Inspection on 30/08/09 for York Road, 73

This inspection was carried out on 30th August 2009.

CQC 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

York Road, 73 21/06/07

York Road, 73 31/07/06

York Road, 73 13/02/06

York Road, 73 31/10/05

York Road, 73 31/03/05

York Road, 73 30/12/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: York Road, 73 73 York Road Southport Merseyside PR8 2DU     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: Janet Marshall     Date: 3 0 0 8 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 28 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 28 Information about the care home Name of care home: Address: York Road, 73 73 York Road Southport Merseyside PR8 2DU 01704567592 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) : Speciality Care (Rest Homes) Ltd care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Service users to include up to 5 LD Date of last inspection Brief description of the care home 5 73 York Road is a registered care home offering support for five younger adults with a Learning Disability. At the moment there are four residents living at the home. The home is managed and operated by Craegmoor Healthcare. The home is designated as a `Home for Life and former students who attended Arden College in Southport live there. The home is a semi-detached property within the Birkdale area of Southport. It is close to local shopping facilities and other amenities. The home has not been purpose built yet has been adapted to become registered by the previous Registration Authority. Carol Gambale is the newly appointed manager of the home. Facilities are spread over four levels. The basement contains the office, staff sleep - in facility and laundry. The ground floor includes two lounges, a dining room combined with a kitchen. On the remaining two floors are bathrooms with toilets as well as all residents bedrooms. Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home Fees for the service vary depending on the needs of the residents. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The Quality rating for this service is 2 star. This means the people living at the home experience good outcomes. This was a key inspection. We consider 22 out of the 43 National Minimum Standards for this type of service, Care Homes for Adults (18-65) as the key standards, which have to be inspected during a key inspection. The key standards are highlighted in bold in the different outcome sections of this report. A key inspection is a planned inspection, the report has been put together using information gathered in a number of different ways, which helps us decide the overall rating of the service. We keep all information we receive about the home in a file, we looked at all the Care Homes for Adults (18-65 years) Page 6 of 28 information we have received since the last inspection. We sent out a form to the home called an Annual Quality Assurance Assessment (AQAA). The AQAA has to be filled in and returned to us by a set date usually before the site visit takes place. The AQAA was filled in by the manager and returned to us on time, it provided us with all the information we asked for about the service and was used to support some of the judgments we have made. We carried out an unannounced visit to the home, this is when we visit the home with out any body knowing. All the residents were at home when the site visit started. The residents, the manager and support staff that were on duty all helped with the inspection. Also during the site visit a selection of records and certificates, which have to be kept in the home by law were looked at and checked to make sure they were up to date and accurate. Two residents were case tracked. This is a process we use to find out whether the people that live at the home are receiving good quality care that meets their individual needs. It is done by talking to people, looking at results of surveys and reading the records of a sample of people that live at the home to give us a good idea of what it is like for them. Before the site visit took place we sent out Have Your Say surveys to people asking them about what it is like to live and work there. Information has been used in the report from surveys, which were returned to us at the time of writing 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. 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 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are invited to look at the home and their care needs are assessed before a decision is made about them moving in. Evidence: No new residents have been admitted to the home in the last year. The AQAA told us alot about the processes which are followed for assessing and admitting a new resident to the home and they were described in good detail by the manager during the site visit. Full assessments, an up to date care plan and risk assessments would be obtained from health and social care professionals such as social workers and nurses. The prospective resident would then be invited to the home to look around to make sure they would like to live there. This also gives them a chance to meet with staff and other residents. Once they have decided they would live at the home the manager would carry out a full assessment using the companies documentation. All the assessments would be looked at with the involvement of the prospective resident and their family to decide if their needs can be met at the home. Once everybody agrees that the home is a Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: suitable place for the person to live they would be invited to have a meal and an overnight stay at the home. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information was available at the home to enable residents to live independent and safe lives. Evidence: Each of the residents at the home had a set of care plans describing their care needs and how they must be supported so that they can live as independently as possible in a way that they choose. Care plans which were person centred covered things such as health care, personal care, finances, communication, relationships and lifestyles. They were stored safely in the home available to residents to look at whenever they want. Care plans for two residents were read as part of the case tracking process. This was done to make sure that the persons care and support needs have been set out properly in a care plan and are being met in the right way. Staff surveys told us that they are given up to date information about the needs of the residents. A staff member spoken with said, Care plans are so important because they tell us about how the residents wants to live their lives. The AQAA told us that care plans are Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: reviewed on a regular basis involving the resident, and other important people in their lives such as their family or carer and social workers. Records of reviews were seen in those care files that were looked at. Care plans were well organised and have been put together in the residents preferred way of communicating for example written words, pictures and symbols. Some of the residents have limited use of words so use other ways of communicating everyday choices and decisions. One resident who uses sign language was seen taking with the manager using this method, they both appeared to clearly understand what each other was saying. Other residents communicate in a number of other different ways such as by using pictures and symbols and spoken words. Weekly menus, cleaning rotas and other information for residents was available around the home in these different formats. One resident who uses pictures and symbols to communicate showed a good understanding of the information. How residents communicate and the help they need to make choices and decisions was available in their care plans. Some choices and decisions have to be made for residents by others, these were recorded in their care plans along with the reasons why. Risk assessments were part of each of the residents care plans. Case tracking showed that risk assessments were relevant to the residents safety and were in place for a task or activity which poses a risk to them. The manager explained that residents are provided with training around their personal safety whilst inside and outside the home so that they can take part in an activity or choice. Risk assessments which were seen were up to date and had been reviewed on a regular basis. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live enjoyable and active lives. Evidence: The AQAA told us that residents are encouraged and supported to live full and enjoyable lives. It also told us that they are offered a variety of learning and educational opportunities both at home and in the local community. Case tracking showed that residents have taken part in activities of their choice which were recorded in their care plans. Activities outside of the home which residents have recently took part in include meals out, a trip on the ferry and horse riding. Other trips further away have been enjoyed by residents such as a trip to Wales and different cities. On the day of the site visit two residents were getting ready for a horse riding session. Activities enjoyed by residents in the home include jigsaws, pool, trampolining, darts and listening to music. On the ground floor of the house is an Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: activities room with a pool table and other items of entertainment One resident particularly likes traveling on trains which he is supported to do on a regular basis. Residents interests and hobbies were well recorded in their care plans and activity programmes are put together using this information. programmes also included house hold tasks and activities such as laundry, cooking and household chores to help promote residents life skills and encourage their independence. In the kitchen was an information board for residents which displayed cleaning and cooking rotas. These showed that residents are involved in the running and up keep of of the home. One resident said, yes I help to cook and clean. a member of staff said we encourage the residents to do as much for themselves as they can. The AQAA told us that residents are encouraged to keep in contact with their family and friends, details of relationships and how they need to be supported were recorded in their care plans. there were a set of menus in the kitchen on the residents information board. they were available in written and picture format so that they can be understood by all the residents. The menus were made up of a variety of healthy and nutritious meals. Residents can take their meals into the lounge or to their bedrooms although they are encouraged to sit together at meal timers around the family sized dining table in the dining area of the kitchen. lunch time was spent at the dining table with the residents. the meal was relaxed and there was a nice friendly atmosphere through out the meal. Residents and staff chatted together and they all appeared to enjoy their meal. A resident said they help with shopping for food and said they go to the local supermarket to choose food that they like to eat. another resident said they get plenty to eat and are given a choice of food. A staff member confirmed that residents can have drinks and snacks in between meals. One resident said they help to cook their meals, which they enjoy doing. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff treat resident with respect and their health care needs are well recorded and supported to make sure they stay well. Evidence: Care plans, which were looked at included information about the residents routines and the kind of personal and health care support they they prefer and need. Case tracking showed that residents are properly supported to help them stay well. During discussion staff said they encourage residents to carry out what ever personal care they can for themselves. During the inspection visit, staff were seen talking to residents in a polite and respectful way. Staff also talked about the some of the things they do to ensure residents privacy and dignity, which included shutting doors and curtains when helping residents with personal care, knocking on doors before entering bedrooms and bathrooms and making sure the rooms used by residents are clean and warm. One member of staff said, I always knock on doors before entering a bathroom or a residents bedroom. Each of the residents care plan included a section about their health and personal care needs. This section provided staff with important information about these needs and how best to support them in a way that ensures their privacy, Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: dignity and independence. The AQAA told us that residents are supported to attend regular health care checks with their doctor, chiropodist, dentist and opticians as well as attending hospital appointments when they need to. Medical records, which were seen also showed this, they were well kept, detailed and up to date. Staff said, they know when a resident is in pain or discomfort and were confident about what they would do if a resident suddenly became ill. On the day of the inspection visit, residents were clean in appearance and smartly dressed. One resident said, I pick what clothes I wear. Medication and medication administration records (MAR) sheets for two residents were checked and found to be in good order. The AQAA told us that available at the home are up to date policies and procedures for the safe handling and administration of medication. It also told us that staff have received training in the subject of medication. Staff training records, also showed this, copies of up Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected from abuse, harm and neglect by the homes rules and regulations. Evidence: The AQAA told us that no complaints have been made directly to the home since the last inspection and our records showed that we have not received any complaints about the home during this time. The AQAA detailed a number of policies and procedures, which are in place at the home and aim to protect both residents and staff. They included procedures about complaining, whistle blowing and protection of vulnerable adults. Copies of these procedures were available in both written and picture format and were on display in a rack in the entrance hall, so that people can read them whenever they need to. Also available there was a visitors book, which has to be signed by all visitors when they enter and leave the home. For the protection of residents no visitor is allowed to gain entry unless they produce some form of identification. The manager was able to clearly describe how she would deal with a complaint made to her. Staff spoken with knew about the homes complaints procedure and said they were confident about complaining if they needed to. One staff member said, Yes I would definitely complain if I needed to. Staff told us in surveys that they know what to do if a resident has concerns about the home. Detailed in the AQAA and available at the home were a number of policies and Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: procedures relating to protection of vulnerable adults (POVA). They included the companies own version and a copy of Seftons Local Authority procedures. Staff training records, which were looked at and discussion with staff showed they have received POVA training . Staff spoken with were able to describe correctly what they would do if they witnessed or suspected abuse of a resident. One member of staff said, I would definitely report abuse right away. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Plans to improve the inside of the home will make it more comfortable for the residents that live there. Evidence: The home is a large Victorian semi detached property located in a popular residential area of Southport, Merseyside. It is close to a train station and bus stops and there are shops and community centres within walking distance. The kichen, dining room and activity room are located on the ground floor and residents bedrooms and bathrooms are located upstairs over two floors The office and staff areas are located in the basement. There is a large driveway at the front of the house for off road parking. There is a large garden at the back of the house which has a trampoline and a BBQ used by residents with staff support and supervison. A tour of the home took place during the visit and all parts were clean, warm and bright and there were no hazards found. The AQAA told us about the improvements, which have been made to the home since the last inspection. They included the replacement of the kitchen, the replacement of kitchen appliances and painting and decorating of some rooms. All the improvements, which were checked on the day of the inspection visit have been carried out to a good standard. The AQAA told us that there are plans in place to make more improvements to the home. The plans were were told about include the Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: replacement of some carpets around the home and the refurbishement of bathrooms. The manager told us during the inspection visit that there are also plans to redecoprated and refurbish some of the residents bedrooms. This should be done as soon as possible as furniture and fittings in some of the bedrooms were showing signs of wear and tear. The AQAA told us that available at the home are all the required policies and procedures, relating to the environment, they included disposal of clinical waste, infection control, health and safety and food hygiene. There were cleaning routines in place, which staff and residents follow to make sure the house is clean, tidy and hygienic. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by staff who are properly recruited and trained. Evidence: The AQAA told us that all staff that work at the home have the right skills and training which they need to meet the needs of the residents. Staff told us in surveys that they feel they have enough support, experience and knowledge to meet the different needs of the residents at the home. Staffing rotas, which were looked at showed that there is at least three staff on duty during the day and two staff throughout each night. This was also confirmed by a member of staff spoken with during the site visit. WU. The member of staff aslo said there is always enough staff on duty to support the residents to do the things they want to do. Staff told us in surveys that there are enough staff to meet the needs of the residents. There were three support workers and the manager on duty at the time of the inspection visit with four residents at home. Staff recruitment, selection and equal opportunities policies and procedures were available at the home and the AQAA told us that strict propcesses are followed before a person is allowed to start work at the home to make sure staff are right for the job. The AQAA also told us that all new staff are given a job description so that they Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: understand fully what is expected of them. Staff spoken with showed good knowledge and understanding of the needs of the residents and clearly explained what their roles and responsibilities are. The AQAA went on to tell us that all new staff complete mandatory training in the first week before they are put on the duty rota and then they start an induction programme which lasts for 3 months. The manager explained that a new induction programme has been introduced to the home which includes training in all the required topics as well as an introduction to the National Vocational Qualification (NVQ) level 2 in care. Staff told us in surveys that the induction covered everything they needed to know to do the job before they started work at the home and that they are being given training, which is relevant to the work they do. A member of staff said, I havent had training for a while, but I have all the training I need and it is up to date. WU Information we were given in the AQAA, discussion with staff and records looked at during the inspection showed that staff have completed all the traing they need to. Training completed by staff includes, manual handling, POVA, health and safety, medication, fire awareness and food hygiene. Staff have also completed other specialist training to help them understand and support residents with certain behaviours and conditions. The AQAA told us that more than half of the staff team have got or are working towards a National Vocational Qualification (NVQ) in Care level 2 or above. The AQAA told us about other training, which has been planned for the future this included updates in all mandatory subjects and further NVQ training. A staff survey returned to us included the following comments, Satff interact well with residents. Two staff files which were looked at during the site visit showed that those people were e properly recruited and have completed the right training. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the residents. Evidence: Since the last key inspection the company have made some changes to the way the home is managed. The home now has its own appointed manager. The managers name is Carol Gambale. Carol has applied to us the CQC for approval as the registered manager of the home. Previously the home was managed on a day to day basis by a team leader and monitored reguarly by the registered manager who was also responsible for a number of other similar Craegmoor services in the area. Records looked at and discussion with the manager showed that she has the right skills, knowledge and experience to manager the home. The manager said she is planning to start an NVQ level 4 in Care and the Registered Managers Award and continues to attend regular training, which is relevant to her role as manager. Training recently completed by the manager includes employment law, managing health and safety and Investigation skills. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Staff spoken with were complimentary of the manager and the way she runs the home, they made the following comments to support this, the manager is very good with the residents, the manager is supportive . Staff told us in surveys that the manager gives them enough support and meets with them to talk about their work. The AQAA told us that there are processes in place to check the quality of the service. They include giving out questionnaires to residents and their families to find out what they each think about the home and the way it is run. A service manager from the company also visits the home each month to check on things such as health and safety records, residents care records and the environment. During the visits they also talk to residents and staff to get their opinion about the home and the way it is run. Records seen showed that other quality checks have been carried out by the manager and staff including, monthly care plan reviews and weekly health and safety checks on the environment and residents finances. The AQAA told us that the home has available all the health and safety policies and procedures, which they have to have by law to ensure the health safety and welfare of the residents and staff. It also told us that the required checks have been carried out on the gas and electricity systems and equipment used at the home to make sure they are safe and in good working order. Discussions with staff during the inspection visit and information provided in the AQAA showed that staff have recently received training in subjects of health and safety such as fire awareness, lifting and handling and first aid. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 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. 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