Care Home: 41 Newport Road

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What the care home does well All service users have person centred support plans and these contain good information about the person and provide information for staff on what support the person needs and also how the person wants the support to be given. There is a flexible staff team who support residents in their day-to-day lives and they are treated as individuals and with dignity and respect. Residents are given choice with appropriate support provided by staff at the home. We observed staff supporting residents and they were pleasant and respectful. Residents comments included; `I like living here` `everyone here is very friendly` the staff help me when I need it` and another told us `I like everyone here`. From talking with residents and from the comments received on the day of our visit it was clear that residents were happy living at the home and we observed that staff and residents got on well together. What has improved since the last inspection? Since the last key inspection of the service staff have received updated training on safeguarding and they have also undertaken deprevation of liberty training. The garden area has been improved to make this more environmentally attractive. There has been a new garden path laid and double glazed windows installed in one of the front bedrooms. Two individuals rooms have been re-decorated, along with the office/sleep in room and one of the bathrooms. What the care home could do better: This report will make two requirments to help improve the service for residents, other areas for improvement are contained within the main body of the report. We found that although there were some risk assessments in place, other identified risks had not been fully risk assessed. In order to minimise any idetified risk the home must ensure that whenever a risk has been identified, a suitable risk assessment must be put in place. This will help ensure that any risks to service users or staff are effectively managed. The home has not had a manager who is registered with the regulatory authority for over two years and it is an offence under section 11 of the Care Standards Act 2000 for a person to manage an establishment or agency without being registered in respect of it. We will be writing to Islecare Ltd to ensure that they comply with current legislation. Key inspection report Care homes for adults (18-65 years) Name: Address: 41 Newport Road 41 Newport Road Cowes Isle Of Wight PO31 7PW     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: Mick Gough     Date: 1 9 1 0 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 27 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 27 Information about the care home Name of care home: Address: 41 Newport Road 41 Newport Road Cowes Isle Of Wight PO31 7PW 01983294134 01983294134 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Islecare Ltd care home 6 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 6. 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 41 Newport Road provides personal care and accommodation for up to six adults with a learning disability. It is a detached two-storey property situated on the main Newport to Cowes road about half a mile from Cowes town centre with its shops and amenities. While parking is mainly limited to side streets, bus stops are only a few yards from the home. There is a reasonably sized terraced rear garden available for residents use and a small lawned front garden with flowerbeds. Accommodation is on both levels. There are ten steps from the pavement to the front door and no lift from the ground to the second floor, making the home generally unsuitable for people with mobility difficulties. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 6 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: This report details the evaluation of the quality of the service provided at 41 Newport Road and takes into account the accumulated evidence of the activity at the home since the last key inspection, which was carried out on 31 October 2007. It also takes into account the evidence gathered at The Annual Service Review of the service, which was conducted in November 2008. The inspection took into account the homes Annual Quality Assurance Assesment. The AQAA is a self assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Included in the inspection was an unannounced site visit to the home, which took place on the 19 October 2009. Evidence for this report was obtained from reading and inspecting records including pre admission assessments, plans of care, training records and records of complaints and adult protection issues. We also looked at some of the homes policies and procedures. We were also able to observe the interaction between staff and users of the service Care Homes for Adults (18-65 years) Page 5 of 27 and we were able to speak with 3 users of the service who were at the home when we visited and we were also able to speak with 1 member of staff and the homes deputy manager who assisted us throughout the visit. The home is registered to provide support for 6 service users and at the time of the inspection the home was full. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? 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 on page 4. Care Homes for Adults (18-65 years) Page 7 of 27 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective users of the service aspirations and needs are assessed before they move into the home. Evidence: The completed AQAA told us the homes last admission was in February 2008, The individual concerned was given opportunities to visit the home on several occasions before making an informed choice, as to weather or not he wanted to move in. We were able to speak with the last person to move into the home and he was able to confirm this. He told us that during these visits he was introduced to the other people who live within the home. The home has a policy on new admissions and uses its own assessment form and if necessary, they also obtain social service assessments before anyone moves in. Care Homes for Adults (18-65 years) Page 10 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents assessed needs and personal goals are reflected in an individual plan of care and they are supported to make decision about their lives with assistance given by staff. The lack of clear risk assessment for some service users puts them at risk. Evidence: Care plans were seen for 3 residents and these had good information on the persons care needs and were person centred. Care plans provided staff with good information about the persons daily routines around the home, personal hygiene, socialisation, behaviour, care at night, likes and dislikes, leisure activities, work, education and other relevant information about the person. The homes completed AQAA told us that the home supports all the individuals to make their own informed choices about their lives. Information we saw in care plans confirmed this and care notes showed that service users had been offered choices and also detailed the choices made. We observed staff interacting with residents and taking their views into account. The home holds monthly residents meetings and Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: records are kept of these. Residents who spoke with us told us that they are free to make their own choices and staff will listen to what they say. Comment from service users included; The staff are very good and look after me the staff help me when I need it and I like living here, everyone gets on together. There were risk assessments contained in care plans and these gave information on the perceived risk and gave information to staff on how any risks could be minimised. However some identified risks had not been covered by a detailed risk assessment. For example; one care plan for a person who was quite independent stated that the person was at risk when he first goes out on his own to unfamiliar places and needed staff support However there was no risk assessment for this. Also one service user has a long term partner and safeguarding issues have identified a potential risk to this person but again there was no detailed risk assessment in place to provide staff with guideance on how to minimise any risks. Care Homes for Adults (18-65 years) Page 12 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. Residents are encouraged and supported to be part of the local community and to be involved in appropriate activities. Residents benefit from support to maintain social contacts and daily routines at the home respect their rights and responsibilities. Meals at the home are flexible and residents benefit from a healthy diet. Evidence: On the day of our visit 3 service users were out at a local day service and we saw that everyone at the home has their own individual programme of activities. One resident works at a local cafe 2 days per week and we had the opportunity to speak with this service user who told us that he really enjoys going to work. Another service user is looking to gain some form of employment and a local organisation is looking to find suitable employment for this person. One service user attends a local college 2 days per week and is currently gaining life skills, such as cooking and computer studies. All of the service users have a detailed programme of activities that they undertake each Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: week. Those service users that we spoke with told us that they are very busy and that they always have something to do. On the day of out visit one member of staff was supporting a service user to go to the local library to exchange her books. Residents spoken to said that they liked going out into the community, and some residents are able to go out independently while others need staff support to go out. One resident was keen to tell us about his summer holiday this year when he went to Devon. The home has a visiting policy and this was seen to contain good information. Family and friends are welcome at any time and residents are encouraged and supported to maintain family links and staff supports them to keep in touch and visit their parents and relatives. Review notes that we saw gave details of when visits take place. Staff were observed interacting with residents and their preferred form of address was used. The three residents who were at home on the day we visited made it clear that they were very happy at the home and it was clear that residents and staff get on well together. Routines in the home respected residents rights to be involved as much or as little as they want. Mail is given to service users unopened and staff support them with their mail if required. Menus at the home are made up each week by the staff after a menu planning meeting with the residents and this meeting helps to ensure that the likes and dislikes of residents are taken into account as is their nutritional needs. Residents are offered a choice of cereals and toast at breakfast, the lunchtime meal is usually a snack type meal and this is normally a packed lunch, which residents make with staff support as required. The main meal is usually in the evening and all of the residents sit down together to eat. The menu is flexible and allows for change at short notice and this gives residents the opportunity to go out to eat or choose a take away if they wish. Residents are free and able to make themselves drinks throughout the day and staff are on hand to offer support if required. The home keeps copies of the weekly menu. The completed AQAA told us that the home encourages and support service users to take part in community activities and events and they also encourage and support them to undertake daily living tasks such as doing their own laundry, cleaning of their individual rooms making their own lunch and helping around the home. On the day of the visit we were able to confirm this. Care Homes for Adults (18-65 years) Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive personal support in the way they prefer and their physical, emotional and health needs are met. The homes policies and procedures with regard to medication provide protection for residents. Evidence: During our visit we found that personal support is given flexibly and residents care plans give good information to staff on how service users would like their personal support to be given. Care plans seen had information that two residents are able to attend to their own personal care needs. The support these people need is normally verbal prompts but staff will give extra support if needed. The other care plan showed that the resident required more support and the care plan detailed what actual support was needed. There is a mix of both male and female staff and each resident has a key worker and service users have been involved as much as possible in their selection. Personal support is given in private and the preferences of residents on who they prefer to give them the support they need is respected. The home has a policy on cross gender care and if at all possible same sex care is offered and given. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: All of the residents at the home are registered with the same GP surgery, which is only a short distance from the home. Residents visit a community dentist and optician and a visiting chiropodist calls every 6 to 8 weeks. Residents are able to access other health care professionals such as district nurses, occupational and speech therapists through GP referrals. The local learning disability team also provide support for residents and staff as required. Each residents has a health care section in their care plan and we saw that there was clear recording after each health care professional visit to provide information about any appointments and also information on any treatment given. The home has a medication policy and all staff have received training in the administration of medication. The home uses a monitored dose system for medication and records were inspected and found to be accurate and up to date. Specimen signatures were kept for all staff that administers medication. The homes medication cabinet was checked and this was suitable for its purpose. Currently the home does not hold any controlled drugs, but should the need arise their are suitable storage facilities. Care Homes for Adults (18-65 years) Page 16 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. There is a clear and accessible complaints procedure, which includes timescales for the process and residents can be confident that their views would be listened to and acted upon. The home has policies and procedures to help protect residents and the financial arrangements in place for service users are satisfactory. However the lack of clear risk assessments places residents at risk. Evidence: The home has a clear and accessible complaints procedure, and this was in an accessible format for the users of the service. A copy of the complaints procedure was on dispaly at the home and this contained all of the required information. Service users who we spoke with were aware of the homes complaints procedure and told us that if they had any concerns they would speak with a member of staff. Two staff members spoken to were aware of the complaints procedure and both said they would support residents to make a complaint if they wished to do so. The home completed AQAA told us that there had been no complaint to the home in the past 12 months. The home has a policy on adult protection and also has a copy of the Isle of Wight Safeguarding procedures. There is a whistle blowing policy and procedure and staff also receive training with regard to adult protection and Protection of Vulnerable Adults (POVA) as part of their induction. Refresher training is carried out annually and Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: we saw that all staff had recently undertaken this training. Two staff members spoken to confirmed that they had received this training. The homes completed AQAA told us that there had been a number of safeguarding referals in the past 12 months and these were regarding the same service user. We spoke to the deputy manager about these issues and she told us that these had been investigated using a multi agency approach. We were told that their were guidelines in place to help protect this person. Although the deputy manager was aware of what action she may need to take it was not clear if all staff were aware. We found that there was not a risk assessment in place to guide staff and to ensure that the service user was fully protected. Service users financial arrangements were discussed with the deputy manager and she informed us that most service users manage thier own finances with the support of staff. However one service user has an advocate who manages their financial arrangements. The home keeps some service users monies for safekeeping and the balances for two residents were checked and found to be correct and up to date and provided a clear audit trail. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours. Evidence: We observed that all areas of the home were clean and tidy and furniture was in a good state of repair. The home is laid out over 2 stories and there are six bedrooms, two on the ground floor and 4 on the upper floor. Each floor has its own bathroom with WC close to residents rooms. There is an office/staff sleep in room on the upper floor. Downstairs there is a domestic kitchen and a large lounge/dining room. The service was homely in appearance and was clean and hygienic and there were no offensive odours. There is a separate laundry area which has washable floors and walls. There is a domestic tumble drier and a washing machine that can wash clothing at appropriate temperatures. Residents do their own laundry and staff provide support as required. Care Homes for Adults (18-65 years) Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff employed at the home have the competencies required to meet residents needs and residents are protected by the homes staff recruitment procedures. Residents are supported by trained staff. Evidence: The home currently employs five permanent staff members and they are backed up by an agency staff worker who is regularly employed at the home. All of the permanent care workers have achieved a minimum of NVQ 2. There are no domestic staff employed at the home and care staff carry out all domestic duties with the residents involvement as appropriate. The staff Rota was looked at and this showed that there is a minimum of two staff members on duty between 0730 until 2200. From 2200 to 0700 there is one member of staff on duty who sleeps in. This person is backed up by an on call member of staff if required. The deputy manager told us that the majority of service users are very independent and that the staffing levels were sufficient. The deputy manager had access to staff records and we looked at recruitment records for two members of staff and we were informed that recruitment records were held at the organisations head office, however recruitment check lists are held at the home Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: and they confirmed that suitable recruitment checks had been carried out including; application form, declaration of health, proof of identity, photograph 2 references, Criminal Record Bureau checks and Protection of Vulnerable Adult checks. The homes completed AQAA told us that all new staff undergo a lengthy induction process, during which time they attend all relevant training. We were told by the deputy manager that the registered providers have their own training organisation and the training records we looked at showed that mandatory training is carried out in; safeguarding adults, fire, infection control, moving and handling, first aid, health and safety and food hygiene. Additonal training is provided in autism, managing challenging behaviour, deprivation of liberty and care practises. The deputy manager informed us that staff undergo an in house induction and a company induction, they also have induction into Learning Disability. Care Homes for Adults (18-65 years) Page 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does not have a manager in place to over see the day to day management of the home and this is not in the the best interests of service users or staff. There is a quality assurance system in place, to seek the views of residents, relatives and other professionals to measure the effectiveness of the service. The health, safety and welfare of residents and staff are promoted and protected Evidence: The home has not had a registered manager since September 2007, we were informed by the deputy manager that there have been 3 managers who have started work at the home but none have stayed or applied for registration as required by the Care Standards Act 2000. Currently the deputy manager is in day to day charge of the home and she is being backed up by the companys area manager. However this arrangement is not satisfactory and the registered person must appoint a suitable person to manage the home and this person must apply to be registered with the Care Quality Commission at the earliest opportunity. Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: The home has a quality assurance system and the home holds regular staff meetings and also residents meeting every 6 to 8 weeks. Minutes of these meetings provided evidence that any issues that are raised are taken seriously and are actioned by the home whenever possible. The deputy manager informed us that the organisation sends out questionaires to service users and staff, however she was unsure what action was taken as a result of these surveys. Regular visits are undertaken by a representative of the organisation as required by Regulation 26 of the Care Home Regulations 2001 and the results of these visits are recorded and copies are held at the home. The homes fire log book was inspected and all of the required training and testing is carried out. There was an in date fire risk assessment for the building. The homes fixed electrical wiring was inspected in November 2008. The Gas safety certificate was dated June 2009 and there is a Health and Safety checklist, which is monitored weekly. There was a defect book where any defects found are recorded and they are signed off, as work is completed. Hot water outlets have thermostatic valves fitted and the home keeps records of water temperatures. Care Homes for Adults (18-65 years) Page 23 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 24 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 1 9 13 The registerd person must 20/11/2009 ensure that service users are protected from avoidable risks and the home must ensure that whenever a risk has been identified, a suitable risk assessment must be put in place This will ensure that any risks to service users or staff are effectively managed and people are kept safe. 2 37 9 The registered person must 21/12/2009 ensure that a suitably qualified person is in place to effectively manage the home and that this person applies to be registered with the Care Quality Commission at the earliest opportunity. This will ensure that the home is managed with sufficient care competence and skill. Care Homes for Adults (18-65 years) Page 25 of 27 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: 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!