Inspection on 27/08/08 for Yeldall Manor

This inspection was carried out on 27th August 2008.

CSCI found this care home to be providing an Excellent 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

Yeldall Manor 31/08/06

Yeldall Manor 01/11/05

Yeldall Manor 31/05/05

Yeldall Manor 29/11/04

Yeldall Manor 17/06/04

Yeldall Manor 09/03/04

Similar services:

Flint House

The Ley Community

Cherwood House Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 02/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Yeldall Manor Blakes Lane Hare Hatch Reading Berkshire RG10 9XR     The quality rating for this care home is:   three star excellent 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: Jill Chapman     Date: 2 7 0 8 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 29 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 29 Information about the care home Name of care home: Address: Yeldall Manor Blakes Lane Hare Hatch Reading Berkshire RG10 9XR 0118 940 4411 Telephone number: Fax number: Email address: Provider web address: noelfawcett@yeldall.org.uk Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Yeldall Manor Christian Centres Mr Noel Alexander Fawcett care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence Additional conditions: 27 27 Over 65 0 0 Date of last inspection Brief description of the care home Yeldall Manor is a drug and alcohol residential rehabilitation centre for up to 27 men between the ages of 20 and 40 years, which operates within a Christian based treatment ethos. Yeldall Manor is located in a large period house set in a 38 acre rural estate between Reading and Maidenhead. Residents are accommodated in the main house and its annexe, which together have 8 double rooms and 11 single rooms. Care Homes for Adults (18-65 years) Page 4 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10:20 and was in the service for 4 hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission Care Homes for Adults (18-65 years) Page 5 of 29 had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgments about the standard of the service. The inspector spoke with The Registered Manager, Responsible Individual and a Trainee Counsellor. A tour of the premises and grounds was undertaken and records relating to care, staffing and health and safety were sampled. The inspector spoke with residents in a group at lunchtime. The current weekly fees for the service are £591. What the care home does well: What has improved since the last inspection? What they could do better: The manager could get advice from the Environmental Health Officer on how best to manage potential risks from hot water temperatures, for their client group. Care Homes for Adults (18-65 years) Page 7 of 29 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. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are fully assessed before the unit offers them a place on the treatment programme. A visit to the unit and a trial period gives them time to see if they are suitable for the programme. Evidence: The files of four residents were looked at and show that a comprehensive admissions assessment takes place before an offer of a placement on the treatment programme is made. Residents confirmed that they received plenty of information to help them decide whether they wanted to take part in the treatment programme. This includes a copy of the Residents Handbook, Statement of Purpose, Service Users Guide and the Complaints Procedure. An initial referral application is made with supporting information and reports from involved professionals. Applicants must demonstrate their commitment to the Christian based ethos of the unit but this does not prevent residents from other faiths Care Homes for Adults (18-65 years) Page 10 of 29 being accepted. The manager said that they have accommodated residents with other religious beliefs and been able to meet their dietary and prayer requirements within the routine of the unit. Applicants are treated as individuals according to the Christian Ethos of the unit and the Diversity Policy. If a prospective resident meets the admissions criteria then a visit to the unit for an interview is arranged. The prospective resident is shown around the premises and facilities and invited to join other residents for lunch. This gives an opportunity to ask questions about the unit and the treatment plan. Once the interview and assessment forms have been completed, the paperwork together with a recommendation for a decision on whether a placement is to be offered is sent to the manager. If a place is offered then a four week initial assessment period takes place and objectives are agreed to be achieved within this period, to make sure that the resident can demonstrate his commitment to the treatment programme. This includes writing an autobiography, completing a test on the unit rules and demonstrating a positive attitude towards the programme. Residents spoken with felt that their admissions process went well although funding arrangements can sometimes cause delays. Several said they were grateful to be given an opportunity to take part in the programme and to see that it is possible to change their lifestyle. 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. Residents have a comprehensive contract (care plan) that is regularly reviewed with their counsellor. They know that any restrictions to freedom of choice and movement will decrease as they progress through their treatment plan. They are supported to take risks that will enable their personal growth and development. Evidence: Following the four week assessment period, the next six months is the Regeneration phase. This consists of six, four week periods and a review is held after three months. Residents in the unit do not have any personal care needs although some may need minimal prompting. Their needs are related to looking at their past experiences and behaviours and emotions associated with their addiction. Their contract (care plan) is Care Homes for Adults (18-65 years) Page 12 of 29 drawn up between themselves and their counsellor. Risk assessments are requested from the relevant professionals as to the risk of self harm, suicide and harm to others as part of the assessment procedure. Staff support them to take assessed risks. Residents have weekly meetings with their counsellor and records of these meetings show that they review the progress of the goals that have been agreed. The manager has a system for monitoring these records. Apart from helping residents to deal with their addictive behaviour, goals include helping them to learn or re gain the ability to look after themselves and their accommodation, find and cope with work and re establish positive family relationships. Residents progress is also monitored through twice daily house and staff meetings. The treatment plan is carried out within the Christian ethos of the unit and several said they find this approach very helpful and very supportive. Residents said that when they signed up to the treatment plan they understood that their choice and freedom of movement would be restricted and they explained how their freedom and privileges increase as they progress through the programme. A separate contract is agreed with the counsellor at the the Re entry phase of the programme. This focuses on goals towards re-integration into the community and obtaining employment and housing. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy an excellent range of activities on and off site. They are encouraged to re-build and maintain family relationships. They are supported to eat healthily to improve their physical health. Evidence: As part of the treatment plan and to help residents develop towards independence they are given work roles around the premises. They are responsible for cleaning their bedrooms and the rest of the house, maintaining the garden/grounds and the allotments. Staff supervise and monitor these tasks. Residents are encouraged to use their Christian faith as support throughout the day and the home has strong links with Care Homes for Adults (18-65 years) Page 14 of 29 local churches. There are excellent on site leisure facilities, swimming pool, football pitch, fishing lake, volley ball pitch, pool table, woodworking shop and music rooms. On the inspection afternoon residents were taken out to use the facilities at Maidenhead Leisure Centre. As residents progress through the programme they have more unsupervised access to the community. They are assisted to find work, attend local colleges, do voluntary work and attend local Alcoholics or Narcotics anonymous. The manager said that the links with and donations from local Churches has helped residents who have moved on to find suitable accommodation. The unit also supports ex residents who have moved on to supported living accommodation on site or their own accommodation. This was evidenced in the contact an ex resident had with the unit in the inspection day. As part of their rehabilitation residents are encouraged to explore their feelings through counselling and group sessions. These help to develop communication skills and the structured environment helps them to develop their daily living skills. Residents spoke about their contact with family, this is restricted for the initial part of the programme and builds up as they progress. Positive family relationships are encouraged but negative relationships/friendships are not. Due to the nature of the placement there are strict limitations on residents freedom of movement and independence as part of their treatment plan. This is well documented as part of the treatment plan and is appropriate within the aims of this service. Residents sign up to this and those spoken with were satisfied that this is justified to help them overcome their problems. They do not have keys to their bedrooms, are not allowed in their bedrooms during the day and mail is opened with staff present. Residents were complimentary about the quality and quantity of food on offer. Meals are taken communally except when someone is ill in bed. The inspector joined residents for a lunchtime meal with a choice of chicken and rice, salad, grated cheese and bread. Vegetable are grown on site and some residents work with the chef in the kitchen and dining room. The manager confirmed that staff and service users who handle food have up to date Food Hygiene certificates. The kitchen has been re tiled and new flooring laid in the corridor to the pantry following recommendations from the Environmental Health Officer. Care Homes for Adults (18-65 years) Page 15 of 29 I dont eat pork and the chef always makes sure there is an alternative for me. The Environmental Health Inspector recently carried out a food safety inspection and as a result the kitchen has been re tiled and new flooring laid in the corridor to the pantry. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive opportunities for personal support from their peers, staff and in groups. The unit programme identifies and supports individual residents physical, emotional and spiritual needs. Individual health care needs are identified and met with support from specialist health professionals. Residents know that staff will make sure they take their medication safely. Evidence: Residents carry out their own personal care with minimal prompting from staff. The unit programme is designed to help residents gain more independence and control over their lives. Support is available through regular planned individual counselling, groups and informal support throughout the day. Residents spoken with said the structured programme and support from counsellors helped them to deal with their problems. They said that the Christian ethos of the unit was supportive and made them feel that they could overcome their problems. It was seen that there were respectful relationships between staff and residents. Care Homes for Adults (18-65 years) Page 17 of 29 The manager said that the home has an excellent working relationship with the local GP practice and residents confirmed this. Residents receive a health screening shortly after admission to identify any health issues. They receive a personal health induction and this includes information about HIV/Aids and Hepatitis. The unit has good access to Doctors in specialist units if residents have any concerns regarding these issues. Residents are encouraged to access other health care services, for example one attended a dental appointment on the inspection day. The unit has a procedure for the storage, administration and recording of medication. The procedure is geared towards residents taking responsibility for taking their own medication. There is a formal monitoring system in place to make sure they are taking it on time and that they are safe to do this. All staff receive an in house medication induction and formal training from a pharmacy. The unit provides a detox service to some residents and their controlled medication was seen to be stored correctly. This medication is administered at the GP surgery. 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. Residents know that their concerns will be dealt with effectively. Procedures are in place to protect residents from, abuse, bullying and harassment. Evidence: There is a complaints procedure in place and a copy is given to residents on admission. As part of the open philosophy of the unit residents are encouraged to express there concerns and use the procedure. Residents confirmed that they know who to talk to if they have a concern. Six formal complaints have been received since the last inspection. The complaints record was seen and showed that complaints were mostly about difficulties between service users and not complaints about the service. The record shows they were dealt with appropriately. Staff training certificates evidence that all staff have POVA (protection of Vulnerable Adults) training and the unit obtains this from either Wokingham or Windsor and Maidenhead local authorities. A whistle blowing policy is in place for staff to report any poor practice although no one has needed to use this so far. An incident diary is completed daily to record any significant events. Procedures are in place to protect residents from bullying or harassment. Residents confirmed that if needed staff help them to sort out any difficulties between residents. The Christian ethos of the unit Care Homes for Adults (18-65 years) Page 19 of 29 encourages respect for each other and this was observed during the day. 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. Residents live in a safe, homely and comfortable environment that is consistent with the short term treatment ethos of the unit. Proposed extensions and alterations to the residents bathroom and bedroom annexe will better uphold their privacy and dignity. Training for staff and residents help them keep the home safe, clean and hygienic. Evidence: A tour of the premises and grounds was carried out. Work since last inspection includes a new first floor interview room, a new ground floor toilet, alterations to the tearoom to raise the floor to the same level as the corridor and eliminate the need for two steps and redecoration, new furniture, new flooring and kitchen units in the tea room. The kitchen has been re tiled and painted. New flooring has been laid in the pantry corridor as required from the Commissions last inspection and the carpet in the Annexe (residents bedroom area) corridor has also been replaced. There are plans to provide new tables and chairs in the dining room. The main house is in a reasonable state of decoration and repair and a requirement to have a written plan of ongoing refurbishment and replacement has been met. The house is comfortably furnished and homely with plenty of communal space. The house Care Homes for Adults (18-65 years) Page 21 of 29 and grounds are maintained by the residents with staff supervision and support. Residents and staff receive relevant certificated training on health and safety and hygiene matters. The manager said that the organization has acknowledged for some time that the residents bathrooms are in need of refurbishment and the inspector agreed that they are in a very poor state of repair. They have now obtained funding to rectify this situation.The Responsible Individual showed the inspector plans that have been approved by the local authority planning department for the extension and refurbishment of residents bedrooms and bathrooms. The plans involve the creation of three new ground floor bedrooms, one built to disability standards with wheelchair access. Bed numbers will be reduced from 27 to 24 to enable the creation of en suite or private shower rooms for each resident. The plans also involve the creation of a new communal bathroom (to replace the other two.) which will have a bath to enable choice for those who wish to have a bath instead of a shower. The work on these alterations is due to start in the Autumn 2008. The plans will not increase the size of any existing bedrooms that are below size standard, however this provision is reasonable within the short term ethos of the unit. As part of the treatment plan residents are restricted in time allowed to be spent in their bedrooms. 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. Residents are supported by a trained and experienced staff team. A robust recruitment procedure makes sure staff are suitable to work with vulnerable people. Evidence: The unit has a programme of NVQ (National Vocational Qualification) training in place relating to the roles that particular staff carry out. Personal care is not required for the current client group and NVQ 2 is not appropriate for the unit as they are unable to evidence the care tasks required. As there are plans to build a bedroom that could accommodate a disabled resident who may require assistance in personal care, the manager may need to review this in the future. The unit benefits from a stable staff group with a low turnover of staff. All staff have clearly defined roles in the unit and work in line with the residents treatment plan. The deployment of staff involved with residents includes counselors, maintenance manager and supervisor, chef, administrative and support staff. There are plans to appoint a third trainee counselor in the future and an assistant chef is due to start in the Care Homes for Adults (18-65 years) Page 23 of 29 autumn. Staff deployment varies over the day and evening to meet the needs of the residents and the treatment programme. There is an on call rota to provide support to the sleepover staff. It was seen that there is a good rapport between staff and residents and that staff work in a professional and consistent way. Two staff files were sampled and show that a robust recruitment procedure is in place. The recruitment procedure was verified with a recently appointed staff. The procedure includes relevant checks to make sure staff are suitable to work with vulnerable people. The manager confirmed that volunteer staff are checked by the agencies that supply them. There is a detailed induction programme in place and this was verified with a recently appointed staff. All staff receive a variety of relevant training that includes Fire Safety, Moving and Handling, Health and Safety, Medication, Personal Safety and Protection Of Vulnerable Adults. The manager said that the unit will keep abreast of the National Treatment Agencies training requirements as they develop. Counselors are trained by the Institute of Christian Counseling and receive monthly in house supervision plus external professional supervision. Staff confirmed that they receive regular supervision. 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 excellent 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 by a qualified and experienced manager. Residents and stakeholders know they views are taken into account. Up to date health and safety systems make the environment safe for residents. Health and safety training protects them working around site and gives them additional skills. Evidence: The home is well managed by an experienced and qualified registered manager. He is committed to the Christian ethos of the unit and to the treatment and rehabilitation plan. He has gained his Registered Managers Award and NVQ level 4 in Care. The AQAA (Annual Quality Assurance Assessment) was well filled in by the manager and demonstrates how the unit meets the standards. Care Homes for Adults (18-65 years) Page 25 of 29 The unit carries out monthly reports for the National Treatment Agency to show that it meets their outcome targets. There is a unit quality assurance system in place to seek the views of residents and others to help develop the service. The unit seeks the views of residents via questionnaires after one week and then after 12-16 weeks. A previous requirement that the views of stakeholders is sought has been met, a stakeholder survey has been carried out and another is planned. There is evidence that the unit has an robust health and safety system. A health and safety manager has been appointed. Health and safety records sampled were well organized and showed that the servicing of equipment and regular health and safety checks were up to date. Hot water checks are currently carried out monthly as part of a regular Legionella check. The manager and Responsible Individual confirmed that as part of the refurbishment temperature control valves would be fitted to hot water outlets used by residents. It is recommended that the manager consult with the Environmental Health Officer for advice on how the unit should manage any risks associated with hot water with this resident group. The standard is exceeded because residents as well as staff have certificated training in health and safety issues.The unit has obtained training funded by the skills council to provide residents with certificated training in Personal Safety, Food Hygiene and Manual Handling. this makes sure they are safe in carrying out their jobs around the house and garden and gives them added skills for when they leave the unit. 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 16 42 It is recommended that the manager consult with the Environmental Health Officer for advice on how the unit should manage any risks associated with hot water for this resident group. 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 © (2008) Commission for Social Care Inspection (CSCI). 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