Care Home: 4 Greswolde Park Road

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What the care home does well This home provides a flexible respite service to people with diverse and complex needs. There are good records to make sure that the care meets the needs of the people who stay there and is a close as possible to the care which they usually receive at home. This includes meeting their personal and health care needs. People and their usual carers are involved as much as possible in the planning of their care. The home encourages people to spend their weekdays as they usually do and communicates well with day centres. The staff arrange outings and activities so that people enjoy their time at the home. The environment is warm, bright, very clean and homely. There are good arrangements to make sure that people`s views are known and acted on. This includes arrangements for making complaints. People are well protected from abuse. There is a stable team of staff who are recruited in a way which protects people who use the service, well trained and competent. People have access to a range of meals which are well balanced, use fresh ingredients and are meet their preferences, medical and cultural needs. The home is well managed and there are systems for making sure that quality of the service is maintained and improved where possible. People told us that the home meets their needs. Responses to questionnaires included the following, `I am able to send x to Greswolde, knowing that she loves to be there`. `We are happy to send her in the knowledge that she will be well cared for in a warm, welcoming environment`. `Just like being at home`. `Greswolde Park Road is a very happy, friendly home`. What has improved since the last inspection? In the Annual service Review of this home on 28 th January 2008, we rated this home as good, but noted `We think the quality of the service might have improved since the last key inspection`. We found many improvements at this visit. These include, More detail to individual care plans, especially about ways of delivering personal care and communication. The introduction of more menu variety for people with specific cultural needs. More choices in activities/outings and better planning for these. Reminding families of impending planned admission by phone. Updating of the Statement of Purpose and improved arrangements for catering for emergencies. More staff training in risk assessing. Staff have also undertaken further NVQ training so that the whole team has now completed level 2 or 3 in Health and Social Care. The home has been decorated, there are new bedroom carpets, the stereo system has been replaced and there are more ornaments and pictures. Use is made of an exit carer`s feedback sheet after each stay to help them to monitor how they feel the home is meeting their needs. What the care home could do better: The manager has identified the following as areas in which the home can improve. Finding alternative means of transporting wheelchair users when accessing community facilities because public transport and taxis have caused difficulties in the past. Seeking imaginative ways of increasing the range of in-house social & leisure opportunities. Continuing to encourage service users to develop skills by participating in household chores where appropriate. Continuing to encourage key workers to take a more proactive role in the whole care planning process and pre-set review dates. Encouraging greater involvement of carers and other professionals/day care staff in reviews. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 4 Greswolde Park Road 4 Greswolde Park Road Acocks Green Birmingham West Midlands B27 6QD     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Lancashire     Date: 1 9 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 4 Greswolde Park Road 4 Greswolde Park Road Acocks Green Birmingham West Midlands B27 6QD 01217654630 01217654630 goldy@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Birmingham Multi-Care care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Residents must be aged under 65 years That the registered manager completes the NVQ Registered Managers Award by March 2006. Date of last inspection Brief description of the care home This is a dedicated respite care unit accommodating up to 4 people usually for a period of up to one week. The people who stay there have a learning disability and some have a physical disability. There are good facilities for wheelchair users. 4 Greswolde Park Road is a large traditional house, situated in a quiet residential area close to the centre of Acocks Green, Birmingham where there is a variety of shops and other community resources. Public transport services operate close to the home, which is not Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 0 4 4 Brief description of the care home conspicuously identified as a residential unit. Accommodation is provided in four single bedrooms that are situated on the first floor. A comfortable lounge and separate dining room are located on the ground floor. The dining room is also used for administration, as there is no office. There are bathing facilities on the ground floor and shower facilities on the first floor. The home is adapted for wheelchair use and there is a shaft lift, suitable for a wheelchair plus a member of staff. The premises has a range of aids and adaptations to assist with mobility which include level access, hoists including ceiling tracking, toilet and bath aids, adapted beds, and other equipment to assist with eating. The home maintains very high standards of cleanliness, decoration and maintenance and appears comfortable and homely. There is a garden at the rear of the home that is secure and has been organised so people can enjoy it during fine weather. Care Homes for Adults (18-65 years) Page 5 of 27 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: three star excellent 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: We carried out this inspection in order to check that the home had met the requirements of the last report. We also measured the performance of the home against the key National Minimum Standards. Before the inspection we sent questionnaires to the people who use the service and to the manager so that she could provide us with information about how the home has been running during the past year. We arrived at this home on a weekday morning without telling anyone that we would be visiting that day.We toured the building and met some of the staff. We returned two days later and met more staff and the manager. We looked at information provided to us by the manager before the inspection and we examined a sample of records about the people in the home, the staff, health and safety and quality monitoring. We looked at the records of the administration of medication. We used our findings to write this report. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? In the Annual service Review of this home on 28 th January 2008, we rated this home as good, but noted We think the quality of the service might have improved since the last key inspection. We found many improvements at this visit. These include, More detail to individual care plans, especially about ways of delivering personal care and communication. The introduction of more menu variety for people with specific cultural needs. Care Homes for Adults (18-65 years) Page 7 of 27 More choices in activities/outings and better planning for these. Reminding families of impending planned admission by phone. Updating of the Statement of Purpose and improved arrangements for catering for emergencies. More staff training in risk assessing. Staff have also undertaken further NVQ training so that the whole team has now completed level 2 or 3 in Health and Social Care. The home has been decorated, there are new bedroom carpets, the stereo system has been replaced and there are more ornaments and pictures. Use is made of an exit carers feedback sheet after each stay to help them to monitor how they feel the home is meeting their needs. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 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 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and aspirations are fully assessed prior to coming to this home. Evidence: We saw that the Statement of Purpose has been updated to include the latest contact details for the CSCI. it also provides good details about the home, its services and facilities. This information is available in large print or on audio tape to meet the needs of people with various communication needs. The manager told us that the home is now more flexible and responsive to emergency referrals and has built up stronger links with social workers and other professionals. The manager told us that many people who use this service have been coming for several years. However, new people apply for places and she tries to accommodate as many requests as possible. We looked at the files for the people who were staying at the home on the week of the inspection and found that their needs had been assessed and the information had been used to form the basis of their care plan. The manager told us that she tries to learn as much as possible about the persons usual home life so that the care in the home can match this as closely as possible. Relatives of people Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: using the home told us that they had been provided with information before making a decision to use the home. Several people told us that it had been a difficult decision to leave their relative in a new place, but they all said that they were happy to use the home. One person told us, They make you very welcome from your first visit and try very hard to make sure the person coming to stay with them feels at home. Another wrote, We were a little concerned about leaving x as it was the first time we had any dealings with respite but the manager and all the staff at Greswolde made this so much easier for us. Since the last inspection the home has started a system of reminding people by telephone that their stay is approaching. Care Homes for Adults (18-65 years) Page 11 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: We looked at the files and found that care plans have been developed using the information gained through the assessments. These are detailed and provide staff with clear information about how to support people in the right way. The plans are written in a way which stresses what the person concerned wants and needs from staff. They have details about peoples needs in various areas such as communication, behaviour, eating and drinking, personal hygiene and sleeping. There are many small details which may make a large difference to the person concerned. In conversation, staff knew the details of the plans for each person We saw risk assessments on files and these show how people are supported to take reasonable risks so that their ability to have new experiences is not restricted Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: unnecessarily. There are records of the measures taken in various circumstances, such as when there are trips outside the home, to minimise the risks to each person. These include the risks from using transport as well as particular risks to individuals such as instructions for staff to avoid certain animals as the person does not like them and may become distressed. Staff described how people are offered choices when they are staying at the home. People use different ways of communicating and staff are familiar with the most effective method to use for each person. Care Homes for Adults (18-65 years) Page 13 of 27 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. People receive personal support in the way they prefer and require so that their physical and emotional needs are met. They are supported to retain and administer their own medication where appropriate and protected by the homes practices in dealing with medicines. Evidence: We found records on the files which showed that people are supported to take part in a variety of activities. We saw records of people taking part in bowling, trips to the cinema, visits to pubs and restaurants and watching TV and listening to music in the home. The manager told us that, due to problems using public transport and taxis, efforts have been made to make greater use of local facilities and in house transport when necessary. People visit this home for short periods of respite care, usually a week at a time, so Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: they do not lose contact with friends and relatives in the community. Whilst at this home, they attend their usual day centre placements, where they have developed relationships. They are supported to use the telephone to contact people if they wish to do so. Some have their own mobile phones. Staff make sure that each person follows a routine of their own choice. The care plans outline the amount of support which each person needs and prefers to have in each area of their life. We saw that the files contain details of peoples religious choices and staff respect these. Staff told us about how the staff meet the religious needs of people from various cultures and this includes providing appropriate food. The staff prepare the meals according to the preferences and needs of the people who are staying at the home during the week. Staff told us that it is sometimes possible to prepare one meal which will suit all the people but at other times, they need to prepare a variety of meals. Peoples care plans provide details of each persons needs and preferences in terms of food. For example, we saw that one person does not like spicy food and one needs to have all food served in a specific way. Where appropriate, there are specific instructions which have been provided by the Speech and Language service after a full assessment of the persons needs in this area. The manager told us that she tries to provide balanced meals which include fresh produce and this is reflected in the menus. The daily notes contain details of what each person has eaten. Care Homes for Adults (18-65 years) Page 15 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in the way they prefer and require so that their physical and emotional needs are met. They are supported to retain and administer their own medication where appropriate and protected by the homes practices in dealing with medicines. Evidence: We saw records in the daily notes which show that staff provide personal care when needed, according to the details in the persons care plan. The building is designed so that there is plenty of room in bathrooms and bedrooms so that personal care can be provided in complete privacy. The files contain details of peoples health needs and how these need to be met. We also saw information for staff about specific conditions which people have and the likely symptoms and effects on their behavior and health. There are records of involvement with various health professionals, for example, assessments of peoples needs and capabilities and attendance at appointments. The manager told us that people remain registered with their usual GP, but the home has an arrangement with the local GP, should anyone need an appointment during their stay. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: There are suitable arrangements for the storage of medication. The records show that staff are trained to administer medication and the records of doses provided are appropriately completed. The home has obtained written advice about the types of over the counter medication which can be used by each person. Care Homes for Adults (18-65 years) Page 17 of 27 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. This home has systems to ensure that the views of the people who live there are listened to and acted upon, and that people are well protected. Evidence: There is complaints procedure and details of how to complain are included in the Statement of Purpose. All people in the home are provided with copies of these and the manager told us that staff also explain the process to people verbally. The manager told us that there has been only one complaint in the past year and this has been responded to in a suitable way. People indicated in their responses to questionnaires that they were satisfied with the home, but would know how to make a complaint if necessary. The home has procedures for protecting people from abuse and whistleblowing and we saw that staff have been trained in recognising, preventing and reporting abuse. The manager has undertaken train the trainer instruction in safeguarding. We discussed the possible implications of the Deprivation of Liberty Safeguards which are due to be implemented soon. She knows about these and is waiting to go on specific training to be sure of the implications for people using this service. The home keeps records of any money held or spent on behalf of people staying there. We saw that these balance sheets are kept up to date and signed appropriately by staff. Care Homes for Adults (18-65 years) Page 18 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people at this home live in a homely, clean, safe and comfortable environment which is well maintained and where there are good arrangements for infection control. Evidence: The house is detached and also has a well-maintained exterior. A large proportion of residents are wheelchair users and there is good, ramped access to the front of the building. There is a large private garden to the rear, with level access directly from the rear of the home. The garden has a patio and lawned area, with a swing and patio furniture. The staff told us that there is a gazebo in storage. They also told us that people make good use of the garden in the warmer weather. On the ground floor there is a dining room and a separate living room. The assisted bathroom with WC doubles as the laundry area with a washing machine and tumble drier which are not used when people are bathing. The kitchen is well maintained and clean. The home recently scored 5 Hs for good hygiene after a recent visit from environmental services. On the first floor there are 4 bedrooms and a walk-in shower room with toilet. All bedrooms are bright, well furnished and have TV/Video supplied by the home. Personalisation is limited because residents only stay generally for 1 week. There is a Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: lockable facility in each room to accommodate personal/valuable items. All rooms are lockable if residents choose to do so. Access can be gained in an emergency. There is a large proportion of wheelchairs users attending for respite care and good facilities to accommodate them. There is a shaft lift large enough for wheelchair and carer and good access throughout the building for wheelchair users. The bath and shower room are assisted facilities and there are adaptations to toilet areas. All areas of the home are exceptionally clean and hygienic. Domestic duties are carried out by staff only when residents are at day-centres away from the home. The presentation of the home is good. There is a high standard of decoration. A member of staff told us that decoration takes place regularly each Christmas time, when there are no people staying at the home. The standards of furniture, fittings and equipment throughout the home are high. The character of the building is maintained and there is a homely, domestic feel to the home. One relative described the home as, homely, yet absolutely spotless at the same time and this seems to describe the building well. Staff receive training in infection control and there are suitable policies and procedures in this area. The staff have access to suitable equipment and arrangements for disposal of materials. Care Homes for Adults (18-65 years) Page 20 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. Evidence: We looked at staff recruitment records and discussed the arrangements with the manager. She told us that staff are recruited through a standard process which includes taking up references and checks through the Criminal Records Bureau and the Protection of Vulnerable Adults list. The CRB checks are renewed every three years. New staff receive a 12 week induction training in basic areas relevant to their role and we saw checklists confirming that this had taken place. All staff are encouraged to develop their knowledge and careers and have access to NVQ training. All members of the team have completed level 2 or 3 and more are undertaking level 3. The records show that staff have been trained in a range of areas such as health and nutrition, challenging behaviour, moving and handling, epilepsy and first aid. There are regular updates of the basic courses and plans to provide more training in makaton and British Sign Language, amongst other subjects. The rotas show that there are usually two members of staff on duty at all times. The Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: manager told us that the staff are flexible in their approach and will usually be able to cover for each other at times of shortage. The company has its own regular bank staff so does not have to use agency staff who may not know the people staying there or the usual ways of working. We saw minutes which show that staff are supported by regular supervision and team meetings and staff told us that they are also well supported on an informal basis by the manager and each other. The team members seems to be close and staff said that they enjoy working at this home. Care Homes for Adults (18-65 years) Page 22 of 27 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 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 in this home benefit from from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. Evidence: The manager is well qualified and experienced to undertake her role. She is a dual qualified nurse (RGN RMNH) having working in relevant settings in hospitals and the Health Trust and has completed the Registered Managers Award. she has managed this home for several years. She sets high standards for the service and her responses to our questionnaire show that she is constantly looking for ways to improve the experience for people staying at this home. People who completed questionnaires told us that the home runs well and meets their needs. Staff told us that they work well as a team and they present as enthusiastic. The home has good arrangements for making sure that the high standards are maintained. This includes the manager undertaking spot checks on records and practices such as the medication. The views of people who use the service are also Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: taken into account. People who stay at the home are asked how they have felt about the service. There are pictorial questionnaires to obtain views from people who find it difficult to express themselves verbally. The manager sends exit questionnaires home with each person who uses the home and we saw the comments which people had written on these. They were all positive. There are also regular regulation 26 visits made by a representative of the company and we saw the last report. There is also an annual quality survey which is independent of the home. The records which we saw were in very good order, well organised and completed appropriately. The manager told us that the policies and procedures are reviewed on a regular basis and those which we examined had been updated. The manager provided us with the dates of various checks and servicing of equipment in the home and we sampled the records and found them to be up to date. We also saw risk assessments in relation to the building, equipment and activities. This means that there are good arrangements to make sure that people who use the building are kept safe. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 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 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 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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