Care Home: 164 Walker Road

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What the care home does well The home takes time and effort to make sure that when people choose to live at Walker Road it is the place for them. People are given opportunity to visit the home, staff take time to make sure that all people`s needs are assessed in full prior to them moving in. People living in this home can expect to be involved in the planning of their own care and will be consulted about changes to their care plans. There are plenty of activities for people to take part in. Each person will have the opportunity to plan their own activities, holidays and education. All of the people living in this home know who to talk to if they are unhappy or want to make a complaint. The home will always act upon people`s wishes and views. Staff and the manager understand people`s needs and offer the support that is needed to make sure this home is run in the best interests of the people living here. What has improved since the last inspection? The home has maintained all of the high standards since our last inspection. The safeguarding policy has been updated and staff have all received training in this important area. This means that all people living in the home will be protected from harm. What the care home could do better: We have only made one requirement as a result of this inspection. The home will need to take action to address the recommendations of the Fire Officers report. We have made one good practise recommendation in relation to the purchase of a widget programme to further enhance the communication systems in the home for people living there. Key inspection report Care homes for adults (18-65 years) Name: Address: 164 Walker Road 164 Walker Road Blakenhall Walsall West Midlands WS3 1BZ     The quality rating for this care home is:   three star excellent 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: Mandy Beck     Date: 1 6 1 2 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 28 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 28 Information about the care home Name of care home: Address: 164 Walker Road 164 Walker Road Blakenhall Walsall West Midlands WS3 1BZ 01922400073 01922400077 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: enquiries@lonsdale-midlands-limited.co.uk Lonsdale (Midlands) Limited care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 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: Learning disability (LD) 4 Date of last inspection Brief description of the care home Walker Road is a care home for younger adults. It provides a home for four service users who have a learning disability and challenging behaviour. The property has four bedrooms all with en - suite facilities. There is a spacious lounge and dining room, a fully equipped kitchen and separate laundry. A large garden is at the rear of the property. This is accessible to all service users. Off-road parking is available at the front of the premises. The home is well maintained and pleasantly decorated and is situated near to local amenities, Walsall Arboretum and town centre. 4 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home The fee for this service ranges from £1400 to £2040.10 per week. 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: 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: This was an unannounced inspection of the home, they were given no prior notice that we were going. We looked at all the information that we have received, or asked for, since the homes last inspection in 2007. This included the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical about the service. Information we have about how the service has managed any complaints and any safeguarding referral. Care Homes for Adults (18-65 years) Page 6 of 28 What the service has told us about things that have happened in the home, these are called notifications and are legal requirement. We also spent time talking to some of the people who use the service and to the staff who support them. We looked at the care of two people who use this service in depth. This is part of our case tracking process and helps us make judgements about the homes ability to meet peoples needs. Care Homes for Adults (18-65 years) Page 7 of 28 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 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may use the service and their representatives have the information needed to choose a home that will meet their needs. Evidence: We found that significant time and effort is spent planning to make admission to the home personal and well managed. People are only admitted to Walker Road once a comprehensive assessment of their needs has taken place. We looked at the files of two people who had come to live at the home since our last inspection all had a comprehensive assessment of their needs undertaken both by the home alongside the persons social worker and other professionals who may support them. The assessment of their needs is used to form the basis for care planning alongside appropriate and robust risk assessments. We saw from care records that people were also included in this process. We have made one good practice recommendation. We identified through talking to staff that one person would benefit from widget programme. Following their admission to the home the variety and choice of symbols available for them to use was reduced. The home is asked to consider purchasing the Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: widget programme so that the person can continue to communicate to the level they were before their admission to the home. People have the opportunity to visit Walker Road before they and the home decide that it is an appropriate place for them to live. We saw records of one person who has had a number of visits to the service starting with short visits progressing to overnight and weekend stays. The visits enable the person to meet other people already living at the home and enables them to make a decision whether the home is right for them. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are fully involved in decisions about their lives, and play an active role in planning the care and support that they receive. Evidence: The key principle of the home is that people living at the home are enabled to be in control of the lives. Support plans alongside risk assessments support this principle but with actions to ensure that the safety of people is always the main consideration. People have their own individual plan that comprehensively details all of their care and support needs. We found that support plans are person centred this means that they identify all the persons needs, capabilities and choices. It was also positive that support plans identified all levels of needs giving staff instructions on care that people will need if their mental health deteriorates. The support plan is drawn up with the persons involvement and is agreed by them wherever possible. Support plans are appropriate to the persons goals and they are all reviewed at least Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: monthly or when needs change, senior staff also regularly audit care plans and when needed identify any areas that require further updating. There are good systems in place for dealing with limitations on freedom, in accordance with the Care Programme Approach. This means that both staff and the person is aware of the restrictions placed upon them and they are managed sensitively. Staff encourage people living at the home to make decisions about their lives, they do this by offering them choice and giving them information needed to make decisions. A staff member told us, we always give people here a choice. People have their own individual risk assessments that enables him or her to live as independently as possible. All risk assessments show the potential risk, such as violence to others, self harm and the methods of risk reduction. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service are able to make choices about their lifestyle, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet their expectations. Evidence: Central to the homes aims and objectives is the promotion of peoples right to live an ordinary and meaningful life both within the home and also within the community. Peoples goals are identified and staff facilitate and support them to meet their goals. The AQAA told us Each service user leads an active lifestyle incorporating a variety of experiences and opportunities. Activities are regularly assessed and observed so we can ensure that the person is benefiting from and enjoying their lives. Activities and lifestyles are different for each person, this can be evidenced by looking through life books, person centred plans, personal files, communication boards and by talking to Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: people who use the service and staff. People living at the home have the opportunity to make suggestions for trips, holidays and other outings that they are interested in. Everyone living at the home has the opportunity to go on holiday at least once a year, the home will pay for this but they do have to provide their own spending money. One person had recently returned from their holiday, they showed us they were happy with it and had enjoyed a surprise visit by their parents during this time. Other people are supported by the home to visit their families and spend time with them and rebuild relationships. Meal times are flexible and people are encouraged to choose their own meals. A menu is planned weekly with all the people living in the home, this is recorded on a menu planner and then prepared for the person. One person told us the food is very nice. The home routinely completes risk assessments for each person that looks specifically at their nutritional intake. People are supported to make choices about their diet . It is positive that dietitians have been asked to come and advise people on their diet and give them the information they will need to make choices about healthy eating . Daily routines are encouraged, so that people are playing an active role in household jobs, such as taking their laundry to be washed and keeping their bedrooms clean and tidy. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: There are appropriate arrangements in place to ensure that people have the health and personal care that they need. We saw evidence that people living at Walker Road are seen by other professionals such as psychiatrists, doctors, chiropodists, dentists and opticians depending on their needs. We were also able to see that staff support people to take responsibility for their health care needs such as with visits to dentists and opticians. The home is also taking appropriate action to make sure that when people are unable to consent to medical treatment they seek guidance from the Multi Disciplinary Team and the Mental Capacity Act best interests decisions. We also saw that peoples physical and mental health care needs are recorded and regularly monitored. Care plans for the management of psychological needs are in place along with other specific medical conditions. Other care plans we looked at addressed specific mental health issues, which included Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: information on relapse triggers and actions for staff to take to ensure that the person did not become too distressed. Care plans also included the individual preferences of people when receiving personal care from staff, such as a male or female worker to assist them with personal care. Other documentation in relation to health care management viewed includes risk assessments for pressure sores, poor nutritional, falls, self harm and moving and handling. There are good systems in place for managing medication in this home. This means that people will have their medication as it is prescribed and they will not be placed at risk. All staff that help people with medication have been trained and are competent to do so. 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. People who use this service are able to express their concerns, and have access to a robust, effective complaints procedures. The service ensures that people are protected from abuse and have their rights protected. Evidence: The homes complaints procedure which is also available in pictorial formats is widely available throughout the home. The service has had no complaints since our last inspection. We have not had any complaints about this service. Peoples key workers spend time with them and talk to them about how they can make their views known if they are unhappy about anything. This is clearly recorded in each persons care record. The home has told us that there have been no safeguarding referrals. We have seen that the home ensures that when any concerns are raised these concerns are shared with ourselves and the local authority. The manager ensures that all staff have had or are currently have a place to undertake safeguarding training which is also regularly updated . At this inspection we found that staff we spoke to were clear of what may constitute abuse and what actions they should take to keep people safe and minimise any risk to them. We were told that receive training in restraint to enable them to protect themselves and others when needed, although any restraint is rarely used. It is positive that the Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: manager makes a log of all untoward incidents and any actions that staff have taken. People who need assistance with their finances are supported appropriately and the home has systems in place for checking and auditing peoples money to make sure they are keeping it safe and secure on their behalf. 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. The home is well maintained and has been personalised to reflect the personalities of the people living there. Evidence: The home offers a welcoming place for four people to live. We looked briefly around the home and could see that people living there are encouraged to make the place their own. There are communal areas where people can sit and enjoy watching the television. The home told us in their AQAA that they would like to purchase a new settee for the home, this would be a welcome addition and the provider should give this consideration. The dining room is situated at the back of the home next to the kitchen and there is ample space for people to enjoy their meals in there. We were able to see most peoples bedrooms during this inspection, they were decorated as people had wanted them to be. All of the rooms were spacious and reflected peoples own tastes from fairies and pink accessories to football and music. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: In the hall there is a picture board that details all of the activities that people have chosen to do for that week. There is a large garden at the rear of the home and in the better weather all people living there make use of this. Both the kitchen and laundry are suitably equipped to meet the needs of the people living in the home. The home has good systems in place for the management and control of infection. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are supported by competent and qualified staff. There are sufficient staff to meet peoples needs. Evidence: There are enough members of staff on duty to meet peoples needs. The majority of people who live at Walker Road require intensive support from care staff, this is on a one to one basis with some people requiring two staff with them when they go out. Staff allocation and who they are supporting on each shift is identified. We spent time talking to some of the staff on duty during this inspection. It was very clear that they all understood the work they did, the focus of the service and how people liked to be supported. They told us Walker Road is a very nice place to work. All of the staff who work here have achieved a National Vocational Qualification (NVQ) level 2 and 3 in social care. Both the deputy manager and the manager have achieved an NVQ level 4. In addition to this training staff also have the opportunity to attend courses in autism awareness, risk assessment and the required mandatory training. This means that staff working in this home are well equipped to meet the needs of the people they support. We did note that not all of the staff working in the home have had training in using Makaton and we have recommended that this be considered by Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: the organisation. This will further enhance the good communication in the home. Staff recruitment and selection is undertaken appropriately and meets the required standard. All required checks such as criminal records checks and references are checked before staff start work at the home and ensure that any risk of unsuitable people working at the home is minimised and protecting people who live there. We were told that people living at the home also interview staff who will be supporting them and have a say whether they feel they could work with that prospective staff member. We were told that all new staff receive formal induction training that meets Skills for Care standards. Each member of staff has their own individual training plan and the organisation has good systems in place to identify when staff are due for updates in training. This ensures that all staff has the required knowledge and skills to care for people living at the home. All staff have regular supervision, this gives them the opportunity to discuss their progress and to identify any specific training needs they may have. The manager will also complete an annual appraisal for each member of staff once they have been employed for a year. Staff we spoke to during the inspection told us that they were all satisfied with the support and supervision they received. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and peoples health, welfare and safety is promoted. Evidence: There has been no change in manager since our last inspection. Sarah Pickard continues to The manager is a qualified trainer and uses her skills to train and update staff on a regular basis. During discussions with the manager it is clear to see that she is enthusiastic about developing the home into a place where people achieve their goals and aspirations. We were also able to see that the manager has a good understanding of risk assessment processes which is underpinned by promoting peoples independence, choice and autonomy, these principles are taken into account in all aspects of the running of the home. The Manager completed the homes AQAA, which was returned to us when we asked for it. The AQAA gave us excellent information about the service and plans for improvement and development that are in place. There is a quality assurance system in place, this includes the regular auditing of the environment, medication, and care planning, and the manager also audits untoward Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: occurrences, accidents and incidents. This helps identify any trends that may occur and allows the manager to formulate an action plan to reduce any risk to people. Regular meetings are held with the people who live in the home which gives them the opportunity to discuss the home, proposed trips out and holidays. Surveys are sent out to people living at the home, their relatives and other professionals annually in a attempt to seek further information about peoples satisfaction with the home or how they can continue to improve. The home has efficient systems in place to ensure that the peoples money is kept safely. At this time none of the people living in the home manage their own money. We were able to see that the home has implemented and ensures that the Mental Capacity Act 2005 deprivation of liberty safeguards, are well managed to protect people living at the home. Some staff have received training and understand the Mental Capacity Act and the deprivation of liberty safeguards and their implications for day to day practice and care planning. No one is being unlawfully or inappropriately deprived of their liberty. Record keeping at the home is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. Safe working practises within the home are a priority and all staff have annual updates or statutory training. This helps to keep their knowledge and skills updated. The manager has a training matrix that identifies when staff training is due so that all staff are assured of a place and do not miss out. Safety certificates for the building are all up to date; the manager indicated this in the AQAA document she completed prior to our visit. We also looked at the most recent fire report. It clearly indicates that the digital lock on the front door needs to be replaced so that the door will automatically open in the event of fire or emergency. The home has not actioned this. We have made one requirement asking them to do this in the interests of the people living in the home. 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 1 42 12 The home must take action to replace the digital lock on the front door, as indicated in the Fire Officers Report. They must do this to ensure all people living in the home can evacuate the home safely in the event of fire 26/02/2010 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 The home should consider the purchase of the widget programme to enhance peoples communication. This will make sure people continue to communicate in a way that is usual for them. The home should give consideration to purchasing a new settee for the lounge to help upgrade the environment. We recommend that more staff be enrolled upon Makaton training courses, this will further enhance the communication in the home between people living there and staff. 2 3 24 35 Care Homes for Adults (18-65 years) Page 27 of 28 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. 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