Care Home: 11 Tarragon Gardens

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What the care home does well This home provides a clean, well maintained, safe and homely environment for the people who live there. There are good, detailed records which means that staff know what support each person needs and the way they prefer to be helped. People are helped to receive the right services to maintain and improve their health. The staff work well with professionals in other settings so that people`s needs are met. People are helped to live full lives, maintaining contact with people in the community and going on outings and holidays. People are involved in decisions about their care and life in the home. Staff are competent in communicating with people in the home. The staff are well qualified and receive ongoing training so that they continue to provide the right support to people in the home. This home is well managed and there are good arrangements for making sure that the high standards are maintained. These take account of the opinions of the people who live in the home. What has improved since the last inspection? The manager has made sure that the home has met the requirements of the last report. The Statement of Purpose and service user guide to the home have been updated so that they reflect the current conditions at the home and are more accessible to people. Support plans have been improved so that they are more person centred and reflect people`s choices and needs. They have been put into the same order so that they are easier to understand. They contain pictures and photographs. Activities have increased according to people`s individuals needs. People are now more involved in making choices about their daily lives and their longer term plans. The home has developed improved links with a range of health professionals so that people`s health needs are better met. People have been supported to develop their independence. More services from outside agencies are being provided to service users to ensure all aspects of their lifestyle needs are being met. Staff are better trained so that they are more able to communicate with and support people in the home. What the care home could do better: The Responsible Individual should make sure that this home has a registered manager. The manager should make sure that the planned storage for controlled medication meets the current requirements. The manager should make sure that all staff are trained in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DOLS) Key inspection report Care homes for adults (18-65 years) Name: Address: 11 Tarragon Gardens Tarragon Gardens, 11 Frankley Birmingham West Midlands B31 5HU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Christine Lancashire     Date: 3 0 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 27 Information about the care home Name of care home: Address: 11 Tarragon Gardens Tarragon Gardens, 11 Frankley Birmingham West Midlands B31 5HU 01214112133 01214112133 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: RNID care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 sensory impairment Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Sensory impairment (SI) 4 Date of last inspection Brief description of the care home 11 Tarragon Gardens is registered to provide accommodation, care and support for four people with sensory impairment. The service is run by the Royal National Institute for the Deaf and the premises owned by Nehemiah Housing Association. The house is in a modern terrace, with the main accommodation on the ground floor. Above this are two flats, accessed independently via separate front doors either side of the main entrance to number 11. One flat is occupied by a person using the service, and the other houses the managers office and is also used for staff sleep-in accommodation In the main house there are three single bedrooms with en-suite shower facilities, an Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 4 1 5 0 1 2 0 0 9 Brief description of the care home open plan living / dining area, a separate kitchen and also a separate shower room / w.c. The residents flat has a bedroom, living room, kitchen (with washer/drier) and bathroom. At the rear of the property is a secure private garden. There is car parking space at the front of the house. The Home is situated in the Frankley area of Birmingham, close to Northfield shopping area. Local amenities such as cinema, bowling alley, gym and restaurants can also be easily accessed at nearby Rubery Great Park. The area is well served by public transport. Information about current fees should be obtained directly from the service provider. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We visited this home on a weekday, without telling anyone that we were coming. The purpose of the visit was to see what progress the home had made in relation to the requirements and recommendations made in the last report and to assess the home against key minimum standards. Before the inspection the manager had provided us with information about the running of the home in a form called an Annual Quality assurance assessment (AQAA). During the inspection we met four people who live in the home and five members of the staff team. We looked round the communal areas of the home. we looked at the records which the home keeps in relation to the people living there, including their care plans, menus and medication records. We also looked at a sample of staff records, including training plans and rotas. We looked at a sample of health and safety records in the home such as the dates of servicing of equipment and risk assessments. We also read responses to surveys which had been sent to the people in the home. We used this information to write this report. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? The manager has made sure that the home has met the requirements of the last report. The Statement of Purpose and service user guide to the home have been updated so that they reflect the current conditions at the home and are more accessible to people. Support plans have been improved so that they are more person centred and reflect peoples choices and needs. They have been put into the same order so that they are easier to understand. They contain pictures and photographs. Activities have increased according to peoples individuals needs. People are now more involved in making choices about their daily lives and their longer term plans. The home has developed improved links with a range of health professionals so that peoples health needs are better met. People have been supported to develop their independence. More services from outside agencies are being provided to service users to ensure all aspects of their lifestyle needs are being met. Staff are better trained so that they are more able to communicate with and support people in the home. Care Homes for Adults (18-65 years) Page 7 of 27 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 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 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with suitable information to help them to make a decision about moving to the home. Their needs and aspirations are fully assessed prior to a place being offered to them. Evidence: We saw that the Statement of Purpose and service user guide to the home have been updated since the last inspection. They provide useful information about the home for people considering moving in and their relatives. This is in various formats to suit the needs of the people concerned. The home has been full for some time and so there have been no recent admissions. We looked at four peoples files. We saw that they contained the necessary assessments before the person was admitted. We also saw that there are mental capacity assessments for people living in the home. The manager told us that the information from the assessments was used to form the basis of the care plans which help staff to know what support to provide to each person. The manager told us that although no new admissions are expected in the near future, the necessary forms and Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: processes are in place. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: The manager told us that there are plans for each person in the home so that staff know how to provide support in the way people need and prefer. These are developed from the original assessments and contain information provided by professionals, the person themselves and others who know them well. We looked at two files in detail and found that they contain details about the person, their likes and dislikes and how they like to be supported. Staff told us that they have been working to make sure that all files are person centred and make good use of a variety of methods of communication. We saw that the newly updated files make use of photographs and pictures. They also contain written sheets showing that people have been consulted and involved in creating their plans. Some people have very specific needs in terms of communication and staff take great care to make sure that these are met, so that Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: they can contribute to their plans. The plans are detailed, with clear information about what the person wants to be able to achieve and the support which staff need to provide. There are details of peoples goals and how staff need to support people to achieve these. Staff told us about the range of reasonable risks which people are encouraged to take in order for them to be as independent as possible. The risk assessments are clear and explain what the risks may be and the actions which are taken to reduce these. The manager told us that staff encourage each individual to take as much control and decision making over their life as they are able. They provided examples of the areas of peoples lives where they are encouraged to make decisions. For example, people have made choices about the gender of workers they want in their bedrooms. We saw the minutes of service user meetings and other communication sheets which showed that people are consulted about their activities, their meals and the environment in the home. We discussed the plans with staff and they have a good understanding of the need to continue to update plans, so that they are as person centred as possible and always reflect peoples current wishes and needs. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience 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 to take part in appropriate activities and to maintain links in the local community. They have appropriate relationships and their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. Evidence: The manager told us that people are encouraged to take part in a range of activities of their choice and are encouraged to be as independent as possible. We saw records and photographs which show that people attend day centres and a deaf club, go on social outings, visit family and friends and go on holidays. The records show that over the past year, people living at this home have been supported to participate in a wider range of activities and to develop greater independence. More use has been made of outside agencies and the ring and ride service to help them to do this. For example, there were photographs of people at Great Yarmouth, football, dance classes and various other activities. One had won a prize for a cake at Bournville festival. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: Staff told us that people are consulted in a variety of ways, on an individual and group basis and we saw evidence of this in their records. Each person in the home has different communication needs and staff use a variety of methods of communication, including British Sign Language (BSL) and written communication. We saw that use has been made of specialised advocacy services to help people to express their views and preferences in reviews and other meetings. The staff help people to keep in touch with relatives and friends. Some go out to visit people on a regular basis and people also have visitors at the home. The manager told us that people enjoy a varied diet of their choosing. The records show that people are encouraged to eat a varied and healthy diet, but their personal preferences are respected as are cultural and religious needs. Where peoples health may benefit from them changing their weight, staff help them to do this. We saw evidence on peoples files of them beng helped to lose weight. One persons file contained the statement, I have decided that I will only eat fruit after eight oclock at night. The records show that some people have been supported to make significant changes in their weight, so that they are now healthier. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in the way they prefer and require so that their physical and emotional needs are met. They are protected by the homes practices in dealing with medicines. Evidence: The records provide details of the support which each person needs and the way in which they prefer to be supported. They show that most people in this home have few requirements in terms of physical personal care. Staff confirmed that they provide prompting. All staff have now received training in British Sign Language (BSL) and there are very competent members of the team who provide ongoing assistance to other members of the team. The manager told us that there are now improved links with a variety of agencies to make sure that all aspects of peoples needs are met. There are health action plans for each person in the home. We saw that people have been involved in preparing their own plans. The manager told us that these are more detailed than in the past. People use a range of health care services in the community. The records show that they attend appointments with various health care professionals including hospitals, dentists and GPs. There are regular visits from the Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: chiropody service. The manager told us that the home has developed good links with the hospital patient transport service. The manager and staff are aware of the kinds of symptoms which may prompt the need for an appointment. Staff monitor peoples weight and we saw the records on their files. There is suitable, secure storage for the medication which is currently used. There is currently no controlled medication in the home, but the manager is planning to obtain suitable storage in case this is needed in the future. It is important that the storage facilities for controlled medication meet the current requirements. Those staff who administer medication are trained to do so. There are instructions for staff about how to administer specific medication which is only needed at certain times. The homes medication arrangements are audited on a monthly basis by the manager and on a six monthly basis by the pharmacist. We looked at the records and found that they had been completed with no gaps and were in good order. The staff told us that there are plans to change the location of the medication storage, so that it is in a more convenient place where there is more room. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home has systems to make sure that the views of people living there are listened to and acted upon and for making sure that people are well protected. Evidence: We saw that the information about the home contains details about how to make a complaint. We also saw more personalised procedures for individuals as people have different specific communication needs. Staff told us that they explain the procedure to people and also provide opportunities for people to express their views on an individual basis. Use has been made of advocates to help people to express opinions. The manager told us that in the past 12 months, people have started to share their views in a more open manner. Internal complaints are handled within the timescales set down by the organisation. There are records which show that complaints are taken seriously and people are able to see how their complaint has been handled. The manager told us that staff have received training in the signs of possible abuse and the action to take should they suspect that a person has been abused. She told us that the home has a good relationship with the police and the local safeguarding team. Staff demonstrated a good level of awareness of the need to protect the people in the home. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people at this home live in a homely, clean, safe and comfortable environment which is well maintained and where there are good arrangements for infection control. Evidence: The home is close to local amenities and provides a safe and clean environment for people to live in. There are three bedrooms on the ground floor of the house, with two flats above, one of which is used for office accommodation. We looked round the communal areas and found them to be homely. Staff told us that several areas, including the living room, have been decorated since the last inspection. People are encouraged to personalise their rooms. The kitchen looked clean and the manager told us that staff use the better food, better business paperwork to make sure that processes and arrangements promote good food hygiene. Staff are trained in food hygiene. There is an enclosed private garden to the rear of the house. This is accessible to people living in the home. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The building is not ideal for its purpose, having bedrooms leading off the main living room, no facilities for private meetings other than peoples own rooms and being situated on an estate several miles from the city centre. The manager informed us that the long term plans are to find alternative, more suitable accommodation. However, staff make efforts to make sure that people are comfortable and safe. Staff have received guidance in minimising the risk of infection. There is a supply of gloves and aprons and staff use these. We saw instructions for handwashing and avoiding the risk of contracting swine flu. We saw risk assessments covering areas of the home and tasks. These measures help to keep people safe. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. Evidence: The manager told us that the staff team is more stable than at the last inspection. There are two full time and one part time vacancies and recruitment has taken place. Use has been made of relief staff and, occasionally, agency staff to maintain a good level of staff cover. The manager told us that, where agency staff are used, they are people who have worked at the home before, so that they know the people in the home. Staff presented as enthusiastic and helpful at the inspection. They demonstrated a good level of knowledge of the needs of the people in the home. We looked at the records for two members of the staff team and saw that they had been recruited according to a standard process which includes taking up references and waiting for the results of the Criminal Records Bureau (CRB) check before they start work. People who live in the home are involved in the process and they meet the interviewees. However, the manager has plans to involve them in the interview process and is working out ways to do this. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: The records show that all members of the staff team have received an induction to the job, followed by a period of supervised practice. 80 of the team have received training to at least NVQ level 2 and all except for one has received training to at least level 1 in British Sign Language (BSL). The most recently appointed staff will be trained as soon as places are available on these courses. In addition, the training matrix shows that staff have been trained in various areas relevant to their jobs, including food hygiene, health and safety, moving and handling and safeguarding. The manager has been trained in the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DOLS), but not all members of the staff team have been trained in this area. Staff told us that they receive relevant training. In addition to formal courses, they receive help from other staff in becoming more fluent in signing as its frequent use complements their formal training. The records show that staff receive ongoing supervision and annual appraisals. There are regular staff meetings and staff told us that they feel well supported. This helps them to provide better support to the people who live in the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home benefit from from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. Evidence: The manager is well experienced and qualified to perform her role and has submitted an application to the Care Quality Commission (CQC) to be registered. We saw evidence of many improvements in the home since her appointment. Staff confirmed that they feel that the home has improved, so that people who live in the home are now more able to express their views and the records are now better organised. We saw evidence that the manager monitors the records on a regular basis and consults the people who live in the home in order to make improvements. We saw completed questionnaires from people in the home and their representatives which showed that people are pleased with the care they receive. The manager has acted on comments made in these responses. For example, efforts are being made to relocate people who would like to live closer to their original homes and families. Regular visits Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: are made to the home by a representative of the organisation and we saw reports of these visits. They are detailed and show the action which needs to be taken to make improvements. The manager has identified how improvements will be made. These systems make sure that the home continues to provide a good service to the people who live there. The manager provided us with the date of servicing and maintenance of equipment prior to the inspection. We sampled records in the home and found that there is a good system for ensuring that checks are up to date. There are risk assessments relating to a range of activities and areas of the building. Staff are trained in risk assessment. These measures help to make sure that people who use the building are kept safe. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 20 36 The manager should make sure that the planned storage fo controled medication meets the current requirements. It is recommended that all staff receive training in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The Responsible Individual should ensure that the home has a registered manager. 3 37 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!