Care Home: 15 Osborne Road

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 15 Osborne Road 15 Osborne Road St Annes Lancashire FY8 1HS     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: Phil McConnell     Date: 0 8 0 1 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. 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 © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 15 Osborne Road 15 Osborne Road St Annes Lancashire FY8 1HS 01253711955 Telephone number: Fax number: Email address: Provider web address: Steve.Turner@unitedresponse.org.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Stephen Turner Type of registration: Number of places registered: United Response care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 15 Osborne Road is a small care home for adults with learning disabilities, registered for three people. The well-established national charitable organisation United Response is the registered provider. The home is a detached two-storey house, with an excellent range of communal living space and good access to local services and amenities. The organisation provides a vehicle to enable individuals to take part in leisure activities and access amenities. The staff team provide support in all aspects of daily living according to assessed needs and as identified via the care planning process. People are supported and encouraged to develop their independence and take part in all aspects of community living. The service adopts an active support approach, in a stable environment, which enhances opportunities for personal growth and development. The staff team are supported by an experienced management team and an organisation, which clearly values its employees, and the people they support. A statement of purpose and a service users guide is made available, providing information about the Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 3 Brief description of the care home care provided, the qualifications and experience of the owners and staff and the service that people can expect if they choose to go and live at the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent 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: Various information was obtained in order to assess the National Minimum Standards for Care Homes for Younger Adults., including: The Annual Quality Assurance Assessment (AQAA). Every year the registered manager is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of the service. We use this information, in part, to focus our inspection activity. Annual Service Review (ASR) completed in January 2008, which is a report we write for good or excellent services that have not had a key inspection in the last year. It is an analysis of all of the information that we have gathered about the service since the last main inspection. An unannounced Key Inspection visit was carried out on the 9th January 2009, with the registered manager (Stephen Turner) and the home manager being present during the inspection visit. Care Homes for Adults (18-65 years) Page 6 of 29 Peoples files were examined and all relevant documentation was in place. The staff files were also looked at and they contained all of the necessary information that is needed for inspection purposes,including recruitment documentation and Criminal Record Bureau (CRB) checks. There was the opportunity to observe the care and support that was being provided to individuals, which was done in a professional, sensitive, caring and dedicated way. There was also the opportunity to speak to the staff on duty throughout the day. The organisations policies, procedures and the health and safety files and certificates were examined and they were found to up be up to date and satisfactory. A full tour of the home was carried out (see environment section). The previous inspection report highlighted the need for a satisfactory gas inspection certificate be obtained by a Corgi engineer. This has been addressed. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a thorough pre admission assessment in place, helping to give the assurance that any new prospective service users will be satisfactorily assessed, in order to determine their care needs. Evidence: The service users guide and statement of purpose gave clear and up to date information about the organisation and what people can expect to find, if they choose to go and live at Osborne Road. Although there have been no new admissions to the home since the last inspection visit, it is evident that there are very good systems and procedures in place, helping to give the assurance that an individuals care needs will be appropriately and satisfactorily assessed prior to an offer of admission. In discussion with the team leader it was apparent that there is a clear understanding of the pre admission assessment process. It was also commented by the homes Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: manager, We would have to ensure that the people living here would agree to a new person coming to live here. This would be essential. This demonstrates that the opinions and wishes of the people who presently use the service are positively considered and valued. Care Homes for Adults (18-65 years) Page 12 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are very detailed and informative in a positive person centered way, giving the assurance that peoples assessed needs will be be provided for, whilst also enabling people to be as independent as possible. Evidence: Peoples files were examined and they were found to be very neat and well organised, with an up to date photograph of the person. It was apparent that every effort is made to individualise peoples files. This helps to show that people are supported and cared for as individuals. There were detailed care plans in place, giving the assurance that peoples assessed care needs will be satisfactorily provided for. The promotion of Person Centered support was evident by United Responses Getting it Right manual. The organisation has been proactive in providing the Good to Great initiative and the AQAA comments, that this initiative actively promotes person centered support provision. The Individual Support Plans and the Listen to me booklet Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: are completed in a written and pictorial format, giving people who may have some difficulty with reading, the opportunity to understand what is being communicated with regards to an individuals care and support. The Listen to me booklet gives very clear guidance and information to enable staff to provide support in a person centered way, some of the sections include, The people in my life, What do others like about me? Some of the nice things people say about me, What do I like to do (giving detailed specific information) Things that are important to me, the food I like or dislike, What I am like in the morning, daytime, evenings and weekends, What makes me happy or sad and What changes I would like to see. There is also a section on hopes and dreams for the future, which are constructive, realistic and achievable. It was also observed that these documents are very regularly reviewed and updated, with the most recent review being in October 2008. This shows that any changing needs are are identified and and appropriately addressed.It was commented, Relatives are actively involved in completing all care plans and they are invited to reviews. Individual risk assessments are also in place and regularly reviewed. This demonstrates that consideration is given on a daily basis of peoples informed choices, rights and decisions. This helps people to be more independent and promotes confidence and wellbeing. Care Homes for Adults (18-65 years) Page 14 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. People living in the home are assisted to take up meaningful activities of their choice in their local community. Evidence: As already mentioned peoples care plans including, the listen to me booklet and the individual support plan were very detailed, giving clear guidance and information regarding the various activities and interests that people are involved in. The AQAA states, Individuals are encouraged to take an active role in the daily maintenance of their home and pursue varied activities where practicable. It was observed during the inspection visit that people were encouraged, supported and empowered to participate in some of the daily activities and tasks within the home. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: There was also detailed documentation showing the various activities that people are involved in. During the inspection visit it was observed that each person was coming and going,accessing different individual activities including a supported bike ride, attending college and going for walks. Some of the interests that people have and very regularly participate in are, swimming, attending college, drama classes, cookery classes, cycling and going for long walks. It was commented by a member of staff, he has become much more independent and he really likes to go and walk around the supermarket, he enjoys it so much and it helps with his mobility. It was evident that people are given full support in all of their recreational and leisure pursuits. There was documented evidence to demonstrate that daily records are maintained, with a progamme of monthly goals reviewed at every persons review. It was evident that peoples relatives have regular, appropriate and positive contact. It was commented by the house manager, the families are actively involved and they are very supportive. A visiting service engineer said, I visit every three months to check the fire alarm and emergency lighting systems,I have been coming here for many years and I am always made welcome. The people living here have got used to me and I regard them as my friends. Meals are pre- planned as much as possible, which were seen to be nutritious and appetizing. It was evident that the service users regularly enjoy having meals out, which is seen to be an important activity to encourage social and community participation. 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. People who live at Osborne road have their needs met and their care is provided in a manner that protects their privacy and dignity. Evidence: The care plans contained specific information and guidance regarding a person personal and health care needs. The AQAA says, Each person we support has a medical profile and an intimate support plan that identify individual personal, health and support needs. As previously mentioned all of the care planning documentation is regularly and satisfactorily reviewed. This gives the assurance that peoples assessed needs are being monitored and any changes to a persons personal or health care needs are identified and appropriately provided in a dignified and respectful way. People have health action plans in place, which had been devised from a thorough health assessment, which included individual information with regards to specific health care needs, with documented evidence and health check lists of GP visits, dentist, chiropodist and hospital appointments. Each person has a Communication Profile, giving specific individual information to Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: help staff interpret, what the person may be saying or feeling. This information details facial expressions, vocalisations, body language, pointing and the use of objects . These systems in place help people to communicate their choices, wishes and desires. This is demonstrated in the way that all staff are trained in Inclusive Communication Techniques. One person has a communication folder, which contained a large number of laminated information cards. These cards had pictures and symbols representing people, activities and feelings, for example happy, sad, hungry and tired. It was observed that this system works quite well, enabling and empowering the person to communicate his wishes and desires. This system is also used to enable the person to communicate his choice of food. It was commented, the staff spend time every evening with him to plan the meals for the next day. Makaton sign language/symbols are also used to help with communication. Once again there was documented evidence to show that these communication systems are regularly reviewed and updated. This helps to give the assurance that individuals are empowered and enabled to voice their desires, choices and wishes. The medication policies and procedures were examined and they were found to be satisfactory and up to date . The storage, recording and administration of medication was assessed and it was evident that the medicines were well organised,securely stored, records accurately maintained and kept in an unobtrusive cabinet. All of the staff have received training in medication procedures and it was apparent that refresher medication courses are provided. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are thorough and robust safeguarding policies and procedures in place, demonstrating that people are as much as possible protected from harm or abuse. Evidence: There was a thorough and satisfactory complaints policy and procedure. The complaints procedure is also available in an accessible pictorial format, helping to ensure that this information is available to anyone who may have some reading difficulty. The AQAA says, The accessible complaints procedure is explained to to the people we support and their family/advocates and a copy is enclosed with the Service User Guide. This helps to show that as much as possible is done to inform people about the complaints procedure, in the event that they have any concerns or complaints. No complaints have been received since the last inspection. The organisation has a robust policy and procedure to deal with the suspicion or allegation of abuse. The AQAA states, All team members are required to familiarise themselves with the organisations Prevention of Harm and Whistleblowing policies, and No Secrets in Lancashire. No Secrets is a Government guidance document, which gives clear advice on how to identify and what to do if there is a suspicion or allegation of abuse. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: In discussion with some of the staff it was evident that team members have received relevant, up to date and satisfactory training regarding the safeguarding of adults. It was also apparent that people would clearly know what to do if they suspected or any allegation of abuse was made known to them. It is evident that United Response is committed to providing safeguarding adults training to their staff, helping to give assurance that people supported by them are protected from harm and abuse as much as possible. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environmental standards within the home are very good, helping to show that people live and work in a home that is safe, clean, comfortable and pleasant. Evidence: During the inspection visit a full tour of the home was carried out. The communal areas of the home were observed to be comfortable, bright, warm and homely with sufficient space to accommodate individuals needs. It is apparent that people at times need their own space and this was clearly evident with people having their own chill out areas. The home was observed to be very well decorated and maintained and furnished with domestic style furniture and equipment, with peoples bedrooms demonstrating peoples own individuality, containing personal possessions, with evidence of individuals own interests and hobbies. A new modern kitchen had been installed since the last inspection visit. The laundry is adjacent to the kitchen, with sufficient equipment to meet the needs of the people living at Osborne Rd . There is a conservatory, which gives extra space to accomodate the people who use the service and staff members. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The outside grounds were observed to be well maintained, with neat gardens. Overall the environment of the home was seen to be of a good standard,well maintained, hygienic, safe and comfortable for the people who live and work there. 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. There is a robust and thorough recruitment process in place, helping to give the assurance that only suitable people will be employed to support and care for vulnerable adults. Evidence: The staffing levels were examined and it was discovered that for approximately the last 12 months there has been a vacancy in the staff team. It was commented by a staff member, This means that there are three members of staff covering all of the shifts and The staffing levels were going really well and then a person left , but we never use agency staff. This was discussed with the registered manager and the team leader and it was stated by the registered manager, because the present staff are so well established and the service users are so used to them, it has been difficult to introduce a new staff member. It was evident that people are working for longer periods than they should do. This is especially apparent when annual leave is taken or there is an absence due to illness. Although the staff say that they dont mind working the extra hours, this staff shortage potentially puts the service users at risk. It was recommended that other people should be introduced to the service before people have to be brought in, when there is an emergency, which could cause unnecessary distress and unhappiness to the service users. An assurance was given that this would Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: be addressed. The homes policy and procedure for recruitment was examined and they were found to be up to date and satisfactory, helping to ensure that the correct checks for any new staff would be carried out .This would include obtaining Criminal Record Bureau checks (CRB)and two independent written references. The present staff files were examined and they contained all of the necessary required information,demonstrating that the organisation ensures as much as possible peoples safety and protection. The staff training was observed to be regular and adequate, however it was commented by some of the staff that there is a need for more specific training, particularly in the area of Dementia awareness, Autism and Downs Syndrome. Although staff have had some awareness training in these particular subjects, it is a desire for them to have more in depth training. This would increase the skills and expertise of the staff and better equip them to meet the present and potential changing needs of the people they support and care for. This was also discussed with the registered manager and an assurance was given that this training issue would be taken up with senior management. 100 of staff have achieved the national vocational qualification (NVQ) in care. This helps to show that the staff have the necessary training and skills to provide a good level of care. The supervision records were examined and it was evident that supervisions are regularly consistent and constructive, helping to demonstrate that staff are valued, listened too and their opinions are taken seriously. Members of staff confirmed that they value the supervision sessions. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally well managed and organised, helping to give the assurance that people receive a good quality service. Evidence: The homes registered manager has the responsibility for managing four residential care homes for people with learning disabilities in the Lytham area, with the day to day running of Osborne Road provided by the team leader, who is also part of the staff team that provide daily support to the people who live there. The team manager has many years of experience of working with people who have a learning disability and she has worked at Osborne Road for a number of years. She is very well qualified, having obtained the registered managers award in 2006 and has also been successful in achieving the NVQ award at level four. From the feedback received there appears to be good working relationships between the registered manager, the team leader and the rest of the staff team. The people who use the service appeared to be very relaxed and accepting of all the staff that were present throughout the inspection visit. The home is generally well managed, however as already mentioned there is a need to Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: increase the staffing levels. This would help ensure that everything possible is done to maintain peoples well-being and the good quality care and support, that is presently provided. The organisation continues to maintain the Investors In People Award, which is an external quality assurance monitoring organisation. United Response have their own quality assurance monitoring system and the AQAA states, United Responses policies and procedures and monitoring systems provide robust tools to ensure the quality of the service. Questionnaires are periodically sent to peoples relatives in order to receive their opinions and comments, regarding the support and care being provided. It was evident that the organisation is committed to promoting quality assurance, by gathering information, in order to provide a quality service to vulnerable people. The homes health and safety files were examined and they were found to be of a good standard, with all inspection certificates being up to date and available for inspection purposes including, a gas inspection certificate, that had been carried out by a qualified Corgi engineer, electric certificate, portable appliance checks, emergency lights, and fire alarms. The fire alarm and emergency lighting engineer visited during the inspection visit . He commented that he visits the home every three months to check the smoke alarms and the emergency lighting. A health and safety check list was observed,which included details of daily,weekly, monthly, quarterly and yearly health and safety checks, for example, water temperatures, the homes vehicle safety checks, control of substances hazardous to health (COSHH), emergency evacuation (day & night) and equipment servicing. Overall it was evident that all aspects of health and safety are actively promoted within the home, helping to ensure that the people who live and work at Osborne Road are safeguarded with regard to health and safety matters. 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 1 33 18 The registered person shall ensure that there are sufficient numbers of staff employed at the home. This will help ensure that at all times there are enough qualified and experienced people working at the home, This will benefit the service users. 28/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 35 It is recommended that more in depth training is provided. This will help ensure that vulnerable people benefit from a well trained and skilled team. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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