Care Home: 24 Stand Road

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well 24 Stand Road is very homely, there is a relaxed atmosphere and the people who live there are settled and comfortable in their surroundings. A pet dog (Arthur) and chickens in the garden (which supply fresh eggs) add to the all round homeliness. The care plan reviews are person centred, and make good use of photographs, to focus on what the person wants to do with their life. People living at the home are engaged in a variety of different activities, including working in a charity shop,working at a local stables, and spending time developing their independence, and daily living skills. What has improved since the last inspection? At the last key inspection four statutory requirements were made: these related to: the homes adult protection policy being revised and updated, making staff records available for inspection, staff supervision, and better quality assurance. All four requirements have been met. In addition much of the downstairs of the property has been redecorated, as well as the hall and the landing. The attic has been insulated. New flooring has been laid in the kitchen. New fencing has been erected in the garden. A new fire doo has been fitted to the dining room. What the care home could do better: No statutory requirements have been made as a result of this key inspection visit. However four good practice recommendations have been made relating to: sending updated copies of the statement of purpose and service user guide to the Commission. Both a representative from the management of the home and the person living at the home should sign the terms and conditions of residence document. All staffshould receive refresher training updates, particularly in relation to the mandatory training courses. All staff members should receive a minimum of six formal supervision sessions per year. Key inspection report Care homes for adults (18-65 years) Name: Address: 24 Stand Road 24 Stand Road Off Whittington Moor Chesterfield Derbyshire S41 8SW 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: Rob Cooper Date: 2 6 0 6 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 29 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 29 Information about the care home Name of care home: Address: 24 Stand Road 24 Stand Road Off Whittington Moor Chesterfield Derbyshire S41 8SW (01246)455025 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) : ccservices01@btconnect.com Community Care Services care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following categories 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 - Code LD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home The Home is a semi-detached house in a residential area of Chesterfield. There are accessible local facilities and a bus route into the town centre nearby. The house is set back from the road with a garden to the front and rear. Some parts of the Home are quite compact though there is a good-sized lounge and satisfactory bathroom and toilet facilities. The Home is run on domestic lines and accommodation is in single bedrooms. A range of activity and personal development programmes are developed with residents, which include the regular use of local amenities. The fees range from: £540 - £700 per week depending on the needs of the individual. 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 Conduct and management of the home Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. To begin with, this was an unannounced inspection, so that no one at 24 Stand Road knew that the inspection was going to take place. The inspection took approximately five hours spread over two days with one Inspector present. We looked at policies, care plans and reports The method used to carry out the inspection was to send out an Annual Quality Assurance Assessment (known as an AQAA), which allowed 24 Stand Road to carry out a self-assessment; and provide a range of information relating to their service. This was followed with a visit to 24 Stand Road, where a method called case tracking was used; this involved looking at the individual files of the three people who live there and making a judgement about the quality of care they are receiving, and if their needs are being met. This was done by a partial tour of 24 Stand Road, looking at the activities on offer, and talking to the three gentlemen who live there and the staff. In addition Care Homes for Adults (18-65 years) Page 7 of 29 we sent out three questionnaires to the people living at the home, and three to staff, all of which were returned, and helped us with the judgements that were made. The Registered manager for 24 Stand Road: Donna Clayton supplied much of the information during the inspection site visit. Since the last key inspection in June 2007 there have been no further inspection visits of any kind. People can get more information direct from the home What the care home does well 24 Stand Road is very homely, there is a relaxed atmosphere and the people who live there are settled and comfortable in their surroundings. A pet dog (Arthur) and chickens in the garden (which supply fresh eggs) add to the all round homeliness. The care plan reviews are person centred, and make good use of photographs, to focus on what the person wants to do with their life. People living at the home are engaged in a variety of different activities, including working in a charity shop, Care Homes for Adults (18-65 years) Page 8 of 29 working at a local stables, and spending time developing their independence, and daily living skills. What has got better from the last inspection What the care home could do better No statutory requirements have been made as a result of this key inspection visit. However four good practice recommendations have been made relating to: sending updated copies of the statement of purpose and service user guide to the Commission. Both a representative from the management of the home and the person living at the home should sign the terms and conditions of residence document. All staff Care Homes for Adults (18-65 years) Page 9 of 29 should receive refresher training updates, particularly in relation to the mandatory training courses. All staff members should receive a minimum of six formal supervision sessions per year. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact: Rob Cooper Care Quality Commission Citygate Gallowgate Newcastle-upon-Tyne NE1 4PA Tel: 03000 616161 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 10 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 11 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. People who would want to live at the home have the information they would need to make an informed choice about where to live, they also have their individual aspirations and needs assessed before they moved in. Evidence: The Statement of Purpose and Service User Guide for the home are currently being rewritten and updated. The information that was seen gave a basic outline of the home, and the services on offer, the manager is confident the updated version will meet the current National Minimum Standards. Three peoples care files were seen as part of the case tracking process. Each file contained detailed assessments covering areas of daily living. The files also contained the minutes of Person Centred review meetings were seen, with evidence that assessments had been updated and rewritten. Each of the three files contained an Individual client placement contract, which also outlined the terms and conditions of residence. None of these documents had been signed by either the person living at the home or a representative of Community Care Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Services. Care Homes for Adults (18-65 years) Page 13 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. People living at the care home know their assessed and changing needs and personal goals are reflected in their individual plan of care. People are also supported to make decisions about their lives with assistance if needed. Evidence: The care home have implemented Person Centred Care plan reviews, which include photographs, and which are centred around the individuals likes, and daily living activities. The reviews also detail family involvement, and are written from the persons point of view, so that they give a clear flavour of the persons life, and what is happening for them. A great deal of evidence was seen to support the view that people living at the home were supported to make decisions. All three people living at the home were seen during the inspection visit, and all three were observed taking decisions, this covered the choice of evening meal, and decisions about drinks and activities. The evidence seen during the inspection visit showed three people who were living in their own home and doing what they wanted. All three bedrooms were seen, and these were very well personalised, and Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: reflected the individuals interests and personality. Discussions with people living at the home identified that there was a a great deal of choice around activities, with people spending time in a mixture of organised activity and going shopping and out for lunch. All three files contained risk assessments covering both individual needs and risks, and more general risks related to everyday living. The risk assessments were clear and easy to understand, and followed a logical approach to the management of the risks. Observations and discussions with people living at the home showed that they had a lifestyle that included risks, and the staff supported people as necessary. Care Homes for Adults (18-65 years) Page 15 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the home are able to take part in appropriate activities, and are part of the local community, with their rights and responsibilities being respected by the staff. Evidence: All three people living at the home have a full and varied proggramme of activities, which cover their interests. For example one person works with horses at a local stables one day a week, while another works in a local charity shop. While two days a week Community Care Services who operate and manage the home run a day service in Newbold, which all three people attend. There are is swimming in the evening, usually once a week and one person particularly enjoys cooking, and was preparing the evening meal during the inspection visit. Besides having a dog at the home (Arthur), they also keep chickens, and the person preparing the evening meal used fresh eggs from the chickens to prepare fresh Yorkshire pudding. Discussions with this person, showed that they liked to cook thinks fresh, and make things from scratch: proper cooking, not out of a packet was how they described it. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: The people living at the home said they make full use of the local community facilities, using local shops, pubs, cafes, leisure and health facilities. Documentation seen in files supported the fact that people use local community faclities. One person said that: they often go to Tescos shopping, or just go to the local shops at the end of the street. All three people living at the home have contact with members of their family, although this varies from person to person. Evidence was seen in files regarding family contact and plans to facilitate more contact. All three people also have a number of friends and social contacts, and on the evening of the inspection visit a friend was expected for tea. Discussions with people living at the home, and observations during the inspection visit, showed that all three people take turns at cooking, cleaning and in other household tasks such as shopping and walking the dog. All three people living at the home take turns at cooking, with support from the staff as necessary. Decisions with regard to the menu are taking between all three people. The kitchen was found to be well equipped, and discussions with people who live at the home about the food, were very positive, with all three people enjoying their time in the kitchen. I like to cook, I really enjoy it. The foods really nice, because we decide what we are having for tea. Its good. Were some of the comments made by people living in the home about the food. Care Homes for Adults (18-65 years) Page 17 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. People living at the care home receive personal support in the way that they prefer, and they are protected by the policies and procedures in place for dealing with medication. Evidence: All three people are able to make choices and express their wishes. Discussions with them showed that decisions around personal care are taken by the individuals, and they are happy and comfortable with the situation. All 3 files had information relating to the individuals health, including copies of letters from health care professionals, and monitoring of specific health related conditions. At the last key inspection a recommendation was made that all three people should have end of life plans. To date, one person has one, and the other two are waiting for relatives to visit to discuss, as the staff feel this should be handled sensitively with a personal touch, rather than on the telephone or by letter. The care home uses a monitored dosage system, which is supplied by Boots (the Chemists). This system provides each resident with a weekly card, which contains each dose of medication in a blister pack, for ease of the staff dispensing it. The records relating to ordering, dispensing, and where appropriate destroying or returning medication to the pharmacy was seen, and all found to be complete and correct, with no Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: obvious errors or omissions. Medication was also seen to be stored securely. No one living at the home currently self-medicates. Records showed that Boots last carried out a pharmacy inspection in July 2008, and the staff are expecting a visit shortly. Boots have also provided staff training, as evidenced by the staff training records, although the manager said that the refresher training is due, and will be disussed when Boots do their next annual inspection. Care Homes for Adults (18-65 years) Page 19 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. People living at the care home feel their complaints are listened to and acted upon. The policies and procedures in place ensure people are protected from abuse, neglect and self harm. Evidence: The care home has not received any complaints since the last key inspection in June 2007, and the Commission have not received any complaints or concerns in that time either. This is a small home, and has a personal touch, so that concerns are addressed straight away. All three people said they were very happy with all aspects of their care, and that they would talk to the manager if they were not happy. The homes complaints procedure, is on display in the foyer, and also forms part of the service user guide. In their AQAA they said: The home has a complaints procedure which is explained to each client, a copy is also provided within the home on display. Derbyshire advocacy service is also involved with each client to enable them to complain if they needed to about the service they receive. Any records of complaint would be maintained safely and securely and dealt with within the timescale detailed in the complaints procedure. We have had no complaints relating to the service provision within the home. We have an in-depth policy on adult protection, all staff are trained and updated on adult protection issues and are fully aware of the procedure to follow if they detected or had disclosed any abuse towards individual clients. A review of the staff training records in relation to safeguarding adults showed that all of Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: the care staff had undertaken this training in the last twelve months. Three members of staff were asked about safeguarding adults training and said they were aware of the issues, and had undertaken this training. Evidence seen in the training records evidenced that the training has taken place, although, certificates have not yet arrived. The home have not had made any safeguarding adults referrals since the last key inspection. Care Homes for Adults (18-65 years) Page 21 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. People live in a safe, homely and comfortable environment, with bedrooms that suit their needs and lifestyle, and promote their independence. The care home is clean and hygienic. Evidence: A partial tour showed it to be comfortable, homely and well equipped. All of the bedrooms were well personalised, and reflected the individuals personality. There are good quality fixtures and fittings, and clearly efforts have been made to create a home for the people who live there. All three people said they liked their bedrooms, with one person showing me their video collection in their bedroom and saying: I keep my things in here, look, Ive got plenty of room. outside the enclosed garden houses the chicken coup, and is laid mainly to lawn. The sitting room has a large widescreen television and deep setteees. The building was found to be clean, and discussions with one person who lives there identified that he cleans his bedroom, and sometimes hoovers in the lounge, while the staff see to cleaning in the communal areas of the house. 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. People living at the care home have their needs met by appropriately trained staff. Evidence: The staffing rota was seen, and this showed a good skill mix through the staff team, and a level of different staff with levels of seniority and experience. Overnight one of the staff sleep in, and staff go out during the day to support people at the various activities they take part in. Four staff files were seen, and these all contained information that showed that staff had been recruited safely, in that every applicant had been through a formal recruitment process, and had filled out an application form, provided two written references and had undergone a Criminal Records Bureau check. In addition three members of staff were spoken with about their recruitment, and the checks that they had been through. Staff training files were seen, and these showed that there was a training programme in place for all staff, covering training issues relevant to the work being undertaken, and covering the mandatory traing in fire safety, food hygiene, moving and handling etc. It was noted that a number of training courses are due for refresher/ updates, and this is being arranged in the near future. Further discussions with three members of staff around training issues identified that the staff thought they had been well trained and had access to on-going staff training. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: The staff files containing information relating to formal supervision, are stored at the office (off site) and were not seen. The manager said that they had not quite achieved the National Minimum Standard of six sessions a year. Discussions with three members of staff confirmed that there is a good support network at the home, although staff were not receiving formal supervision as often as six times a year. The staff said they felt very well supported. 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. This is a well run home. People are confident their views underpin all self-monitoring, review and development and the health, safety and welfare of everyone at the home is promoted and protected, so that people are safe and benefit from a responsive management structure. Evidence: The manager, Donna Clayton has been in post for approximately ten years, and is suitably qualified and experienced to be running the home, and has been through the Commissions own screening process, and judged to be a fit person to run a care home. The main form of quality assurance that is used is questionnaires given to people who live at the home, and their relatives. Copies of questionnaires were not seen, as they are at the office, although evidence of the development plan was seen during the inspection visit. This is done from the Community Care Services offices, and the evaluation is given to the manager for action. In their AQAA they said: Each client is encouraged to make choices how the home is run in line with CSCI requirements. They are also assisted to complete client questionnaires about the service. The size of the care home means that it is very intimate, and people living at the home are able to make choices and express Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: their views. Evidence of this was seen during the inspection visit. A range of health & safety records were seen including those relating to fire and the Control of Substances Hazardous to Health (COSHH) these were all found to be correct and complete. Two members of staff were asked about health & safety training, and they both said that they had received training around health & safety issues, which was supported by the staff training records that were seen. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes  No  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 Description 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 Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 A copy of the updated Statement of Purpose and Service User Guide should be sent to the Commission when they have been completed, and copies should be present in the home for future inspection. Individual client placement contracts should be signed by all parties or their representatives. Refresher training and updates for all staff should be arranged as soon as possible, as the records show this is now due. Particular attention should be paid to the mandatory training that requires updating every year. All staff should received formal supervision six times a year, and the supervision records should be available for inspection. 2 3 5 35 4 36 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!