Care Home: 28 Pasley Street

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What the care home does well Everybody is able to go out every day, if they want.There are enough staff to help them.There are lovely meals, and people who live at this home can help with choosing, shopping and cooking their meals. What has improved since the last inspection? The house has been rearranged. Now everyone can eat together in a lovely dining room. Lots of rooms have been painted and given new carpets and furniture.There are more staff, so people may have more individual attention.People have moved to different bedrooms that suit them better. What the care home could do better: We asked for the regular checks to include window restrictors, and for the laundry walls to be better, so they can be kept clean.Residents should be able to know how much they have in their savings bank, to help them decide what to spend.The new manager wants to make further progress with lots of things, especially person centred planning and helping staff to understand people as well as possible. Key inspection report Care homes for adults (18-65 years) Name: Address: 28 Pasley Street 28 Pasley Street Stoke Plymouth Devon PL2 1DP 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: Stella Lindsay Date: 2 5 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 30 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 30 Information about the care home Name of care home: Address: 28 Pasley Street 28 Pasley Street Stoke Plymouth Devon PL2 1DP 01752561459 01752561459 headoffice@durnford.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Durnford Society Ltd Name of registered manager (if applicable) Ms Tracy Baker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 10 0 care home 10 learning disability Additional conditions: The maximum number of service users who can be accommodated is 10 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection 1 0 0 7 2 0 0 7 A bit about the care home The home is set in two combined terraced houses, in the Stoke area of central Plymouth. Shops, pubs and a Care Homes for Adults (18-65 years) Page 4 of 30 park are within walking distance, though the home has its own vehicle. The home is registered accommodate up to ten people though with their current arrangements they are unlikely to have more than seven. The home is in an unusual layout. You go through the front door from the pavement, and then there are stairs both going down to the lower ground floor level, and up to accommodation on the first floor level. There is one bedroom on the ground floor, and it has an en suite shower. There are no shared rooms. There are two lounges, a big kitchen and a dining area open-plan with one of the lounges. There is a patio at the back. The fees charged by the home range from 817 to 1,1530 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 30 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 Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home We went to the home on Monday all day, and on Thursday morning. We met all the people who live there. We met the new Manager, some of the staff, and the Responsible Individual for the company. We looked round the house. We saw what everyone was doing. We looked at care plans, medication records, and policies and procedures. We did this to find out how the home is run. What the care home does well Care Homes for Adults (18-65 years) Page 7 of 30 Everybody is able to go out every day, if they want. There are enough staff to help them. There are lovely meals, and people who live at this home can help with choosing, shopping and cooking their meals. Care Homes for Adults (18-65 years) Page 8 of 30 What has got better from the last inspection The house has been rearranged. Now everyone can eat together in a lovely dining room. Lots of rooms have been painted and given new carpets and furniture. There are more staff, so people may have more individual attention. People have moved to different bedrooms that suit them better. Care Homes for Adults (18-65 years) Page 9 of 30 What the care home could do better We asked for the regular checks to include window restrictors, and for the laundry walls to be better, so they can be kept clean. Residents should be able to know how much they have in their savings bank, to help them decide what to spend. The new manager wants to make further progress with lots of things, especially person centred planning and helping staff to understand people as well as possible. Care Homes for Adults (18-65 years) Page 10 of 30 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 Stella Lindsay Colston 33 33 Colston Avenue Bristol Avon BS1 4UA 01179307110 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 11 of 30 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 12 of 30 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. Careful assessment is carried out before people come to live at 28 Pasley Street. Clear and accessible information is available about the home. Evidence: We were given a copy of the information that is provided for prospective residents and their representatives. It included lots of photos of the house, and symbols to help people understand. The home had a policy on the admission of new clients. It included a provision for the homes staff to accompany the person to visit places in the local community that might be of interest to them. The Manager told us they would enable new residents to continue their previous day opportunities if possible, at least for a transition period. One resident had been admitted since the previous inspection. Staff from the previous home accompanied them for a few weeks, to help the staff understand their needs and methods of communication. Staff on duty told that they are always given information that they need about the residents - Durnford are hot on that, we were told. Reassessment was carried out since the last inspection in relation to a resident whose needs had altered, and it had become apparent they could not suitably be met at 28 Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: Pasley Street. Professional assessment bore this out and an alternative placement was arranged. Care Homes for Adults (18-65 years) Page 14 of 30 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 had been written and reviewed to ensure that staff knew how to support the residents in a way that suits them. Evidence: Each resident had a care plan which included clear information for the staff with respect to each persons care and support needs, and how they prefer their care to be given. These were up to date, and we found they were accurate and staff knew what was required. One person had a written detailed resume of their day, with flow charts, showing what was needed following any choice being made, to help staff understand what they wanted. The Manager said she intends to develop them through the coming year, to increase the residents understanding and engagement with planning their own care and support. She is a trained facilitator for Person Centred Planning. Individual programmes were being developed for residents to promote their independence with daily living skills, according to their ability and inclination. Residents were expected to contribute to transport costs, depending on the mileage they Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: travelled. Monthly charges were made. One resident had their own car. The Manager had introduced a system in order that other residents might pay for the use of it on occasion. It was not clear how the owner would agree to this. We saw that careful records were kept of residents daily expenses, which were seen to be accurate and up to date. We saw risk assessments appropriate to the service users, including with respect to personal care, use of transport, and handling medication away from the home. Any staff training requirements had been documented. Care Homes for Adults (18-65 years) Page 16 of 30 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 are supported to be involved in daily activities that suit their individual interests. They are encouraged to be involved in domestic routines. A good variety of healthy and appetising meals is provided. Evidence: During this inspection, we saw that all residents were supported to go out during the day, except for one person who was unwell on the first day, and did not attend their usual day opportunity. There was much evidence of 1;1 staffing to enable activities. One person had a support worker three days per week for community access. They had a photo diary, showing these activities. Two residents enjoyed going for drives on summer evenings, while another liked to go for a pint to a local pub, where people know them well. One person had been supported to spend the day out shopping, bowling, and had taken a packed lunch to enjoy the fine weather. One resident regularly attended a local Church on Sundays. Staff accompanied them, but sat aside to let them join the congregation. One resident enjoyed regular Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: family visits, and was planning birthday celebrations with them. Two residents had been to Butlins with two staff members. We saw that residents had a good choice of healthy food, from the menu plans and the various stocks of food and drink in the house. A four weekly menu was displayed, for advice and ideas, typical meals being risotto or home made quiche and salad. Decisions were made on the day according to what people wanted to cook and to eat. During our visit, one resident helped prepare the main evening meal, and an evening shopping trip was planned, to make sure everything would be available for supper and breakfast. Since the recent building works, everyone ate together round a big table, which was found to be sociable and successful. Care Homes for Adults (18-65 years) Page 18 of 30 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 effective personal and healthcare support using a person centred approach. Staff are alert to changes in mood and behaviour, and understand how they should respond. Evidence: Residents had choice in whether they wanted baths or showers, and staff told us they would check that their preferences had not changed. We spent time with all the people that live at the home and saw that their personal care needs were being met. The delivery of personal care was covered within each persons care planning, with careful instructions for staff in detail about how to provide personal care. A sample of peoples records and care planning showed regular contact with various health services including psychiatric health services, learning disability nursing, local GPs, chiropodists, opticians and dental health services. All the people that use the service have a health action plan in place. We saw nutritional assessments that had been professionally reviewed, and medication care plans signed by the prescribing doctor. Residents had been supported to attend medical appointments. Staff had written feedback sheets on their return, to record their observations during consultations. This ensures that information is shared with the staff team, to give continuity. There was evidence of medication reviews with the residents consultant, and of advice from Speech and Language Therapists. The team had worked with the Community Behavioural Support team, to introduce an Active Support Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: programme for each resident. These included learning daily living skills, and developing a team approach that will engage people in positive activities, and avoid challenging behaviours. The Manager said she would be in contact with the CBS team again, to make further progress with understanding peoples emotional needs. The home had a policy for the safe administration of medication, which included measures to enable people to look after their own medicines if they were assessed as competent to do this, and how to act if people were non-compliant with their prescribed medication. We saw that the procedures were carefully adhered to, with careful record keeping. The Controlled Drugs register was checked daily whether it was needed or not, and the balance of all medicines were checked daily, so that any errors could be rectified, and to maintain accountability. Care Homes for Adults (18-65 years) Page 20 of 30 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 are protected by the homes procedures, and by staff training and openness, combined with good understanding of the residents. Evidence: We saw that the homes complaints procedure was displayed on the wall, and had been included in each residents care plan. Incident records were referenced to care records, with body maps when necessary. The home had received complaints from a neighbour, with respect to noise from the house. In response, building work had been carried out to alter the living arrangements, so that the dining area would be away from the adjoining wall, and insulating material was put in the kitchen floor and walls. During our visit, we saw that the fire doors closed properly, but as they were well balanced, they made no noise. Discussions were continuing, in the hope that everyone could enjoy summer evenings on their patios. The homes procedure on safeguarding adults included all the contact details they might need in the event of an allegation of abuse being made, and staff who spoke to us understood their duties as alerters. Staff induction training included information with respect to Abuse, Whistle blowing, Physical intervention and residents finances, and staff were each given the Vulnerable Adults Alerters Guide so they could refer to it. When there was a concern over a residents money, the Manager consulted the Safeguarding team, though in the event it was found that no abuse had occurred. This shows preparedness to consult and be open in investigation. Care Homes for Adults (18-65 years) Page 21 of 30 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. This home is well maintained and well decorated. It provides a safe, clean, comfortable and attractive environment for the residents. Evidence: The house was in very good decorative order. Much of it had just been redecorated following extensive building work. The internal arrangements had been altered, and now there was an open dining area joined to a lounge. This created a very pleasant open light space, for crafts and sociable activities as well as mealtimes. There was also a separate lounge, for quiet times or separate activities. The kitchen had been altered, to be a single room, no longer adjoining the dining room. It had new fittings and flooring, with insulation to cut down on noise. There was sufficient space for residents to work alongside staff on meal preparation and clearing up. The bedrooms are accessed via stairs, except for one accessible bedroom with en suite shower and toilet on the ground floor. The door to this room needed attention, as the doorguard was not effective due to the lack of a floor plate, and there was no lock. All other doors in the house were seen to be very good, with suitable locks. All fire doors closed properly, but gradually, avoiding danger or noise. This service is registered to accommodate ten people, but only six were in residence at the time of this inspection. A flat had been made available to meet the needs of one person. Staff said, they are more content in this situation, calmer, as no other service users take away the staff attention Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: they need. There is a patio to the rear of the house, with garden furniture on astro turf. There is free access through the back door, with an alarm fitted so staff know when a resident goes out. There is access to the back lane. The laundry was in good order, except for the walls, which had a flaking surface. Staff told us they enclose any soiled bedding or clothes in soluble bags, to remove any chance of contamination. We saw paper towels and liquid soap in bedrooms, to avoid risk of infection. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff, well trained, supported and motivated. They have good abilities to understand and engage with the people who live at 28 Pasley Street. Evidence: We were given a rota which covered the period of this inspection. It showed that there are two awake staff by night as well as a sleeper, and through the day five five Support workers as well as the manager. Additional to this is a worker three days per week specifically for 1;1 support in the community for a resident. One resident had 1;1 attention at all times, and two while on outings of any sort. The Manager was in the process of introducing a new rota system, which was causing anxiety, but staff said the manager had been considerate of their other commitments, and she said they could always tell her which days off they needed. This change was needed to ensure that there were enough staff at the particular times that residents needed them. Recruitment was in progress at the time of this inspection, with recruits arriving to see the home and meet the manager. At the time of their visits, the residents were all out of the house, engaged in activities in the community, so additional arrangements would be necessary if their ability to engage with service users would be part of the recruitment process. We examined the files of recently recruited staff, and found that all checks had Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: been carried out to ensure that residents were protected from potential harm. A Professional Development folder had been provided for each staff member, to record their training, allow them opportunity for feedback. This was well presented. The Durnford Society has its own Training Officer, who keeps a record of when staff need up dates in their mandatory training. They had just appointed a staff member to strengthen links between different parts of the service. We saw training records which showed that staff had attended many training sessions over the past year, including Moving and handling and food hygiene, infection control, safe administration of medication, and First Aid. Also there had been attendance at training sessions on mental health, dementia awareness, total communication and breakaway techniques. A few people had attended epilepsy training, and some were anticipating training in autism. Further sessions on the protection of vulnerable adults had been applied for. We saw records which showed that staff had received supervision individually, with the previous manager or their deputy. The new Manager told us that she intended to start promptly a new round of supervision, to ensure that she met with each member of staff to discuss any issues, as well as give feedback on their performance and discuss training needs. Care Homes for Adults (18-65 years) Page 25 of 30 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. There had been changes in management of the home. A new Manager had been appointed, who showed us that she has the skills and abilities to provide a good service for the people who live at the home. Evidence: A new Manager had just been appointed. She was beginning the process of registering with the Care Quality Commission. She told us that she completed the registered Managers Award in March of this year, and was awaiting her certificate. She found support in her work from other managers in the company. She told us that they hold quarterly Management Workshops, to assure their support and professional development. She also showed that she was maintaining her development as as she had attended a course earlier in the year and had a certificate of achievement in Dealing with Difficult People. Senior managers are based in the companys headquarters in Plympton. They visit at least monthly. A staff meeting was planned for two weeks following this inspection, for all the changes to be discussed, and any difficulties considered. Some staff said they would like to see more of their Senior Management Team, who said they might be able to attend part of this meeting. Staff also told us they felt the Senior Managers were approachable during their visits to the home. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: Residents had cash kept in the office on their behalf. They also had bank accounts. They had not received monthly statements, but the Manager said this would be arranged. This is so they may know how much they have in savings, and when any interest is paid. One residents financial records were not available. We were told that the companys Finance Administrator was auditing them. There was a system of task sheets in use, called allocation sheets. These recorded which staff member on each shift took responsibility for certain tasks, for accountability. They included care tasks and appointments, as well as the daily audit of medication and of residents money. The Manager had plans to improve further the accountability of staff by revising these records. The company gather feedback annually by way of questionnaires. We found that it was possible for window restrictors to be detached. The Senior Manager was informed of this. It was agreed that it would be remedied, and put on the allocation sheet to ensure regular checking and recording, for the continued protection of residents. A safety audit had been carried out, on 22/05/09. We were given a copy of the report. This was thorough, and is an annual audit. It included some tasks that were needing follow up action, and required advice from the Manager when action had been taken. It is good that the homes safety checks were monitored in this way. Fire risk assessments were due to be carried out, following the building work that had just been completed. The fire alarm system had been professionally serviced in May 2009 and fire safety training provided in April 2009. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 2 3 30 41 42 Laundry walls should be easily cleanable, to maintain good hygiene. Residents should be provided with monthly statements of their bank accounts, showing any interest accruing. Window restrictors should be fixed in place, subject to risk assessment, and included in the regular safety checks. Care Homes for Adults (18-65 years) Page 29 of 30 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. 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