Care Home: 36 Hurstville Drive

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What the care home does well Care plans are of a good standard with guidance for staff to follow in delivering personal care and for dealing with behaviour. Relatives and residents report that care and health needs are met by the home, but that this has not always been the case in the the recent past. Photographs and pictorial diagrams are used to communicate with residents. Assessments are carried out for any activities where there is an element of risk. Care plans are recorded so that staff know how to reduce these risks. Residents receive medication as prescribed and there are clear guidelines for staff to follow in administering occassional medication. There are a range of activities and interests for the residents, including outings to community facilities, holidays and college courses. There are opportunities for residents to develop independent living skills. The home has its own transport so that residents can access activities. Relatives report that the home`s staff and management are approachable and listen to any concerns they raise. The environment has facilities for residents needs and interests. Bedrooms are personalised. Staff have access to a variety of training courses. Sufficient numbers of staff are deployed to meet residents` needs. What has improved since the last inspection? Care plans have been reviewed and updated. These now include health action plans and plans written in a way that is personal to the individual resident. The availability of activities for residents has improved, including access to community facilities. Improvements have been made to the environment, such as new flooring and more equipment in the sensory room. The home has recruited more permanent staff. What the care home could do better: Improvements are needed to ensure that residents` health care needs are met and that residents are protected from harm. A permanent registered manager is needed so that the staff team and home`s operation can be consistently guided. Staff records need to be available so that the home can demonstrate that the recruitment procedures protect residents. Key inspection report Care homes for adults (18-65 years) Name: Address: 36 Hurstville Drive 36 Hurstville Drive Waterlooville Hampshire PO7 7ND     The quality rating for this care home is:   one star adequate 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: Ian Craig     Date: 2 9 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 29 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 29 Information about the care home Name of care home: Address: 36 Hurstville Drive 36 Hurstville Drive Waterlooville Hampshire PO7 7ND 02392240811 02392240822 hurstville@robinia.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Robinia Care Group Ltd care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home 36 Hurstville Road is a service that has been operational since January 2006 and is registered for four people. The home is in a small close in a residential area of Waterlooville and is close to local amenities. There is a communal lounge and kitchen/dining room. All service users have their own bath or shower and there is a communal bathroom for service users who have en-suite showers. There is a garden which has been thoughtfully laid out. 4 Over 65 0 Care Homes for Adults (18-65 years) Page 4 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: one star adequate 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 inspection consisted of a site visit of approximately 4 hours. Three staff, the manager and one resident were involved with the inspection. The views of residents relatives as well as health and social care professionals were obtained by telephone survey. Staff were observed working with the residents. Records, documents and policies and procedures were looked at. Care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for this report. Care Homes for Adults (18-65 years) Page 5 of 29 Care Homes for Adults (18-65 years) Page 6 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Improvements are needed to ensure that residents health care needs are met and that residents are protected from harm. A permanent registered manager is needed so that the staff team and homes operation can be consistently guided. Staff records need to be available so that the home can demonstrate that the recruitment procedures protect residents. Care Homes for Adults (18-65 years) Page 7 of 29 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 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 9 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. Whilst the home has not admitted any new residents for a number of years there are policies and procedures to help ensure that the home only admits those whose needs it can meet. Evidence: The home has a Statement of Purpose and a Service Users Guide. Copies of these are held with each persons records. The documents give details of the service facilites, the complaints procedure and the process when someone is admitted to the home. The present group of residents have lived at the home for some time so the process of assesssing the process of admitting new residents is limited. A relative commented on how the process had been planned. Health and social care professionals commented that the home gathers the right information to plan the right service for individuals. Records show that each individuals care and health needs are regularly reviewed and care plans updated. This includes the home obtaining copies of social services care managers assessments and care plans. A representaive from the home attends multi agency planning and review meetings. Copies of minutes from these meetings are Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: held with residents care records. Care Homes for Adults (18-65 years) Page 11 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. Individual residents are supported to lead the life they choose and their needs and wishes are central to the comprehensive care plans. Evidence: Care records were looked at for each of the 4 residents. These are comprehensive and include a variety of assessments and care plans. Individual needs are assessed and a care plan devised. Care staff described the procedures for providing personal care and safety procedures as outlined in risk assessments. Care and support plans are also recorded with the residents wishes and preferences as the focus. Picture formats are used to make the care and support plans easier for the residents to understand and each person has a person centred plan. This is their own care plan recorded in a scrapbook style with photographs and entries about what the resident likes to do. Care plans also have details of how behaviours and emotional needs are recognised and how staff should intervene. Staff receive regular training in how to deal with residents behaviour, neurological conditions, making decisions about residents liberty Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: and communicating with residents. It was noted that some of the care records are not securely locked and the manager stated that this is to be addressed. A resident described how he/she is able to contribute to decisions such as food and how he/she spends his or her time. Social and health care professionals comented that residents are supported to make their own decisions and to lead the life that suits their individual needs and wishes. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to lead a fulfilling life and to maintain and develop their independence. Evidence: Each resident has a timetable of daily activities. This is also in a pictorial format for easier understanding by the residents. These include college courses, outings, yoga and reflexology. A resident spoke of attending computer and independent living classes at college. He/she has his/her own computer with internet connection. Staff were observed giving him/her guidance in using the computer. Residents also attend day service facilities. There are outings and holidays for the residents. At the time of the visit one resident was out shopping with a member of staff and another person was going out with the support of 2 staff. A resident spoke of enjoying various outings and visits he/she has Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: been on and how much he/she is looking forward to going on holiday with a member of staff. Other residents also have a holiday accompanied by staff. The cost of holidays is included in the fees. Residents also make use of community facilities such as the pub, cinema and theatre. Staff said that the provision of activities is always being reviewed so that the interest of residents is maintained. The home has its own vehicle for transporting residents to activities and appointments. The cost of the transport is included in the fees. A relative said that the activities have improved and a member of staff felt that they could be improved further. Another relative said that the home has made arrangement so that activities are tailored specifically to the individual needs of the resident. A health and social care professional aslo said that the provision of activities has been developed and that these are arranged for the individual as oppossed to groups of people. The home has its own relaxation room with sensory equipment which a resident was observed using. Residents are able to personalise heir bedrooms with their own belongings such as ornaments, games, televisions and computers. There is a range of food for the residents. Their views are sought about meals and individual preferences such as a vegetarian diet are catered for. A resident spoke of how he/she is supported to prepare his.her own meals. The home also has a menu plan showing nutritious meals. Food stocks include fresh fruit and vegetables. Care Homes for Adults (18-65 years) Page 15 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. The home meets the health and personal care needs of the residents. Evidence: Personal care needs are recorded in care plans and give staff guidance on how care is to be provided. The plans reflect the individual choices and routines for each person. Each resident has a health care folder outlining health needs and support that is needed. Records show that the home liaises with health care specialists such as occupational therapy and speech therapy services. Records also show that needs such as oral hygiene are addressed. Views from relatives about health care needs varied. Two people said that the home meets health care needs whereas another person stated that some of the staff do not always recognise when medical checks were needed. This was also reported by a health and social care professional who said that the home now meets health care needs, but this was not the case in the recent past when the homes staff had failed to notice changes in health and medical conditions. The relative high turnover of staff and the changes in the homes management was seen Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: as contributing to this. Since this time, the service has worked to improve its care planning and risk assessments so that health needs are more closely monitored. Another health and social care professional said that the home meets the personal care needs of the residents. Staff receive training in health and personal care needs such as moving and handling of residents and neurological conditions. The homes medication procedures were looked at. Each staff member attends an external course in medication procedures which has a three levels: foundation, intermediate and advanced. Staff also complete an assessment by the homes management in competency in medication. Staff confirmed that they receive training in medication. Staff sign a record each time medication is administered. Medication is securely stored. Clear guidelines are recorded for staff to follow when medication is required on an occassional basis. Specific procedures are followed for medication that is classed as a controlled drug for storage and/or administration purposes. Staff are also provided with training in specific medications. Care Homes for Adults (18-65 years) Page 17 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an effective complaints procedure. Improvements are needed so that staff take steps to ensure that residents are fully protected. Evidence: The homes complaints procedure is contained in the Statement of Purpose. The AQAA states that the home has not received any complaints. Relatives state that the homes management are approachable, that any issues or concerns can be raised, which the home is receptive to being discussed and resolved. The home has its own procedures and policies regarding the protection of residents and for dealing with any suspected abuse. Staff receive training in safeguarding vulnerable adults and in procedures where decisions are made on behalf of those who cannot consent. This was confirmed from training records, discussions with the manager and the staff. The home has literature on the Mental Capacity Act 2005 and has a whistle blowing policy which outlines how staff can raise any concerns. The AQAA states that there has been one safeguarding referral. Social services report that the service has dealt with this effectively. Comment was made that the home had not informed the relevant health and social care agency of an incident, but that liaison since that time has improved. Staff receive training in handling residents behaviour and care plans include guidance Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: for staff to follow in handling specific behaviour. Social services report that the home does not adequately deal with residents behaviour and that this has had an effective on their well being. Another care manager reported that whilst the delivery and monitoring of health care has improved failures to address medical and health needs resulted in local authority safeguarding procedures being implemented in the recent past. The home looks after some of the residents finances. Two staff are involved in handling residents money and maintain a record of any amounts depositted or withdrawn. Receipts are kept where residents are supported to purchase items. Care Homes for Adults (18-65 years) Page 19 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. The home is non institutional, providing tailor made facilities for individual residents in a clean and well maintained environment. Evidence: The home has a communal lounge and a second lounge which acts as a sensory room with lights and equipment for stimulating residents. Each resident has their own bedroom with either an en suite toilet or en suite bathroom. Bedrooms are personalised with possessions such as ornaments, pictures, hi fi, computers and other items related to hobbies and interests. One resident uses a key to lock his or her bedroom for reasons of privacy and security. Specialist equipment is provided for bathing and lifting of those with mobility needs. This includes track hoists in bedrooms and specially designed bathrooms. The manager explained how changes are made so that bathrooms are tailor made to individuals needs. The home has its own transport vehicle with a tail lift for those with mobility needs. There are facilities for staff who sleep in. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: The home was found to be clean. There is a laundry. Staff receive training in infection control. Care Homes for Adults (18-65 years) Page 21 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. The home provides sufficient numbers of well trained staff to meet residents needs, although a lack of permanent staff has affected the continuity of care to the residents. Records are not maintained to show that staff recruitment procedures protect residents. Evidence: The home aims to provide 3 care staff from 8am to 8pm each day. The staff rota shows that these hours are provided and staff said that these staffing levels are maintained. Night time staffing consists of one waking and one sleep in staff members. Staff spoken to said that the home provides sufficient numbers of staff to meet the needs of the residents. Relatives and a health care professional said that the care of the residents has been affected by a high turnover of staff in the past 12 months. The manager acknowledged this but added that permanent staff have been recruited and the home only has one full time and one part time vacancy at present. The home uses agency staff, which one relative descried as being very unsatisfactory. A member of staff also said that the homes lack of permanent staff and use of agency staff as a replacement sometimes affected the routines of the home and the level of service to the residents. At the time of the visit, the manager said that the agency staff being used are employed on a regular basis and are familiar with the residents Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: needs. Staff were observed to be familiar with residents needs. A health and social care professional comented that staff interact well with the residents and have a good rapport when dealng with residents. Staff confirmed that they receive training in the care of the residents. Relatives described the staff as hard working, approachable and kind. Newly appointed staff have an induction. This consists of 4 days at the organisations head office plus an in house induction. This was confirmed by staff and from training records. Induction checklists are completed. Staff also receive training in a variety of subjects regarding the care of the residents including the following: communication, Mental Capacity Act 2005, moving and handling, first aid, medication, dealing with challenging behaviour, autism, epilepsy, food hygiene, protection of vulnerable adults and fire safety. Each staff member has either completed or is studying National Vocational Qualification level 2 or 3 in care. Staff confirmed that they receive regular formal supervision which was also evidenced from records and discussion with the manager. Staff recruitment procedures were looked at for 3 staff. The organisation does not have an arrangement with the Commission for recruitment records to be held centrally. This allows staff records to be held centrally by a personnel department and for a pro forma to be used to record the dates of when checks are obtained and the numbers of criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks. An application form had been completed by each person. 2 written references had been obtained and were available for one person. For another person there was a record that 2 references had been obtained but these were not available, and for a third person there was neither a record of any references being obtained nor any references available. The home did not have copies of criminal record bureau (CRB) checks. For 2 people there was a date of the CRB but no CRB certificate number. For the third person there was neither a date of a CRB being obtained nor a CRB certificate number, but there was a copy of a protection of vulnerable adults (POVA) check. POVA checks were recorded on a form with the date but no application number. Care Homes for Adults (18-65 years) Page 23 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A period of conisistent management is needed to improve outcomes for the people who live at the home. The home has not been effectively managed. Evidence: At the time of the visit the home did not have a registered manager. An interim manager has been appointed and the full time permanent post advertised. Relatives and staff described the current manager as hard working, approachable and attentive to residents needs. Health and social care professionals as well as residents relatives highlighted that the numerous changes in the homes mangement has had a negative effect on the well being of the residents. One professional stated that this had resulted in a failure to implement agreed care plans with negative outcomes for a service user. Relatives said that there are opportunities to discuss any matters relating to the running of the home with the manager and staff. There are reviews of residents needs and meetings with residents and their relatives regarding food and activities. Survey Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: questionnaires are not used to obtain the view of relatives, residents or health and social care professionals about the running of the home. Monthly visits are made to the home by a representative of the organisation and an audit report compiled. Copies of these reports were available for 2009 with the exception of March and April. Regular financial audits are carried out. Staff records are not available as required by the care homes regulations and there is a lack of clarity form the homes management about what records should be available in the service. The home has a service development plan and operational objectives recorded for 2009 to 2010. Staff are trained in health and safety, first aid, moving and handling, infection control and food hygiene. The AQAA confirms that the homes appliances and equipment are tested and serviced by suitably qualified persons. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 23 12 Staff must be consistent in following the advice and instructions of health and social care professionals regarding challenging behaviour. So that residents are protected from harm. 28/08/2009 2 34 19 Staff recruitment records must be available in the home as required by Schedule 2 of the regulations. This includes 2 written references, CRB and POVA checks. So the home can demonstrtate that residents are protected by the staff recruitment procedures. 09/10/2009 3 39 26 Monthly audit visits and a 30/09/2009 report must be compiled on the home as required by Regulation 26. These must be provided to the manager. Care Homes for Adults (18-65 years) Page 27 of 29 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 So that the home has an effective monitoring system. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 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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