Inspection on 27/11/08 for Wheelwright Road, 76-78

This inspection was carried out on 27th November 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

Wheelwright Road, 76-78 03/07/07

Wheelwright Road, 76-78 15/11/06

Wheelwright Road, 76-78 09/02/06

Wheelwright Road, 76-78 31/08/05

Wheelwright Road, 76-78 07/02/05

Wheelwright Road, 76-78 02/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Wheelwright Road, 76-78 Wheelwright Road, 76-78 Erdington Birmingham West Midlands B24 8PD     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: Donna Ahern     Date: 2 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Wheelwright Road, 76-78 Wheelwright Road, 76-78 Erdington Birmingham West Midlands B24 8PD 01216866601 01216868898 t.d.lyttle@blueyonder.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Ann Marie Lyttle Name of registered manager (if applicable) Mr Micheal John O`Donoghue Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Mrs Lyttle must ensure that Mr Adrian Lyttle takes no part in the day to day operation and management of the home The maximum number of service users to be accommodated is 10. The registered person may provide personal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) 10 Date of last inspection Brief description of the care home 76 - 78 Wheelwright Road is an adapted domestic property situated in a residential area of Erdington. The two homes were previously registered separately but are now registered as one home, operated by the same owner. The home is registered for ten people who have a learning disability in single and shared bedrooms on the ground, first and second floors. Bathrooms and toilets are available on all first and second floors and a separate toilet is provided on the ground floor in 78. The stairs to the first Care Homes for Adults (18-65 years) Page 4 of 29 care home 10 Over 65 0 10 Brief description of the care home floor in both houses are steep and would not be suitable for people with mobility difficulties. Communal areas include a lounge and kitchen/dining room in each property. To the rear of the home there is a pleasant garden and patio area. The home has a minibus which is used for transporting people who live in the Home. Current fee rate for living at the home are from four hundred to one thousand pounds per week. More information can be obtained from the Home. The CSCI inspection report is available in the home for visitors if they wish to read it. Care Homes for Adults (18-65 years) Page 5 of 29 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 quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection visit was carried out over one day; the home did not know we were coming. The manager and provider was present throughout the visit and answered questions and provided us with information we needed to see. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service Care Homes for Adults (18-65 years) Page 6 of 29 provisions that need further development. Prior to the visit fieldwork visit taking place a range of information was gathered to include notifications received from the home and a questionnaire about the Home. The questionnaire is called the Annual Quality Assurance Assessment (AQAA). This should tell us how well the Home thinks they are performing and should give us some information about the Home, staff and people who live there. We refer to information we gathered from the questionnaire throughout the report. We case tracked three of the people living in the Home. This involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We met all of the people who live at the home. We spoke to three staff, looked at staff files and health and safety records and looked around the building to make sure it was warm, clean and safe. We sent surveys to all ten people living at the home asking them about the support they get, what the Home does well and what it could do better. All ten surveys were completed and returned to us and raised no concerns about the care at Wheelwright Road. Some people received support from staff to complete the surveys. We also sent six staff surveys asking them about the care and support given to people. Two were completed and returned to us and raised no concerns about the Home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 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 29 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. Prospective residents and their relatives would have the information that they would need to know so they could make an informed choice about whether they wanted to live at the home. Evidence: We saw the certificate of registration on display in the hallway and in agreement with the provider it needs some amending to remove a condition of registration. We looked at pre admission assessments for the person who had been admitted since the last inspection. Assessments were completed by Social Services and other professionals prior to the admission taking place. We saw an admission procedure. This includes pre admission assessments and the opportunity for visits to the home so that people would have the opportunity to meet staff and the other people who live there prior to admission. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: The service user guide and statement of purpose require some minor updating so that the fee levels and details of any additional charges are included so people know what the fee includes. People told us I like living here, I knew some of the people living here before I moved here. Care Homes for Adults (18-65 years) Page 11 of 29 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. Staff have the information they need and a good understanding of how to offer care and support to each person, which should ensure peoples needs are met in a way they prefer. Evidence: We looked at three care plans. Care plans explain what each person needs are and the care and support they require to make sure these needs are met. We found that the files looked at gave detailed information about how staff should support the person in order to meet their individual needs in relation to personal care, communication health care and social activities. The plans also gave information about peoples likes and dislikes. A review is held annually for each person and their relatives or friends, their key worker and the owner and manager attend as well. This enables the Home to keep peoples needs under review. Social Services have also completed recent reviews of Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: peoples needs. We spoke to members of staff who support each of the people and we also observed people being supported by staff. The staff demonstrated knowledge of peoples individual needs which was consistent with the information on peoples file. This indicates that staff know how to provide care and support to people so their needs are understood. We saw risk assessments for manual handling, preparing snacks, fire safety, falling, using the washing machine. These ensure that people could take responsible risks according to their individual needs. Staff spoken with also knew what they must do so people are not put at risk of harm. We saw people receiving good support from staff. People were seen making different choices about how they spent their time. Most people had been out at daycentres during the day so in the evening people relaxed in the lounge, and many of the people chose to spend time in their own rooms listening to music or television. Some people helped prepare the evening meal and set the table and one of the people went out with their family. The AQAA informed us that the manager has identified that they would like to conduct more regular meetings with family and friends of the people living in the Home. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the Home experience a meaningful lifestyle that is reflective of their individual needs. People are offered a choice of meals to meet their dietary, cultural needs or preferences. Evidence: We looked at care plans and daily records to establish that people are leading meaningful lifestyles and taking part in activities that they enjoy. We also spoke to three staff members and observed care and support on the day. Care plans detail what people like to do. Most people attend day centres or colleges from Monday to Friday but some by choice now only attend a couple of days a week. On the days that people dont go to structured day care people are supported to go to places of interest and out shopping or to enjoy home based activities. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: People told us that they are involved in a variety of leisure activities at Home and in the local community. People said they go to local clubs, take part in special Olympics, go shopping out for meals and spend time with family and friends. A lot of the activities are enjoyed as a group. People moved freely around their home accessing their bedroom or one of the two communal lounges or kitchen dining room. The care plans and daily records that we looked at showed that where possible people are encouraged to take part in day-to-day routines of the home. There is a rota in place, which helps to organise the task that need to be shared in day and encourages people involvement in household tasks. We saw people help with the evening meal, set the table for meals and are encouraged to clear their dishes after a meal. People then prepared their own packed lunch for the next day. Since our last visit there is more flexibility between the two houses with most meals now being served in the one house but people can still choose to eat in the second kitchen dining room if they prefer. People told us they now have a dishwasher which is good. The manager said they tried to encourage people to pick somewhere different this year for the annual holiday but people wanted to go to Butlins again. Some people also went to Jersey with the Special Olympics and some people went on holiday with their families People said their family and friends are encouraged to keep in touch and visit the home and some people regularly visit their relatives. This was confirmed by what people told us and by looking at the care records. We saw a range of tinned, frozen and ample supplies of fresh food in each house. People said that they are fully involved in choosing the menu. Records of food served indicated that a range of culturally appropriate food is available. People told us. I do the hovering, polishing and I clean my own room I made the pudding for tea tonight its Angel Delight I love going swimming. Care Homes for Adults (18-65 years) Page 15 of 29 Care Homes for Adults (18-65 years) Page 16 of 29 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. There are effective systems in place to meet peoples personal and health care needs. Evidence: Care plans that we looked at had good detail about how to meet peoples personal care needs. We saw that people were dressed in age appropriate clothing and people were very well groomed, this indicates that people are supported to maintain a good selfimage. We met all of the people who live in the home and saw that staff were prompt to offer personal care or support as needed throughout the day. Care plans looked at had good detail about peoples health care needs. Entries in their health records show that they are being provided with access to healthcare professionals to meet their assessed needs including routine check ups and treatment. A risk assessment in place to support a person with dysphasia needed some updating to reflect the persons up to date needs so staff have the information they need to support the person safely. Staff spoken with knew what the persons current needs Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: were. On the day of the visit one of the people was supported by their key worker to attend a hospital appointment. We saw that the manager had researched specific health conditions that people were receiving treatment for. This information was available on peoples care plans and provides useful information so staff can give people the support and information they need. Medication is stored in a separate locked medication cabinet in the dining area of number 76. The cupboard was found to be clean, tidy and well ordered. The medication administration Records (MARS) looked at was signed indicating medication had been given as required. Copies of prescriptions are retained so that staff can check the right medication has been received from the chemist. There is information on peoples care records informing staff of what the medication is for. Staff said they had completed accredited medication training and this was confirmed by looking at the homes training records. The manager told us that staff are also monitored so that people receive their medication in a way that meets their needs. The AQAA informed us that the manager has sent letters and questionnaires to health care professionals involved with supporting people living in the home to seek their views on the running of the home. The manager also plans to review and update policy and procedures. Care Homes for Adults (18-65 years) Page 18 of 29 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. There are effective systems in place to listen to and respond to complaints about the service. Evidence: All of the people living there had a copy of the complaints procedure it is available in an easy read format so that people can understand it. They also have a card in their bedroom with details about how to contact an inspector at CSCI, if they needed to. The commission has received no complaints about this Home and no complaints have been made directly to the service. People told us I can talk to staff If I am not happy about something I would talk to x (the manager) or x (the provider). Staff we spoke to demonstrated a general understanding of their duty to safeguard people and how to report concerns on to senior managers. We spoke to staff and looked at training records to determine that training in safeguarding vulnerable adults had been provided. Safeguarding procedures and a whistle blowing policy was available for staff to refer to. We saw Inventories of peoples belongings on their case files. Staff confirmed that these are updated when new items are bought or items have been thrown away. This ensures that peoples personal items are protected. We saw well-organised records for the management of peoples personal finances. People have been supported to have Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: their own bank accounts. Details of peoples personal expenditure and running balance were seen. Staff check the records at handover to ensure peoples money is being managed correctly. We recommended that people could be supported to sign their own financial records as a step towards supporting people to take more personal responsibility with handling their own finances. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe and comfortable home, which promotes their well being and meets their individual needs. Evidence: Wheelwright Road is located near to Erdington shopping centre with public transport routes close by. There is limited off road parking to the front of the house. To the rear of the Home there is a well-maintained garden that people have direct access to. There are grassed areas with flowerbeds and a large patio area. Aids and adaptations include handrails in the corridors and one of the bedrooms has a walk in shower facility. The other bathrooms located on the first floor are domestic in style and layout. There is a steep stair case in both house leading to bedrooms on the first floor which would not be suitable for a person with mobility difficulties. We looked at the shared areas of the Home and the bedrooms of the people whose care we had case tracked. All areas of the home were clean and hygienic indicating good cleaning routines. The lounge was welcoming and homely providing a range of seating for people. The Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: kitchen / dining room in house 78 has been improved and made larger so people can enjoy their meals in comfort. The kitchen was clean and well equipped with adequate space to store fresh, frozen dried and tinned food. There is a separate laundry room, which was clean and organised. The bedrooms we looked at were very individual. People had been supported to personalise their rooms with pictures, photographs, ornaments music centres and televisions. People freely accessed their own rooms during the visit. We spoke to two of the people who share a large double bedroom they said, I love my room I like sharing with X they are my friend. A curtain rail has been fitted in the centre of the bedroom providing privacy for each of the people. The manager said that there are plans in place to decorate this room in the near future. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. people are supported by a well trained staff team who understand their needs.Recruitment practice is robust and protects the people who live there. Evidence: We watched the way that people interacted with staff on duty, which indicated that good relationships exist between people living there and the staff supporting them. We looked at the staffing rota for the week of the visit and the previous week. These showed that there is two staff on duty to care for the people living there during the day. We could see from the rota that there is a senior person on each shift this should ensure that staff and supported in their role each day. We spoke to two staff during this visit who demonstrated that they had a good understanding of peoples individual needs. We spoke to staff about the training they had received and they said that they had completed training in mandatory areas including safeguarding, medication, health and safety, first aid and fire. We looked at the staff training matrix which confirmed mandatory training had taken place and in addition training specific to meeting Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: peoples specific needs including risk assessment, dementia, mental capacity and equality and opportunities. This should ensure that staff continue to have the up to date knowledge and skills required to meet peoples individual needs. We looked at staff recruitment records for the two most recently employed people. Criminal Records Bureau checks (CRB) had been made and written references received before the employee began work so that people were protected from the risk of having unsuitable staff work in the Home with them. Staff told us that they receive regular supervision with the manager. This was confirmed by looking at records and ensures staff have the opportunity to reflect on their practice and consider their individual training needs. Regular staff meetings take place, which provide an opportunity for staff to discuss good practice and development issues. The minutes of meetings seen were detailed. The AQAA informed us that all staff have achieved a National Vocational Qualification in care. This should contribute towards ensuring that the staff team have effective knowledge of social care. Care Homes for Adults (18-65 years) Page 24 of 29 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 Homes systems ensure that the safety and well being of people living in the home is promoted and protected. Evidence: The manager has several years experience of working with people who have a learning disability. He has NVQ level four in management and care. Since the last visit there is evidence of improvement in medication management and staff recruitment practice, which ensures the health and well being of people living in the Home. There are quality assurance systems in place including an auditing system. Again improvements have been made in this area since our last visit. The manager is continuing to enhance the system and was in the process of waiting for responses to surveys that had been sent out to other professionals to seek their views on the running of the Home. The ongoing development of the Quality assurance system should ensure that the home is run in the best interest of the people living there. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: We looked at some health and safety records including Fire records, gas appliances safety certificates and water temperatures checks all are checked and serviced regularly so that peoples health and safety is being promoted. Staff spoken with and records looked at confirmed that staff have completed training on health and safety, fire, first aid, manual handling and basic food hygiene so a safe environment is provided for people. The AQAA informed us that the Home has achieved the Investors in people award. As part of the company they have set up a development plan for the Home to indicate how it was going to move forward in the future and how the service that they provide can be improved. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 1 The statement of purpose should include fees charged and what they cover and the cost of any extras so people know what they are paying for. To update a risk assessment detailing the support a peron needs at meals times so they get the support they need from staff. 2 19 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!