Care Home: 22 De Parys Avenue

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What the care home does well The staff teams including management continue to demonstrate their openness and positive response to requirements, recommendations and suggestions made by the Commission. Prospective individuals, significant others and potential placing authorities are provided with relevant information about services and encouraged to visit the care home. The assessment and admission process is robust, which ensures that the needs of new residents are identified and support is planned accordingly. Care plans are `person centred` and reviewed on a regular basis to address the changing needs of individuals who have learning disabilities. The care planning approach involves the resident and significant others, in order to ensure the needs, wishes and aspiration of the individual are at the centre of service delivery. The ethos of the organisation has a strong sense of care and compassion for people with learning disabilities. It gives a high profile to supporting and enabling people to develop independent living skills and participate in meaningful activities that reflect their needs, and wishes and feelings. The environment is reasonably well maintained and a good standard of cleanliness was evident throughout those areas viewed. People using the service benefit from a well maintained garden that has easy access for wheelchair users. The systems in operation including complaint and adult protection should offer adequate protection to people using the service. In relation to equality and diversity, the home has this policy in place and staff spoken to were aware of it and ensured that people were treated equally, irrespective of their age, race, disability, religious beliefs, cultural background or sexual orientation. The training needs and future development of staff are being identified and addressed. NVQ training for staff is being given a high profile; staff are therefore well equipped with the skills and knowledge to provide a good quality service for residents. What has improved since the last inspection? Both requirements made following the previous inspection in January 2007 are being implemented to good effect. The home`s procedure is being followed in reviewing the care of residents following any accidents. This is so that the resident`s rights, responsibilities and changing needs are reviewed and met. A review of the staffing arrangements has been undertaken and changes made, in order to ensure that there are sufficient staff on duty in the mornings, to maintain the safety of both residents and staff. The new manager has been in post since February 2009. In the short period that she has been in post the manager has implemented a number of care and staff management systems to good effect. Evidence available shows that the quality of care and support for residents has continued to improve and the home is being well managed. What the care home could do better: There are 2 requirements and 1 recommendation arising from this report, which needs addressing. Requirements Refurbishment of the bathroom and toilet facilities, and repair work identified must be addressed. This will promote the dignity of residents and also ensure a more domestic atmosphere. Staff recruitment files must include a recent photograph of the employee as detailed in Schedule 2 of The Care Homes Regulations 2001. This is to ensure the protection of residents. Recommendation The monthly review minutes should be in greater detail, in order to reasonably reflect relevant issues occurring over a month period. Key inspection report Care homes for adults (18-65 years) Name: Address: 22 De Parys Avenue 22 De Parys Avenue Bedford MK40 2TW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Neil Fernando     Date: 0 4 0 2 2 0 1 0 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: 22 De Parys Avenue 22 De Parys Avenue Bedford MK40 2TW 01234355133 01234355133 thf@deparys.wanadoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: THF Care Estates Limited care home 7 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 22 De Parys Avenue is a semi-detached property located close to the town centre of Bedford. The home provides long term residential care for a maximum of seven adults. The house is a large building and provides accommodation on three floors. There is one large and one small lounge together with a dinning room, kitchen and utility area located on the lower floor. The first floor has a small staff room office and bedrooms. The third floor contains the main office. A copy of the service users guide and the most recent inspection report from the Commission is available at the home for residents and visitors to read. The fees for this service range from £800 to £1200 per resident, per week. 7 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We, the Care Quality Commission, undertook this unannounced key inspection on 4 February 2010, the last having occurred on 8 January 2007. We spoke with three residents, the manager and three care staff. We had a look round the home and viewed a sample of records the service must keep. At the time of the visit, there were seven people in residence with no vacancy. We have received an AQAA (Annual Quality Assurance Assessment), a document which gives the manager the opportunity to tell us how the home is meeting the standards and regulations. We have also received surveys from seven residents and one staff member. Care Homes for Adults (18-65 years) Page 5 of 28 The manager was available throughout the inspection. An annual service review was carried out on 30 December 2008. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? Both requirements made following the previous inspection in January 2007 are being implemented to good effect. The homes procedure is being followed in reviewing the care of residents following any accidents. This is so that the residents rights, responsibilities and changing needs are reviewed and met. A review of the staffing arrangements has been undertaken and changes made, in order to ensure that there are sufficient staff on duty in the mornings, to maintain the safety of both residents and staff. The new manager has been in post since February 2009. In the short period that she has been in post the manager has implemented a number of care and staff management systems to good effect. Evidence available shows that the quality of care and support for residents has continued to improve and the home is being well managed. Care Homes for Adults (18-65 years) Page 7 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home makes sure it can meet peoples needs by getting detailed information about them before they are offered a place. Evidence: A copy of the statement of purpose and the service users guide is available to current and prospective residents. All three residents who were spoken to said they had visited the home before moving in. They said that they liked living at 22 De Parrys Avenue residential home. I have always liked living here, said a resident. Staff interviewed said that they would help the prospective resident decide if the home is suitable for them. Many residents have lived at this home for a number of years; indeed, there have been no new admission to the home in the last couple of years. Care files for three people show that when the home receives a new referral, a detailed assessment of needs is completed involving a member of the the management team, the prospective resident, their family and other important people. The manager said that when a Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: placement is available, the prospective resident and their representative would be encouraged to visit the home as part of the assessment process, so that their needs could be fully assessed. Case files examined indicate that the home has links with placing authorities and has their continued support throughout the placement. Individual contracts are in place; a new placement agreement has been drafted by the manager, which she hopes to issue to each resident by March 2010. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are given the opportunity to make everyday choices and they are encouraged to achieve independent lifestyles. Their preferences and requests are respected. Evidence: The AQAA tells us All residents have detailed support plans and are centred on the individual persons goals and aspirations. The home is fully committed to the recognition of residents diverse needs. The three care plans examined were detailed and person-centred. The initial care plan is drawn up from the pre-admission assessment of needs, with contribution from the resident, their representative and home staff. There is also input from other professionals such as Psychiatrist, GP, Occupational Therapist, Community Psychiatric Nurse and day centre staff where appropriate. The care plan reflected the residents identified needs in relation to social, recreational, physical, health, financial, culture and religion and sexuality. Each resident is allocated a key worker who is responsible for ensuring the needs of the resident are met. All three residents spoken with had a good knowledge of the issues Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: covered in their care plan. Each resident has a monthly review carried out by the home staff and one external annual review completed by the placing authority; this ensures that any changes in the individuals care can be recorded and addressed as required. However, the monthly review minutes should be in greater detail, in order to reasonably reflect relevant issues occurring over a month period. Good evidence is available to show that the resident, their representative, home staff and other professionals participate in the review process. I attended my review a few months ago, said one resident. Each resident has a key worker who is involved in care planning and assisting with daily living skills. Records examined indicate that staff seek to involve the residents and their representatives in various aspects of their care. Action is taken to minimise identified risks and hazards. Risk assessments are in place and these have been reviewed and updated as required. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have the opportunity to participate in a range of activities that develop and enrich their social and personal lives. Evidence: Residents have access to a good variety of social and recreational activities, which promote their development and maintain a good level of stimulation. Activities programme is organised on a weekly basis. Activities that have occurred regularly include swimming, shopping, rides, visiting family and friends, trips to the local pubs and banks, walks to the local parks, various board games, cooking, arts and crafts, reading, manicuring, house chores and music and television. Residents have been to the coast and on holidays during the warmer season. Five of the residents also have various days attendance at day centres, one resident attends college and two people have regular sensory therapy. A minibus belonging to the home enables easy access to various community facilities. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Residents needs in respect of quality and diversity are being identified through ongoing assessments and reviews. The residents are viewed as a part of the local community. Staff take steps to minimise risks, whilst allowing residents to maximise their independence. The three files viewed indicate that good contact is maintained with family and friends. Some residents have overnight stays with their family. I live a full social life, you know, reflected a resident. All residents said that they are treated with dignity and respect. Staff always knock and wait for a reply before coming in my room, said one resident. Residents are able to spend their time as they wish. Staff members respect residents right to live as they like in their own space. All residents are encouraged and are appropriately involved in planning menus, shopping and cooking, with staff assistance. Menu is planned weekly at the residents meetings. Regular shopping trips are organised and this ensures that fresh food is cooked. Healthy eating is being actively promoted. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive appropriate health and personal care based on their identified needs. Evidence: The AQAA indicates All visits to health professionals are documented within residents individual files. Residents are encouraged to actively participate in the planning of healthy lifestyles through the provision of user-friendly information that is looked at and completed with the residents key worker. Each resident has a care plan that shows how the residents identified personal and health care needs were being met. All residents are registered with a G.P. from various practices. Individuals receive personal and health care support using their health plan that are reviewed and kept up to date at each health appointment attended. Staff spoken to said that the support provided for residents was based upon identified needs including the rights to dignity, privacy and choice. Detailed recording of each persons personal and health care is maintained on each shift. Entries made had been dated and included the name and signature of the staff Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: member making the entry at all times. The home has a written policy on medication. There are good systems in place for ordering, storing and administering the medication that each resident requires. There were no one on controlled drugs at the time of the visit. Three staff including a senior member confirmed they have received training on this subject. Records are kept when medication is administered to residents and these were noted to be in order. An audit was undertaken by a Boots chemist in October 2009 and they were satisfied with the medication practise at the home. 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. The staff recruitment policies and procedures, training and supervision should protect residents from harm. Evidence: The home has a procedure on complaints, which is available and accessible to all staff members. Information on complaints is also included in the service users guide, which is in pictorial form. Residents meetings are held regularly and details of the complaints process are raised, in order to remind residents of their rights to make a complaint if they were dissatisfied with any aspects of the service they receive. Residents spoken to said they knew who to speak to if they were not happy about something. Residents have contacts with family members and and individuals outside the home, who they meet as part of their daytime activities or professional reviews. A complaints record is maintained. The home had received one complaint in the last twelve months. Record showed that the manager had dealt with the matter swiftly and satisfactorily. The home has a copy of the procedures on Safeguarding Adults. Staff spoken to confirmed that they are familiar with the procedures. Discussion with the manager and training records viewed showed that all staff bar one member have received training on the safeguarding of vulnerable adults. Training had been arranged for January 2010 but this had been cancelled due to bad weather. The manager has rearranged the training for 8 March 2010. This standard will be fully met once this staff receives Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: this training. An element of adult protection is also covered in the induction programme for all new staff members and those people undertaking the NVQ assessment. Staff are aware of the Whistle Blowing Policy. The home retains a small amount of money on behalf of four residents. An administrative record is maintained for each of the residents. Records and money for two residents were examined and these were in order. Receipts are also retained where this is appropriate. 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. People using the service are supported in an environment that is homely and comfortable but the sanitary facilities need to be refurbished so that residents dignity is promoted and to compliment the decor of the rest of the home Evidence: A brief tour of the building was undertaken; this included 8 bedrooms including 1 staff sleeping room, 2 lounges, the kitchen and dining room, 2 staff offices, the laundry room and 2 bathroom and 1 toilet facilities. The home was generally well maintained and furnished in a domestic style to provide a homely, comfortable and safe environment. All bedrooms viewed were well personalised to reflect individuals needs, taste and choice. A rolling programme of maintenance and redecoration has been ongoing. New carpets and flooring have been replaced and some new furniture purchased. However, the bathroom and toilet facilities are in need of redecoration. There is minor damage to the laundry room floor, near the toilet facility. These must be addressed so that residents dignity is respected. The accommodation was bright and airy. A good standard of cleanliness was evident throughout those areas viewed. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust recruitment procedure is in place, although minor improvement is required for the protection of residents. Staffing levels ensure that residents needs are met satisfactorily. Evidence: The home has a stable staff team that are experienced and knowledgeable about the needs of people living at the home. They all have key residents that they are responsible for and the care staff spoken to, spoke passionately about the care they provided to the people using the service. Of the 12 care staff, 10 (83.3 ) have achieved their NVQ level 2 or above in care; also each staff has a programme that details mandatory and other training undertaken. There is also evidence to suggest that staff receive an induction when they commence their employment; I thought my induction was very thorough and covered everything, said a new member of staff. Formal one to one supervision takes place six weekly and staff meetings, monthly. Staff spoken to said they are very happy with their supervision. Rotas seen suggest that sufficient numbers of staff are rostered on duty to care for people living at the home. The manager said the staffing levels are reviewed regularly, Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: in order to ensure staff are available in adequate numbers to meet the changing needs of the resident group. The personnel recruitment files for 3 staff including the last member who joined the team were scrutinised. They provide evidence that various checks including Criminal Records Bureau checks and references had been undertaken in line with schedule 2 of The Care Homes Regulations 2001. It was however noted that a recent photograph of the employee was not available in any of these files. The manager is aware that this must be addressed as a priority for the protection of residents. There is evidence to suggest that staff receive good management support. Staff spoken to said the home operates an open door policy and they are able to speak to the manager whenever they wish. Comments from staff include Management support is well structured, Any issues, we will go to the manager or deputy manager. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well-managed and robust policies and procedures ensure that residents receive a good and safe standard of care. Evidence: The manager has been in post since February 2009. She has applied to the Care Quality Commission to become the registered manager for this home. She has previously held a registered managers post in a home for people with a learning disability and autism. She holds an NVQ level 4 and the Registered Managers Award, and is also a qualified NVQ Assessor. The manager has the knowledge, skills and experience to manage this home well. The implementation of a number of systems including policies and procedures, assessment and admission process, care planning and review, recruitment, training and supervision of staff ensures that the home operates in a manner that benefits people using the service and the staff team. The home has quality assurance systems to seek the views of people using the Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: service, relatives, staff and other interested parties. Monthly visits have been carried out by the regional manager to ensure that appropriate standards are maintained; reports on these visits are available at the home and are noted to be satisfactory. All statutory records were available for inspection and maintained in accordance with legislation. Records inspected were up-to-date and accurate and were held securely. Staff spoken to were aware that people using the service can access their records and information held about them in accordance with the Data Protection Act 1998. The health, safety and welfare of people using the service and staff are promoted and protected. All accidents and injuries are recorded in the accidents book. The Commission has been kept informed of any notifiable incidents. Regular checks on hot water and fridge/freezers temperatures were undertaken and a record maintained. Fire alarm tests and fire drills were carried out on a regular basis. Care Homes for Adults (18-65 years) Page 24 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 25 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 24 23 Refurbishment of the bathroom and toilet facilities, and minor repair work identified must be addressed. This will promote the dignity of residents and also ensure a more domestic atmosphere. 30/04/2010 2 34 19 Staff files must include a recent photograph of the employee as detailed in Schedule 2 of The Care Homes Regulations 2001. This is to ensure the protection of residents. 26/03/2010 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 6 The monthly review minutes should be in greater detail, in order to reasonably reflect relevant issues occuring over a Care Homes for Adults (18-65 years) Page 26 of 28 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 month period. 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. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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