Care Home: 19 Leicester Villas

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What the care home does well The residents at 19 Leicester Villas benefit from the support of a stable and dedicated team of staff who know and understand their needs. Positive relationships are evident between staff and residents and a culture which values and respects each other as individuals. The atmosphere at the home is relaxed and friendly, with evidence that both residents and staff enjoy being at the home. Residents have access to opportunities that develop their educational, vocational and social needs. Each resident has a personalised plan of care and staff recognise that choice and inclusion are integral to the provision of good care. Each resident has access to private and communal space which they were observed to access freely. Residents have been involved in the redecoration and refurbishment of the home and as such live in an environment they associate with as "home". The management team work effectively together and the recent changes in who is leading the team have been handled professionally and respectfully by those involved. The home is well organised and the standard of documentation and recording is good. What has improved since the last inspection? The staff team have worked hard to really engage with the people they support. The whole team are trained in intensive action and have worked together to achieve real improvements with the way they communicate with the residents. The person centred plans that are now in place for each resident are good examples of staff working with residents to present information about their lives in a way that they as individuals can really own. These now provide an excellent foundation for staff to support residents to make real choices about their future goals and aspirations. A lot of work has been undertaken to create a homely environment which not only meets people`s physical needs, but also provides them with a space they want to spend time in. What the care home could do better: 19 Leicester Villas is currently providing good outcomes to the people it supports and this is evidenced by the very few requirements that have been made as a result of this inspection. Changes in legislation have led to a requirement has being made that a new medication cupboard is purchased that meets the appropriate level of security for any controlled medication that may come into the home in the future. In order to move the service further forward, the care planning system needs to be moved further forward placing an emphasis on the strategic setting and monitoring of meaningful goals that enable residents to identify and attain both short and long term objectives. Other areas for improvement have already been identified by the service themselvesand as such are not the subject of requirements at this time. There is however, an expectation that all staff are kept fully up to date with both mandatory and specialist training courses and that the request for residents` bank statements to be made available to the service is fulfilled in a timely way. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 19 Leicester Villas 19 Leicester Villas Hove East Sussex BN3 5SP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lucy Green     Date: 1 8 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 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.cqc.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: 19 Leicester Villas 19 Leicester Villas Hove East Sussex BN3 5SP 01273295840 01273295853 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Brighton & Hove City Council care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 5 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category/ies of service only: Care home only - 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 Date of last inspection Brief description of the care home 19 Leicester Villas is a detached property in a quiet, residential road in Hove. It is possible to walk to the shops, and public transport systems are within close proximity. The service is for up to five adults with learning disabilities. At the present time there are four service users who are supported 24-hours a day. Single bedroom accommodation is provided on the ground and first floor. There is one assisted bathroom on the ground floor and a non- assisted bathroom upstairs and toilets are located on both floors of the home. Meals are prepared by the staff with the people being supported to participate in the preparation. The home is domestic in scale and consists of lounge with a dining area and a kitchen. A large, rear garden provides a safe and pleasant area for residents to spend time in. More detailed information about the services provided at 19 Leicester Villas can be found in the homes Statement of Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home Purpose and Service User Guide - copies of these documents can be obtained directly from the Provider. 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term service user to describe those living in care home settings. For the purpose of this report, those living at 19 Leicester Villas are referred to as residents. This report reflects a key inspection based on the collation of information received since the last inspection, a site visit and a review of the homes Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. The AQAA was completed by one of the people who have been appointed to manage the service in the last twelve months and Care Homes for Adults (18-65 years) Page 6 of 29 returned when we asked for it. The site visit was carried out over two days and lasted a total of four hours. The first visit was carried out unannounced on Thursday 28th May 2009 between 10am and 12pm. To prevent people having to change their plans, the Inspector left early on the first day and a follow-up visit was arranged and carried out on Thursday 18th June 2009 between 09:30am and 11:30am. We had a look around the home and examined some care, medication and staffing records. We observed the interaction between staff and residents throughout the day. During the visit we met with three of the four people currently living at the home and one person spent additional time talking with us. The management arrangements have recently changed at the home and as such we spent time with the two of the people who have been involved in the running of the home since we last visited. Two support workers were also met with during the two days we visited. What the care home does well: What has improved since the last inspection? What they could do better: 19 Leicester Villas is currently providing good outcomes to the people it supports and this is evidenced by the very few requirements that have been made as a result of this inspection. Changes in legislation have led to a requirement has being made that a new medication cupboard is purchased that meets the appropriate level of security for any controlled medication that may come into the home in the future. In order to move the service further forward, the care planning system needs to be moved further forward placing an emphasis on the strategic setting and monitoring of meaningful goals that enable residents to identify and attain both short and long term objectives. Other areas for improvement have already been identified by the service themselves Care Homes for Adults (18-65 years) Page 8 of 29 and as such are not the subject of requirements at this time. There is however, an expectation that all staff are kept fully up to date with both mandatory and specialist training courses and that the request for residents bank statements to be made available to the service is fulfilled in a timely way. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 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. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are appropriately assessed prior to moving into the home. Current residents enjoy living with a group of people they know and who they are compatible with. Evidence: The residents at 19 Leicester Villas have lived there together for a number of years, with no new admissions. As such, no one new has moved in since the last time we visited. The AQAA stated that each resident had been re assessed in the last twelve months and the results of these assessments confirmed that the home is still able to meet their individual and collective needs. Discussion with the two people who have been involved with the running of the home since the last inspection confirmed that there are no compatibility problems at the home and that generally the four residents get on very well together. A review of the incident logs did not highlight any issues between Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: the people living at the home. We met with three of the four people living at 19 Leicester Villas and they all appeared happy, relaxed and interacting positively with each other. The person now appointed to manage the service stated that each resident has access to a copy of the Statement of Purpose, Service User Guide and a terms and conditions of their placement. Copes of each of these documents were found in the two care plans viewed. Following on from a wider Council project to improve these documents generally, 19 Leicester Villas are now looking at ways of making this information more accessible to the people who live at the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans include detailed information and guidelines to support individuals. Residents benefit from consultation about their care and opportunities to take managed risks. Outcomes could be further improved if person centred plans were more strategically used to formulate life goals and develop skills. Evidence: Through discussion with staff and observation of their practices, it was demonstrated that they have positive relationships with the people they support and a good understanding of their needs. The Inspector tracked the care for two residents, which included a partial examination of their care plans, activity schedules and a discussion with the staff. The Inspectors also met with one of these two residents during the course of the inspection. Both care plans viewed contained detailed support guidelines about daily care routines, health care and communication needs. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Discussion with staff identified that a lot of work has recently been undertaken to support residents to produce their own truly person centred plans of care. One resident proudly showed the Inspector their person centred plan and it was evident that they had actively participated in this process and as such had taken ownership of the final product. Care plans are regularly reviewed, with a formal review of care needs every six months. Through the person centred process, there was evidence that residents have choice and control over the way their reviews are conducted. Care plans contain a range of risk assessments for each resident and there is evidence that the approach to risk assessing has become more enabling and as such the number of restrictions in place has reduced. Evidence gathered from documentation and observation of staff supporting residents during the inspection, highlights that the home provides a service where residents are encouraged and supported to lead their lives with flexibility and choice. In order to further improve outcomes in this area, the home must develop the person centred process to support residents to more strategically identify and formulate life goals which develop their skills, experiences and independence. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the opportunities to access the local community and to participate in educational, social and meaningful activities. Residents are supported to maintain relationships with other people and receive a range of balanced and wholesome food. Evidence: Activity timetables viewed for two residents identified that they have access to a range of social and educational activities that are meaningful to them. The fact that the Inspector conducted the inspection over two days due to planned outings in addition to a first visit when no one was at home, is testimony to how active residents at this service are. At the time of the visits, residents were found to be attending day centres, going out for lunch, washing the car and trips shopping. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: The activity timetable viewed for one resident highlighted that they attend a day centre four days each week and have a scheduled home day each week when they choose various outings and activities which are meaningful to them. Another resident who was at home for part of both days of the inspection, was observed to be involved in activities he enjoyed. This individual showed the Inspector some of their photographs of activities they had taken part in and expressed joy and excitement whilst doing so. The person centred plans in peoples bedrooms provided evidence that people have the opportunity to take part in things they like and are genuinely interested in. It was discussed with the two people involved in the management of the home, that in order to develop excellent outcomes in this area, the home needs to demonstrate how the activities and goal planning are linked to person centred plans of care which support individuals to achieve life goals and achieve maximum independence. The home has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that the home supports residents to meet with and receive visits from their relatives and friends. Resident reviews include the opportunity for residents representatives to attend if the resident wishes. Meals at 19 Leicester Villas are prepared according to a menu that is drawn up in consultation with residents to reflect the meals they wish to have. The menu is also reflective of individual likes and dislikes and specialist diets, therefore on some days different meals are prepared for different residents. The menu displayed included a range of varied and well balanced meals. A pictorial menu system has also been devised to enable some of the residents to make their choices about food and drink clearly known. Where specialist dietary needs affect choice, care plans provide guidelines for staff in how to offer appropriate support. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the provision of flexible and respectful personal and healthcare support and are protected by the systems in place to manage medication. Evidence: Care plans, alongside health action plans provide documentary evidence that personal and health care needs are being met. It was evident that appropriate referrals are made to external professionals, including GPs, opticians and speech and language therapists. Personal care was observed to be being provided in a sensitive and respectful way during the course of the inspection. Interaction between staff and residents as support was being provided was noted to be positive and relaxed. Systems are in place to ensure medication is managed appropriately. No residents manage their own medication at the current time, although observation of one resident being supported with their medicines demonstrated that they are informed and involved in the process. Staff receive appropriate training in the management of Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: medication and were observed to undertake this task professionally and competently. Due to recent changes in legislation, a requirement has been made in respect of making provision for the safekeeping of any controlled medication that may be brought into the home. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and visitors to the home benefit from and are protected by, the open culture at 19 Leicester Villas. Evidence: The home has a complaints procedure in place and an accessible copy is available for residents and visitors to access. The home has not received any complaints about its service since the last inspection. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. Residents are encouraged and supported to voice their opinions about the things they like and dislike. The home has a number of systems in place to protect residents from abuse. New staff are employed subject to robust recruitment procedures and the necessary checks being undertaken. The training files viewed for two staff identified they had received training in the safeguarding of vulnerable adults. The home supports each of the four people with their money, although the records relating to bank accounts are held centrally by the Council. The money tins and receipts for two residents were checked and found to be satisfactory. The home have Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: requested that the Council forward statements to the service so that they can support residents to make decisions about larger purchases they may wish to make in the context of how much money they available to them. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a homely, safe and comfortable environment that meets their current needs. Evidence: One resident showed the Inspector their bedroom and pointed to things that they had chosen and which were important to them. It was evident that this person had been supported to personalise their bedroom and took pride in their belongings. One of the people who has been responsible for managing the home showed the Inspector around the rest of the home and it was again evident in the other three bedrooms that these had been decorated and furnished to reflect individual tastes and preferences. Communal areas include the kitchen, a lounge/dining area, two bathrooms. Whilst the lounge/dining room is not a large area, it is homely and with only four people accommodated, the space is sufficient to meet the needs of the people currently living there. There is a secure and accessible garden to the rear of the property and residents have been given their own patches to grow vegetables and flowers of their choice. The home was found to be clean, tidy and hygienic at the time of the inspection. There Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: is evidence of an ongoing programme of maintenance and redecoration. Discussion with staff confirmed the information in the AQAA that the process of refurbishment has been inclusive of the people who live at 19 Leicester Villas. There was evidence in care plans that where necessary, input from occupational therapists has been sought and advice followed. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a dedicated and competent team of staff and are protected by the recruitment procedures. Staff have both the skills and support to enable them to perform their roles effectively. Evidence: At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. On the Inspectors arrival on the first day of this inspection, three residents had already left for day services and one resident was at home with two staff. Staffing levels were the same at the second visit, with the addition of the person now appointed to manage the service working in a supernumerary capacity. A review of the rota and feedback from staff and management confirmed that the usual staffing level during the day is two carers. Depending on activities and appointments this number sometimes increases to three. At night, one staff member sleeps in. All persons spoken with during the course of this inspection confirmed that these staffing levels were generally sufficient for the current needs of the people living at 19 Leicester Villas. There is currently one staff vacancy at the home, but staff reported Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: that this was being filled by regular relief staff and as such did not pose any significant problems with the running of the home. An examination of the staff files for the two newest staff members provided evidence of a robust system of recruitment being in place, with all the correct documentation and checks being in situ. There is documentary evidence that new staff members complete an appropriate induction programme. Discussion with the people involved in managing the home and the examination of two staff files identified that staff training is ongoing. It should be noted that whilst the home is proactive in identifying training needs and nominating staff for updates, the Council training department can not always meet these requests. At the current time, this is not having a significant impact on the service, but the Inspector does reiterate the importance of ensuring all staff are kept fully up to date with both mandatory and specialist training courses. The Inspector saw evidence of regular staff meetings and individual supervision sessions being conducted with minutes recorded. The impression from meeting staff, observing their practice and reviewing documentation is that staff are professional in their approach and committed to their work. 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. Residents benefit from a cohesive and efficient management team who support each other and work enthusiastically in the best interests of the people they support. Evidence: Since the last inspection the Registered Manager was seconded to work at another service and a member of the staff team was appointed as Acting Resource Officer to oversee the management of the service. During the inspection, it was observed that this person has an excellent relationship with both staff and residents and it was apparent that both found her approachable and supportive. She has proved to be in efficient and effective in her management of the service. In April 2009, another re shuffle of Council services saw the appointment of a new Manager for the service. This person confirmed that she is in the process of gathering the required information to submit an application to the Commission to become the Registered Manager of the service. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The management changes could have had a negative impact on the running of the service, but the way in which both of the above mentioned individuals have and are continuing to work together is testimony to their professional and committed approach to the home. As such the people living at the home have continued to experience good outcomes from the way their service is delivered. The home has a system of quality monitoring in place with a Council representative conducting regular visits in accordance with Regulation 26. There is also evidence that annual satisfaction surveys are sent out to stakeholders, although at the current time the results of these have not been formally collated and published. The feedback from one of the relatives surveys this year stated I really like the staff rapport and interaction with my [relative]. The home has information in place regarding the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff have either attended or are scheduled to undertake training in this area. The person appointed to manage the service confirmed that the service is not currently depriving anyone of their liberty. Any restrictions in place are proportionate and fully documented. The home has various systems in place to ensure the health and safety of the home are maintained. The Inspector sampled some of the records in respect of health and safety as such concluded that the home has satisfactory recording and monitoring systems in place. 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 20 13 Regulation 13(2): The 01/09/2009 Registered person must ensure that medication is stored in accordance with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. The Registered Person must ensure the safekeeping of all medicines, including making provision for the safe storage of any controlled medication. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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