Care Home: 46 Fairlea

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What the care home does well Assessments undertaken prior to the service user moving into the home were thorough and further comprehensive assessments are undertaken on admission to the home. Care plan documentation is well maintained on every aspect of the service user`s activities of daily living with all information being presented in a pictorial format to enable the service user to better understand the care plan. The home is a spacious and well furnished detached house. It is clean and homely. The service user has a well planned programme of activities, which gives structure to his days and is out in the community most days of the week. The home has transport and the service user is always escorted by a support worker. The service user`s health care is monitored and continually assessed to ensure their needs are fully met. What has improved since the last inspection? This is a new service and has not been visited by CQC previously. What the care home could do better: The medication records should be maintained and stored appropriately as part of the service user`s records. Records of medication that arrive at the home and are taken out of the home must be recorded and signed for at every instance. Training records for staff should be maintained in the home. Records of all fire alarm tests should be recorded in the fire log. A controlled drug cupboard should be installed in the home within the next three months to meet the regulations of new legislation. Key inspection report Care homes for adults (18-65 years) Name: Address: 46 Fairlea 46 Fairlea Road Emsworth Hants PO10 7SX     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: Janette Everitt     Date: 1 2 1 1 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: 46 Fairlea 46 Fairlea Road Emsworth Hants PO10 7SX 01243370500 01329830486 enquiries@dolphinhomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Dolphin Homes Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 1 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 1 The registered person may provide the following category 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 category: Learning disability (LD) Date of last inspection Brief description of the care home 46 Fairlea Road, Emsworth is a home that can accommodate one younger adult within the category of learning disabilities. The home is a detached chalet type bungalow that is situated in a quiet residential area on the outskirts of Emsworth town centre. The house is in easy reach of public services and local amenities although the home has its own transport available. The house has one large bedroom with a bathroom, lounge, dining area and large Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 1 Brief description of the care home kitchen and is well appointed. There are other rooms in the roof area that are used for storage purposes only and one other room for staff facilitites. Fees for the home can be obtained by contacting Dolphines Homes head office. 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: 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 peterchart Poor Adequate Good Excellent How we did our inspection: The site visit to 46 Fairlea Road, Emsworth, took place on the 12th November 2009. For the purposes of this report CQC will be referred to as we and us throughout. The current manager was in attendance at the home during the visit. The visit, which was the first since registration in June 2009 formed part of the process of the inspection of the service to measure the service against the key national minimum standards. The home sent us their Annual Quality Assurance Assessment (AQAA). The focus of this visit to the home was to support the information stated in the AQAA and other information received by the CQC since the home was registered. Documents and records were examined. Staff working practices were not able to be observed as the one service user was out of the home for most of the day with the support worker. We looked around the home and did have the chance to communicate with the service user for a short time during which they displayed pleasure at our being in the home. Care Homes for Adults (18-65 years) Page 6 of 27 Surveys had been distributed to staff and parents. The service user was not able to participate in the survey. The one survey returned from a member of staff to CQC indicated that they have good training opportunities, are listened to and feel supported by the management and are happy in their employ. Care Homes for Adults (18-65 years) Page 7 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. 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. The service users needs are assessed prior to their moving into the house to ensure the service can meet their needs. Evidence: This is the first inspection of this home which accommodates one person and is a detached property in a residential area. The AQAA tells us that the service user would be thoroughly assessed before they move into the home to ensure the service can meet their needs. The assessment is carried out by the manager and general manager who have the relevant experience to do so. All admissions have a planned transition period to gradually move into the home. The home accommodates one service user. The care plan documentation demonstrated that the person had been referred by Social Services for consideration to live in the house and they had been assessed for admission by the director of care for the organisation that own the home. The pre-admission assessment detailed all Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: aspects of the persons needs and care and contained a full profile of their health, a behaviour summary, personal care and support needs, communication and social network. The manager told us that the service user had a planned transition from the home they were living in to this one and this was done over a period of time and very gradually so that the service user was familiar with the home and staff before the move. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users needs are assessed and personal goals are reflected in care plans. The service user is supported to make decisions and choices about their life style within a risk assessed framework. Evidence: The AQAA states that the home promotes independence and decision making within the service users life, like choosing what to wear and promoting individual needs through different methods of communication. The service users care plans are person centred and reflect all aspects of their life. Family and friends are involved in the care planning process and do attend reviews. The home has identified that they should allow the service user to take greater risks to lead a more independent life. The home would like to gain more funding to enable the service user to have more choice of activities especially in the evenings. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: The service users care plans were viewed by us. The care plan document was titled Who am I and gives a personal profile, in graphic format, about the person and their needs and preferences. The care plans are person centred and identifies all the service users care needs, daily routines and the level of support they need in undertaking the activities of their daily living. The service user has been assessed as not having the capacity to make decisions for themselves and the family are the advocates and are very involved with the care planning and any decision making to do with the persons life. The service user is unable to verbally communicate with others but can communicate feelings by certain behaviours that carers are familiar with and for which care plans are written to guide carers in practice. The carer on duty at the time of this visit was spoken to and he told us that he is involved in the service users daily care most days of the week and has a good relationship with them. He understands their needs and gives them support in daily lifestyle choices and takes them out into the community most days, The daily records describe how the person has spent the day and the records support that they are very involved with community activities and the sister home a short distance away. Key worker meetings are held monthly at which time all care plans are reviewed. The care plans were seen by us to be reviewed monthly and were well documented. Risks associated with the environment, needs or behaviours are clearly identified and care plans record management strategies. 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. The social activities, family contacts and the provision of varied and nutritious meals are well managed and reflect the service users interests and choices. Evidence: The AQAA says that it encourages the service user to participate in day activity centres. Service users are able to decline taking part in activities and their decision is respected. The service user has a varied and busy activities programme most days of the week. The notice board in the kitchen displays pictures of what activity is going on each day and there is also a programme in the daily records and this was seen by us. The programme demonstrated that the service user goes out into the community Monday to Friday on various visits and activities. The programme demonstrated that they attend the Queen Elizabeth activities centre where activities such as walking, trampolining, skittles, bingo and discos take place and are really enjoyed by the Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: service user. At the time of this visit the service user was out at the activities centre and returned to the home for a short time before going out with the support worker into the community in the afternoon. There are risk assessments and management protocols in place for behaviour agitation, if this occurs whilst the service user is out on activities The service user goes to stay at their family home every week-end and is transported by the homes vehicle to do so. We communicated with the service user about their visits to see their parents and family and this was responded with a very happy reaction when talking about them. The manager told us that the service user has only lived in the house for a short time but there are plans for them to go on holiday next year. The organisation contributes to the cost of this but is otherwise funded by the service user. The service user is involved with the menu planning and helps purchase the food on a weekly bases. They is encouraged to help with the preparation of food but chooses not to do so and shows no interest in helping in the kitchen. Risk assessments are in place for entering the kitchen and cooking. The menus were seen to be displayed on the kitchen notice board in picture format. The service user has likes and dislikes of foods and these are recorded in the care plans. There are choices at every meal time. The dietitian visits to ensure good nutrition and to promote healthy eating plan. The care plans evidenced records of what the service user had eaten and regular weights. The records told us that they had been seen by a dietitian and evidence that their weight was now stable and no longer needed supplementary food drinks. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements are in place to ensure the personal emotional, health care and medication needs of the service user are met. Evidence: The AQAA states that the service user has his own individual care plan that describes their personal care programme. We viewed the daily records and these evaluated each section of the care plan and described the events of the day and how the service user had spent the day and any activities the service user had participated in. The care plans described the service user as enjoying a daily bath and this was recorded in the daily records along with the bath temperatures, which are recorded each time the service user has a bath. The home promotes a health care programme and care plans reflect this in a person centred way. The health care records are detailed and record every consultation with a health professional. Records were seen of visits to the GP, the dietitian, continence nurse, the podiatrist and dentist. Health care needs are monitored closely and the home respond appropriately. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: The health care assessment section of the care plans also covers aspects of the service users emotional, psychological and mental health needs. The care plans describe the service users behaviours and emotional needs in a graphic format which they can understand and care plans are in place to describe how those needs can be met. The AQAA stated that the medication is managed by trained staff and reviewed regularly by the GP. It is stored safely in a locked cupboard and is audited weekly by the team leader and any areas of concern are highlighted to the manager. The medication system was examined by us. The medication for the service user is stored in a locked cupboard. It was noted that the home did not have a controlled drug cupboard in place. This was discussed with the operational manager that in line with new legislation, a controlled drugs cupboard should be installed, that meets the requirements of the regulations, in case the service user was prescribed controlled drugs at any time. Historical medication administration record (MAR) charts were found at the bottom of the cupboard. These should have been archived and secured as part of the service users health records. The operational manager agreed that she would immediately ensure that all these records would be stored correctly. The current MAR charts were observed to be recorded correctly. The movement of medications in and out of the home when the service user went on home visits was not being recorded and signed for on every occasion. There was a book that did contain some of the records but this was not being done consistently and there was no auditable system in place. This was discussed with the manager as being poor practice and she agreed to ensure that she would put in a place a more accurate system for recording. The four support workers working in the home have undertaken a twelve week college course for safe management of medicines. They then have annual updates from an outside trainer. Training records could not evidence this as the records were being transferred to a spreadsheet and were being held at head office. 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. The home has clear policies and procedures in place which ensures the service user or family is able to complain and they are protected from abuse Evidence: The AQAA records that there have been no complaints or safeguarding issues investigated in the home since it was registered in June 2009. The home has policies and procedures in place that state who to complain to and timescales for resolution. The home has a complaints policy and procedure that is in a pictorial format to enable the service user to be able to express their feelings if they are not happy with something in the home. Relatives are also encouraged to air any concerns to help promote improvements in the home. The home has not received any complaints since their registration. All staff that work in the home have received training in the procedures in Safeguarding and have annual updates on this. They have also received training in the Mental Health Act and the Deprivation of Liberty Safeguards. Evidence of this was not available in the home but the support worker and manager had knowledge of what their role would be if any form of abuse was reported or witnessed by them. No safeguarding issues have been reported since registration in June 2009. 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. The service user benefits from living in an environment which is well maintained, homely, well furnished, clean and hygienic. Evidence: The home is a detached property in a residential road and has been recently refurbished to a good standard and provides a clean homely home for the one service user who lives in the property. The house has a large lounge and dining area with comfortable furniture. The kitchen and bathroom have been refurbished within the last year. There are two bedrooms, one of which is the service users, which is a large room with fitted wardrobes and good storage facilities. The room has been personalised with pictures and was neat and tidy on the day of this visit. The other room is used for staff facilities. The house has a small garden laid to lawn which the service user has access to in the better weather. It was observed that there had been water damage to the ceiling in the lounge area and the owner attended the home during this visit to arrange for this to be repaired. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The manager told us that she informs the head office of any maintenance issues and the maintenance person will attend the home for general repairs. The home has an infection control policy in place and this was seen by us. The manager told us that infection control training is mandatory and all staff have attended this. There were appropriate hand washing facilities in the bathroom and toilet and the staff member spoken to was aware of the principles of infection control. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Service users needs are met by sufficient numbers of trained and supported staff who are recruited and selected using a procedure designed to protect the service user. Evidence: The AQAA said that the home has a high staff retention. The recruitment of staff is maintained through the correct employment procedures and the service user is encouraged to sit in on the interviews of applicants and give their feedback. This has not been possible as there have not been any newly recruited staff members since the registration this year. The support staff employed at the home have worked for the organisation for some time in other homes before Fairlea was registered. The home employs four staff to support the service user. The staff rota evidenced that the service user has 24 hour support from cares, with one carer being on duty each shift and one sleeping at night. During this visit the service user interacted well with the staff and visitors and did not appear to be concerned about the presence of a stranger in their home. It was observed that the support worker had strategies in place to enable the service user to communicate with them and understand the service users needs. The staff recruitment files were viewed. These demonstrated a pro forma in place that told us that the Criminal Bureau Records (CRB) and the Protection of Vulnerable Adults (POVA) checks had been undertaken and clearance Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: received with the dates this was completed and received. The pro forma also indicates when the two references were received and a copy of proof of identity. The staff have two monthly supervision meetings with their manager and this is when training needs are identified. The manager told us that staff have individual development plans. None were seen completed but the format shows the induction programme, mandatory training, other courses undertaken by an external training company and any in-house practical training undertaken. All information about the staff training is currently being put on a spread sheet matrix at head office and therefore individual training files could not be accessed. The staff member survey returned to CQC told us that their induction covered most things they needed to know to do the job and that they have been given sufficient training that is relevant to the job and enables them to understand and meet the individual needs of the service user they support. The AQAA told us that three of the four members of staff have achieved their NVQ level 2 and above. The member of staff on duty at the time of this visit told us he was currently undertaking the NVQ level 3. All staff are male and are from diverse ethnic backgrounds. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home ensures the health, safety and welfare of the service user and staff are promoted and the home is run in the best interests of the service user. Evidence: The named registered manager has stepped down and the organisation has appointed another manager, who is the manager from the sister home situated close to Fairlea Road. She assisted with the inspection process and told us that she will apply for registration imminently. The survey returned from one staff member indicated that they only sometimes receive enough support from the manager and this may be because of the change in management in a short span of time since the registration of the home in June. The operational manager was present in the home at the time of this visit. She told us she visits the home at least monthly and undertakes the Regulation 26 visit reports. The September report was shown to us but copies of these reports are not kept in the Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: home and this was discussed with the manager that they should be maintained in the home. The report was comprehensive and identified the auditing of medication charts, cleanliness, documentation and records, accidents, of which none had been reported and a health and safety audit is undertaken monthly. Questionnaire surveys are to be distributed to the staff members and the service user and family for completion as part of the quality assurance system. The home has a fire risk assessment that was seen by us. The fire log was examined and evidenced that fire system tests are not always logged but the fire system is tested on a weekly basis. All cleaning materials under COSHH regulations were seen to be kept in a locked cupboard in the kitchen. The home has been refurbished and has had new equipment and systems installed six months ago. A new tumble dryer and washing machine were being installed within the proceeding weeks as the engineer was in the process of installing the electricity supply to the garage during this visit. The current washing machine remains in the kitchen in working order. 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 1 20 17 Records of all medication being taken into the home and taken out of the home must be recorded and signed for. You must do this to ensure that all prescribed medication is accounted for and signed for. 31/01/2010 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. 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