledge on how to give our residents a comfortable and safe place to live. The home gave us a copy of the staff training matrix. Training is provided in the following areas; first aid; food hygiene; moving & handling; fire; health & safety; infection control; adult protection; communication and equal opportunities & diversity. There appeared to be some gaps in training within the matrix. Two of the staff names, which we looked at on recruitment files were not included in the matrix. Two staff training sessions that had been advertised on the homes noticeboard had been cancelled. On the second day of the inspection, manual handling training was taking place. Eight staff have an NVQ at Level 2 or above and thirteen staff are working towards an NVQ. The home has regular staff meetings. We looked at the minutes of the meetings and the Wey Flyer. They contained lots of information for staff. Care Homes for Adults (18-65 years) Page 24 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 managed home. The home has quality assurance systems in place. The homes health & safety policies and procedures protect peoples health, safety and welfare. Evidence: The registered manager is Miss Helen Smith. Miss Smith has worked at the home for over two years and is a registered nurse. She has worked hard to make improvements at the home and has moved the service forward. The Expert said it seemed nothing was too much trouble: staff said this is their home and they should expect no less and I felt this summed up very well the whole ethos of Wey House, which must in no small way be attributable to the standards set by the management team. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: The home has regular audits to ensure that standards are maintained. The Operations Manager carries out regular visits to the home to monitor quality. A record is kept of these visits. The home sends out surveys every year to people who live at the home, relatives and health professionals. An annual health & safety audit had been carried out on 17th and 18th June 2008. The home carries out monthly checks on water temperatures and keeps a record of these. We looked at servicing records for portable appliance testing; legionella; lifting equipment; gas safety; and electrical installation. These were all found to be up to date. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes R 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 1 6 15(1)(2) Care plans are required to be 30/06/2008 further developed to ensure that all areas of need are assessed and have an up to date care plan. 2 6 15(1)14(2)(a) People with a mental health need must have their needs assessed by a suitably qualified person. Then the strategy for addressing their needs must be determined by a suitably qualified person. 12(1)(a) 30/08/2008 3 18 The staffing on particularly 30/06/2008 busy mornings (college days) should be reviewed to prevent priority care taking care away from undemanding dependent people requiring personal care. Where a risk assessment 30/06/2008 determines a monthly weight check the home must have equipment available at all times to enable people to be weighed. (This refers to a hoist scale being available for people who cannot use sit on or stand on weigh scales.) 4 19 15 (2)(b) Care Homes for Adults (18-65 years) Page 27 of 30 5 33 15(1)14(2)(a) People with a mental health need must have their needs assessed by a suitably qualified person. Then the strategy for addressing their needs must be determined by a suitably qualified person. 30/08/2008 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 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 35 The home should ensure that the staff training matrix is kept up to date and staff have undertaken the required training. This is to ensure that staff have the skills and knowledge to meet peoples needs and are aware of current good practice. 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). 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