Care Home: 40 Kingsland Avenue

What the care home does well Kingsland Avenue is a warm and friendly home.You will be made welcome during your visit.Support plans are developed with people who use the service.People who use the service are involved with decisions made about the home and in developing their support plans.The support plans state how people would like to be supported.Your privacy will be was respected. The service is very responsive to the changing healthcare needs of people using the service.People using the service said that they felt safeBedrooms viewed were clean and pleasant and contained personal items.Support workers are well trained and have good support.The service is well managed. What has improved since the last inspection? An accessible Service users guide News letter to friends and family Accessible complaints guide New `we care about what you think leaflets`Service users choices and opinions being valued and acted onDetailed support plans in place Health Action plans completed.Development and training of staff with some members of staff completing dementia training.Continuous improvement plans been implemented. Service users have more choice and involvement with all aspects of the service. What the care home could do better: Develop information that is suitable for people using the service on how well the service is performing. Containing their views, families, staff and others who have contact with the service.A review needs to be undertaken into how controlled drugs can be safely stored. To ensure that the service meets the new regulations that came into force in 2007. Key inspection report Care homes for adults (18-65 years) Name: Address: 40 Kingsland Avenue 40 Kingsland Avenue Northampton Northants NN2 7PP 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: Judith Roan Date: 0 6 0 4 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 32 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 32 Information about the care home Name of care home: Address: 40 Kingsland Avenue 40 Kingsland Avenue Northampton Northants NN2 7PP 01604791839 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : angelawilding@mencap.org.uk Royal Mencap Society care home 3 Number of places (if applicable): Under 65 Over 65 3 3 0 0 learning disability mental disorder, excluding learning disability or dementia Additional conditions: Once three service users in the category of MD are residing at the home, no more may be admitted Once three service users in the category of LD are residing at the home, no more may be admitted The total number of service users residing at the home must not exceed 3 Up to three service users may be in the category of Learning Disability. (LD) Up to three service users may be in the category of Mental Disorder, excluding learning disability or dementia (MD) Date of last inspection 2 4 0 4 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home 40 Kingsland Avenue is a care home providing personal care and accommodation for up to 3 persons with a Learning Disability and potentially an associated Mental Disorder. The three single bedrooms are without en-suite facilities, one bedroom being located on the ground floor, with the remaining two bedrooms being located on the first floor. In addition the ground floor provides a lounge, kitchen diner, utility room and walkin shower, whilst the first floor provides a bathroom and office. The first floor being accessible via a stairwell. The front door has level access provided by a ramp, whilst the rear garden has a patio area, and has mature plants and shrubs. Care Homes for Adults (18-65 years) Page 5 of 32 Information is located on site detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Social Care Inspections Inspection Reports, which are located in the office. Care Homes for Adults (18-65 years) Page 6 of 32 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 7 of 32 How we did our inspection: This is what the inspector did when they were at the care home We randomly selected two people who use the service and tracked the care they receive through review of their records, discussion with them, the care staff and observation of care practices. We also received information from support staff and a health care professional. The homes registered manager also completed an Annual Quality Assurance Assessment (AQAA) a document required by CSCI. The inspection was unannounced and lasted 3.5 Hours. Since the last inspection in April 2007 the service has had an annual service review and this did not change our view of the service. An annual service review was undertaken in March 2008, which did not change our view of the service provided. Care Homes for Adults (18-65 years) Page 8 of 32 Fees payable are dependent upon an assessment undertaken by the service and Care Management, which will determine the level of contribution payable by the service user. There are additional costs payable for activities and purchasing of personal items. Prospective users of the service are advised to contact the office to obtain up-to-date charges. People using the service said that:They were overall satisfied with the service provided, but would like more staff to assist with activities Support workers always listen and take action If I want to make a complaint staff will support me I like living here Relatives said that:They are very satisfied with the support that their family member received Staff are good and cannot be faulted Care Homes for Adults (18-65 years) Page 9 of 32 The staff said that:There is good communication and the manager is flexible More funds to provide one to one support for people who use the service I have regular and positive supervisions Service is well managed What the care home does well Kingsland Avenue is a warm and friendly home. You will be made welcome during your visit. Support plans are developed with people who use the service. Care Homes for Adults (18-65 years) Page 10 of 32 People who use the service are involved with decisions made about the home and in developing their support plans. The support plans state how people would like to be supported. Your privacy will be was respected. The service is very responsive to the changing healthcare needs of people using the service. People using the service said that they felt safe Care Homes for Adults (18-65 years) Page 11 of 32 Bedrooms viewed were clean and pleasant and contained personal items. Support workers are well trained and have good support. The service is well managed. Care Homes for Adults (18-65 years) Page 12 of 32 What has got better from the last inspection An accessible Service users guide News letter to friends and family Accessible complaints guide New we care about what you think leaflets Service users choices and opinions being valued and acted on Detailed support plans in place Health Action plans completed. Care Homes for Adults (18-65 years) Page 13 of 32 Development and training of staff with some members of staff completing dementia training. Continuous improvement plans been implemented. Service users have more choice and involvement with all aspects of the service. What the care home could do better Develop information that is suitable for people using the service on how well the service is performing. Containing their views, families, staff and others who have contact with the service. Care Homes for Adults (18-65 years) Page 14 of 32 A review needs to be undertaken into how controlled drugs can be safely stored. To ensure that the service meets the new regulations that came into force in 2007. 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 Judith Roan CPC1 Capital Park Fulbourn Cambridge Cambridgeshire CB21 5XE 01223771300 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 15 of 32 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 16 of 32 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of people who make an application to move into the home will have their needs assessed to ensure that these could be met. Evidence: It is evident from case tracking the records that a through assessment of need was undertaken at the time of admission to ensure that individual needs could be met. The assessments seen as part of the case tracking were detailed and gathered information from the individual person making the application, their family, previous placements and the funding authorities. People spoken with confirmed that they had visited the home prior to moving in and had stayed overnight. Pictorial information is available for prospective users of the service Individuals files held contracts made with the provider and the person receiving the service. An additional contract is made with the funding authority. Care Homes for Adults (18-65 years) Page 17 of 32 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. Support plans are person centred and demonstrate full involvement of people using the service. Evidence: Support plans are in place for people who use the service and are reviewed on a regular basis or as required. Regular forums in which support needs of individuals are reviewed ensure that there is continuous development. The AQAA also states that support plans demonstrate a Person Centred approach with the Involvement of families and other professionals The manager confirms that future development will be to produce accessible support plans. Good record keeping ensures that information is shared appropriately. Confidentiality is maintained with all support workers understanding the importance of keeping personal information in secure files. All people using the service have access to their files and confirmed that support plans had been developed with them. The outcomes for people using the service support are positive and that needs are being met within the systems in place at the home. In discussion with support workers it was evident they are very Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: knowledgeable about the needs of the people they support. In reviewing the files and in discussion with individuals using the service it was evident that they were being assisted to develop or maintain their skills and participate in everyday activities. One person is independent within the community and is supported to maintain this skill. Learning is achieved by the consistent approaches used by support workers. People using the service have access to a broad spectrum of daily living activities. Risks within activities are considered on an individual basis and plans made to minimise these for each person. Files contained comprehensive risk assessments related to an individuals activities. In viewing files it was easy to identify the needs of individuals and to establish the priority. People using the service are encouraged to be as independent as possible with appropriate support. In this way people using the service are included within activities and not excluded because of any behaviour that may arise. People using the service told the inspector said that they were well looked after and no one thought they were denied their choices. One person said that they would like to go out more often. We case tracked two care records, which again clearly demonstrated that the ongoing needs of people using the service needs are being monitored and supported whilst living at the home. In discussions with individuals, viewing case files and in observations throughout the inspection it was evident that people make informed choices about their lives and are supported to have independent life styles within their ability. Discussions with staff supported these facts and demonstrated that they were up to date with information about people who use the service. It was evident that people using the service are supported to make decisions about their own lives wherever possible e.g. daily routines, where they want to go on holiday and how their personal needs are met. Regular meetings held record their views on important issues. Staff said that encouraging people to make informed choices is an essential part of the values of the home. Care Homes for Adults (18-65 years) Page 19 of 32 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. A wide range of personal and social options are available and promote individual development. Evidence: Individuals have a weekly activities programme that is updated to take into account of various events and personal choices. New activities are tried out to extend the choices and experiences for each person. Careful planning is undertaken for all activities to ensure that people who use the service and support workers are protected and enjoy the experience. Experiences are good and varied. It was noted that several people attend day services and that social histories are now held on filers. As people mature there is ongoing work to look at future day care needs and having more time at home. People using the service are or where appropriate fully involved with day-to-day living tasks within the home. In observation support workers enable people to carry out tasks. The registered manager states within the AQAA that the service does well in this outcome area by supporting people who use the service to actively engage with and participate in Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: their local community and to develop lifestyles that enable them to achieve the things that matter to them. Throughout the inspection the inspector observed positive work with individuals using strategies noted within the support plans in supporting people with their identified needs. The teatime meal was to be freshly cooked and followed the healthy and balanced menu in place. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have meals out and not so healthy treats. Pictorial menus are used for easy choice. Meals are seen as a very social event at the home. A food diary is kept to ensure that a balanced diet is provided. Individuals are supported to maintain good communication with families. Records supported these activities. People spoken to during the inspection said We can do activities of our choosing and are supported to do these when staff are available throughout the week. Staff use pictorial formats to assist people in their choice of activities. There was evidence of leisure activities within daily notes. One person said that they would like more work options, which was being actively investigated by the registered manager Residents meeting minutes showed that they have been consulted and activities are planned in the future. There is evidence of good networking that provides opportunities for community access. People using the service all have bus passes that enables them and support workers to travel in the local area. In observation throughout the inspection there was an informal relaxed atmosphere. The homes location means there is good access to local shops and community facilities. Visitors are welcome at the home and there are no restrictions on visiting times. Families are encouraged by Mencap to complete regular questionnaires about their views on the service. Care Homes for Adults (18-65 years) Page 21 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are positively supported to access local and specialist healthcare services. Evidence: People using the service are supported to have regular health checks and there is evidence on files that healthcare appointments are made. The AQAA confirms that risk assessments and support plans show support provided in relation to changing health needs, with ongoing liaison with a range of health care professionals to ensure that appropriate support is being provided at all times. As the needs of people change staff are equipping themselves with skills and knowledge that will enable them to understand peoples health care needs as they mature. Support plans viewed indicate that the health care needs of individuals are monitored and that support workers are proactive in supporting people to address issues as they arise. The service intends To look at the needs of people as they age and require end of life support. Personal support is provided in a discreet manner and with people using the service preferences being a top priority. Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: Medical profiles for people who use the service have clear information. All medication is stored in a locked facility and records were well maintained. Support workers receive training in the management of medication from a pharmacist and undertake refresher training using a distance learning pack. Training records supported this. The provider has made arrangements for the storage of controlled drugs to meet the change in the regulations in 2007. Medication records were checked and found to be up to date. All incidents are recorded on file to show how the manager/support workers have reviewed practice to minimise future risks. Care Homes for Adults (18-65 years) Page 23 of 32 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. Practices within the service fully protect people who use the service and ensure that they are listened to. Evidence: The service has comprehensive policies and procedures in relation to handling concerns and complaints. People who use the service were all clear about how to make a complaint saying they would speak with the manager or a member of their family. Support workers undertake abuse awareness training as part of their induction/foundation training. Several have completed this as part of their National Vocational Qualification. The open approach of the registered manager enables people who use the service to feel comfortable if there was a need to make a complaint or express a concern. The AQAA confirms that there have been no complaints since the last inspection. The AQAA also states that within the service All staff have been trained in the safeguarding of vulnerable adults, staff and service users are aware of the complaints procedure, how to complain is discussed at Service users forum, financial risk assessment and recording procedures are in place and Service users are involved with their finances The complaints procedure has been developed in an accessible format and available within the home. In discussions during the inspection it was concluded that people using the service felt safe. Staff recruitment practices are robust and protect people using the service. Care Homes for Adults (18-65 years) Page 24 of 32 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 provides a warm family setting with individual space that is well maintained clean and hygienic. Evidence: The home is decorated to a good standard. There are adequate rooms to enable everyone to have their own personal space. Communal areas are used for joint activities and each bedroom has sufficient room for personal hobbies. Communal areas are comfortable and provide an area where people can relax. Individual bedrooms are personalised they are comfortable and well maintained. The garden is maintained and provides outdoor space when the weather permits. People spoken with during the inspection said that We like our own rooms and have chosen how it has been decorated. Bedrooms seen showed individuality and contained items to suit their lifestyles. Health and safety checks are carried out in accordance with the organisations procedures. Standards of cleanliness and odour control in all areas of the home were good. Care Homes for Adults (18-65 years) Page 25 of 32 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. Staff skills and recruitment practices ensure that the needs of people who use the service are supported and that they are protected. Evidence: The registered manager was on duty undertaking a shift at the home. One member of staff is on rota to support the needs of the three people living at the home. Management time is also available. Mencap has a thorough recruitment procedure and files seen confirmed that required employment checks, application form, two references, criminal records bureau disclosures and interviews that involve people who use the service had been undertaken. The support worker team have a sound knowledge base about the needs of people that use the service through basic induction and ongoing training. Surveys confirmed that Mencap provides good access to training. The manager demonstrated a sound knowledge of people using the service Support workers are offered a range of opportunities to train. Of the staff team of five, four people have National Vocational Qualification at level two or above with a further two undertaking the course at present. Support workers have regular supervision, which is very well recorded. Support workers have access to a wide range of training, topics include Person Centred Planning (a system that identifies the individual needs, of people using the service), Communication, medication, Mental Capacity, Diabetes, Risk Assessment, lone working, Report Writing, Fire safety, Food Hygiene, Abuse awareness, health and safety, manual Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: handling and more. Training records are kept within individual staff files. New support workers have to go through a detailed induction programme, based on the Skills for Care professional model. Mencap are introducing Continuous Professional Development and all staff will be drawing together portfolios to evidence there training and ongoing development. This is in preparation for registration with the General Social Care Council guidelines. Care Homes for Adults (18-65 years) Page 27 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is person centred and effectively managed in the best interest of people who use it. Evidence: The Registered Manager effectively manages the home in the best interests of people who use the service and the support workers. There was good feedback from people who use the service and support staff about the role of the manager. There are several internal meetings within the service that focus on person centred care and enable people to voice their views and choices. All meetings have clear and comprehensive records. The registered manager reviews the service through the continuous improvement plan with their manager on a monthly basis. In addition monitoring forms are completed to ensure that the service develops and maintains a quality assurance system. All meetings at the home are recorded and demonstrate how the views of people using are fed into the ongoing review. The AQAA was reflective about the future development needs of the service and shows that the management team are proactive. Over the next 12 months their aim is to Develop accessible formats with service users involvement on Mencaps Policies and Procedures. Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: The provider has undertaken all health and safety checks required. Clear records of all checks are well maintained. The AQAA also confirms the checks undertaken. Mencap has robust financial checks of personal monies that require records of receipts, running balances and two signatures. Monies are checked daily to ensure they are correct. Health and Safety Policies and Procedures are in place support workers are aware of these. Induction training ensures staffs knowledge and understanding of these. Care Homes for Adults (18-65 years) Page 29 of 32 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 30 of 32 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 1 20 13 A review must be undertaken 31/08/2009 into how controlled drugs can be safely stored. To ensure that the service meets the new regulations that came into force in 2007. 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 31 of 32 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. 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