Care Home: 46 Lincoln Road

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• Clover House
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• Hudson Road
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What the care home does well The people who use this service live in a large, well-appointed house in a residential area of Blackpool, quite closer to the town centre. The house was quite spacious, with plenty of room for individual pursuits and private space. Most of the people who used this service were enjoying one-to-one support as part of their care. This meant that they could enjoy individual activities and daily pursuits. People had a good level of care that was planned, reviewed, and delivered with their interests at heart. Because of this, those who lived at Lincoln Road received good quality outcomes from an excellent service. The manager and support workers were aware of the activities and resources that the local community had to offer. Through employment, regular planned activity and a good focus on each individuals skills and ability, this service offered plenty of opportunity and clear objectives. The support workers told us that there had been recent training events that helped them to a better job and most of them had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). They were supported well in their roles and all had a good value base; the needs and interests of the people who used the service were paramount, and the staff were very positive with regards to their rights. The manager was experienced and aware of how to provide good outcomes for adults who have a learning disability. Mealtimes were arranged to suit the needs and preferences of the people who lived within the service. it was clear that those who lived within the service had a voice and were able to have a say in how this home provided care and support. The residents had been involved in the recruitment process and had been able to have a say in the employment of their support workers. What has improved since the last inspection? There have been a number of training events to promote the knowledge, skills and ability of the care staff since our last inspection activity. The decoration, fixtures and fittings of the home have improved and the service provides a pleasant environment where individual wishes and aspirations are taken into consideration. What the care home could do better: At the time of this inspection the lock on the medication cabinet was faulty. This had been reported to the maintenance service and was awaiting repair. The manager should seek advice on the safest way to store medication, with the storage of controlled drugs in mind, should anyone be prescribed this type of medication. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 46 Lincoln Road 46 Lincoln Road Blackpool Lancashire FY1 4HB     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christopher Bond     Date: 1 6 0 9 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: 46 Lincoln Road 46 Lincoln Road Blackpool Lancashire FY1 4HB 01253292081 01253292081 saml@ubu.me.uk 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) : Northern Life Care Limited T/A U.B.U. care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 4 The registered person may provide the following category of service only: Care Home only - Code 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 - Code LD The maximum number of Service Users who can be accommodated is: 4 Date of last inspection Brief description of the care home This home is one of four small homes that are owned by Northern Life Care Limited T/A UBU in the Blackpool area. It is registered with the CSCI (Commission for Social Care Inspection) to accommodate four adults who have a learning disability. Lincoln Rd is a large detached property situated on a corner plot in a residential area of Blackpool. It is situated over two floors with one bedroom located on the ground floor with ensuite, and three bedrooms on the first floor. There is a large lounge, separate dining room and a large kitchen. Residents have the use of a bathroom on the first floor. There are numerous shops and amenities within walking distance of the home and the town centre is not far away. There are bus routes that stop close by. Stanley Park and Blackpool Sports Centre are also within walking distance of the home. Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home Information relating to the home?s Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (16/09/2009) the information given to the Commission showed that the fees for care at the home are from GBP 1,158.18 per week, with added expenses for holidays and chiropody. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection activity took place on 2nd September 2009 and took a total of three hours. As part of the inspection process we spoke to one of the support workers and the registered manager. The manager of the service was unavailable on the day of the inspection. We also spoke to two people who used this service. We looked at the care records of the individuals who used the service and how their care was planned and delivered. We also looked at medication records, and policies Care Homes for Adults (18-65 years) Page 6 of 30 and procedures, to assess if medication was being administered safely. by the support workers. We looked at the recruitment process and some of the information that the service held on the people who worked there. We saw how the service ensured that people were safeguarded from harm and protected from unsuitable staff by a robust recruitment procedure and proper checks. Every year the person is asked to fill out an annual quality assurance assessment that tells us about how the service is being run and what plans are being made for the future. We have used some of this information within this report. We also sent out surveys to people who worked within the service and the replies that we received have helped us to reach a quality rating for this service. 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 set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 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 10 of 30 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. Admission processes were comprehensive and thorough, which helped to ensure that the service was able to meet specific needs. Information about the home was given to prospective residents and explained the function and care available at the service. Evidence: One person had been admitted to this service since our last visit. We looked at the information that was available on how this took place. Unfortunately the person could not visit the service because they were in hospital. We saw that visits had been made by the support workers and manager. Information and pictures were taken of the house and the room that this person would be using. The person was also asked about a colour scheme, and the room was decorated before arrival. A comprehensive and thorough assessment was completed by both the social worker and the manager. This helped to ensure that the service could meet the persons specific needs and that the support workers had the correct skills to support the person effectively. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: We looked at the information that was available about the service. This explained the purpose and function, and how individuals would be supported by this service. The manage showed us a Service User Guide which is usually given to those who wish to find out more information about the service and whether or not it will meet their specific needs regarding health and social care. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use this service have their needs and wishes addressed properly and they have a voice in how the service is being run. Evidence: We spoke to two people who used this service. It was clear that they were being supported well and their needs were being met properly by this service. One person showed us the information that the service had about his life at the home. This was in the form of photographs, showing his daily activities, interests, preferences and future plans. All of the people who used this service has this information and their permission was asked for before it was shown to us. All of the people who used this service has a communication passport which contained important individual and contact information in illustrated form. This could be used in the event of an emergency when people were being supported in the community, or for general communication purposes. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: A lot of information about personal care and health needs was kept confidentially online and this was quickly accessed by the manager and the support workers when needed. There were frequent house meetings and the people who used the service were consulted when important decisions were needed about the running of the home. An example of this when a person came to live at the home recently. Everyone was spoken to about this and their concerns and comments recorded and addressed. It was good to see that everyone who lived at this home had a voice, and their needs and wishes were taken into consideration and acted upon wherever possible. It was clear that the manager promoted an inclusive atmosphere. Where peoples communication difficulties prevented them from voicing their opinions verbally, advocates were asked to represent their views and help people to contribute. A certain amount of risk is necessary when people are using community resources and activities to develop their competencies. This was recognised within this service and acceptable risks were assessed properly to minimise any danger. Risk assessments helped the support workers to address these risks properly. Care Homes for Adults (18-65 years) Page 14 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Daily activities were individual and well chosen. Good support was available to help people enjoy community activities in a planned and consistent way. Evidence: We looked at the daily activities that were available for the individuals that used this service. It was clear that the manager and support workers were enabling people to use a good range of local activities. One person was employed and others used local amenities and were a part of the local community. We spoke to one of the support workers who was going out for the day with a resident. She told us of the range of resources that they were going to use. It is important that people with a learning disability are seen as valued members of the community and use the facilities that are available. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: One gentleman had a motability car which enabled him to go out on a regular basis with one-to -one support. Good staffing ratios helped the people who use the service to develop their interests individually. Overall, the people who used this service had a good standard of life, with daily activities that reflected their personal interests. This was good to see. People were being seen as individuals with different interests, views and personalities, and daily events reflected this. It was good to see that relatives and friends were encouraged to visit the house and that family relationships were ongoing for some of the people who used this service. We looked at the care plans and spoke to the manager and a support worker about the opportunities that were available for the people who use the service. It was clear that everyone had an individual life and that the support was available for people to enjoy their chosen leisure pursuits. We looked at the staffing rota and found that, for most of the time, staffing was planned around the needs of the people who lived there. The manager and care staff we spoke to confirmed this. We also spoke to two of the peole whoused this service and both were able to tell us that they lied living at Lincoln Road and were supported well. There were three people at home when we visited, and enough support workers were on duty to ensure that they could undertake a planned activity. Plans had been made for people to go swimming, shopping and out to other leisure activities during the day. Traditional day services were not used in order that people could have more individual and meaningful day time occupation. It was nice to see that the support workers were encouraged to have leisure opportunities planned and that routines were part of the service. Overall, the people who used this service had a good standard of life, with daily activities that reflected their personal interests. This was good to see. People were being seen as individuals with different interests, views and personalities, and daily events reflected this. Mail was not opened without the residents permission. There was a strong emphasis on maintaining the residents individual rights and ensuring that they were involved in the decision making process as much as possible. The service was currently re-assessing meal provision and the people who use the service are being encouraged to select their own meals at a time of their choosing. The support workers were aware of the benefits of providing a balanced nutritional diet. Information about likes and dislikes was available within the care plan. Care Homes for Adults (18-65 years) Page 16 of 30 Care Homes for Adults (18-65 years) Page 17 of 30 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. Peoples health and personal care needs were dealt with appropriately and properly. Evidence: We saw that the people who used the service being supported in a respectful manner, and dignity was safeguarded. We saw that there was a high support ratio with people being offered one to one support. The support workers were very polite and considerate, and the residents were given time and attention. The atmosphere was very relaxed and there was a general feeling of well-being. Permission was asked for when we looked at peoples rooms and the support workers told us that they always knocked on entering. It was clear that the service was very aware of the health care needs of the people who lived at Lincoln Road. There were clear and precise notes regarding visits to health care professionals. There were records and notes of peoples health issues and the support workers had a good knowledge of each individual and any issues they may have had. One person had recently been admitted to hospital due to seizures and the Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: manager and support workers were visiting on a daily basis for support. We looked at the policies and procedures that were used when the support workers were administering medication. There were detailed, and gave good instruction in administration and storage. The staff needed to be of certain age to administer medication and to provide personal care. Training in medication awareness was also evident. This helped to safeguard the people who used the service from poor practice. There were occasional gaps in the medication record sheets where people had not signed when administering medication. These had been identified through quality checks and addressed with the support workers concerned. Two staff members were now assisting when helping the people who used the service with their medication to ensure that this is administered and recorded within the set guidelines. Good medication practice helps to ensure that peole remain safe and that risk is minimised. The manager should look at the way that medication is being stored. The medication cabinet was not very secure and the manager must look at replacing this with a more robust cabinet. The security of medication is important and although the room where medication was kept was always kept locked we found that the actual storage space was inadequate. Some of the people who used this service had issues regarding verbal communication and the support workers were able to communicate affectively using their awareness of individual communication preferences. It was good to see that peoples needs were being met by a responsive and caring staff team. The recent flu pandemic had increased the caring organisations awareness of the need to protect the people who used the service. Visitors and staff were asked to cleanse their hands on entry to the home, and the staff had a good awareness of infection control. Care Homes for Adults (18-65 years) Page 19 of 30 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. Good training, policies and guidance within this service helped to ensure that people were listened to and safeguarded from harm. Evidence: There was evidence within the Statement of Purpose that there was a complaints procedure within the home and every effort was made to help ensure that each resident was either aware that they could make their feelings about the service known or have an advocate to represent their interests. Support workers were skilled in advocating on behalf of the residents and looking after their interests. Support workers and the assistant manager spoke of how the staff team were skilled in recognising when people were not happy or when the service needed to be altered slightly to meet the residents needs. The support workers had received training in safeguarding people. This was also part of the Learning Disability Award Framework, a foundation course about supporting people who had a learning disability. The staff member that we spoke to demonstrated that she had a good knowledge of protection issues and what she should do if they were worried about how people were being treated. The service had a whistle blowing procedure to provide guidance, and to help ensure that concerns were treated seriously by the caring organisation. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: There was a strong emphasis on the Mental Capacity Act and what peoples rights were if they were unable to speak up for themselves. We sent out surveys to the staff who worked within this service. All of the people who replied told us that they knew what procedures to follow should someone wish to voice their concerns about the service. Care Homes for Adults (18-65 years) Page 21 of 30 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 people who used this service lived in a bright, clean and homely house which was well maintained by the caring organisation. Evidence: We were shown round the house by one of the people who uses this service. It was good to see that people were asked their permission before we entered their room. There were lots of personal possessions around and each individual room had its own colour scheme that was chosen by its occupant. It was good to see that every room was individual and reflected the persons personality. The lighting in most of the house was good, with plenty of natural light. There was a communal lounge where people could watch television or continue their hobbies. The annex to the lounge had a computer that could be used by both the people who used the service and the support workers. The residents were able to help prepare meals in the kitchen area, this was quite large and well appointed. The house was exceptionally clean and the decor throughout was bright and homely. The service had a handy-person who called to undertake small domestic repairs and decorating. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: Improvements had been made to the overall decor of the house as it had been decided that the home was to remain as a registered care home and that people would not be moving on to individual supported living tenancies. Care Homes for Adults (18-65 years) Page 23 of 30 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. Good staff support and regular training helped to ensure that people received a good service that was tailored to their individual needs. Evidence: Checks were carried out prior to people being employed to ensure that the residents were protected from unsuitable staff. The staff files were looked at and were found to be in order, with the required information available regarding each of the support staff. The support workers received plenty of individual support from the manager. The staff member who we spoke to said that they received regular support, and records were available to confirm this. Good support means that the staff can do their jobs more effectively and that their individual needs are addressed properly. Almost all of the support workers had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). The caring agency ensured that all of the care staff undertook the Learning Disability Award Framework, which is a qualification that helps ensure that people undergo a good induction into the service and have knowledge of the issues that effect people who have a learning disability. Records were available to show that the service had a good training programme, with training taking place in safeguarding issues, medication awareness, the Mental Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: capacity Act and mandatory safety training. There were enough support workers on duty whilst we were at the home to ensure that the assessed needs of the residents were properly addressed. Staffing rotas confirmed that support was good and there was individual support available at times during the week for all three of the residents at important times. There were waking staff employed to attend to the needs of the residents during the night. Efforts have been made to ensure that the residents of the home are involved in the recruitment process, and recruitment days have been planned to attract the right kind of support worker. Further action has taken place to help ensure that the people who used this service are involved in this process and that the support workers that are employed have the right values, knowledge, skills and ability to support the ladies successfully. The manager of the home outlined the organisations commitment to this process in the Annual Quality Assurance Assessment that was received by the Commission. Three people who returned our surveys told us that they thought that their training and support given by the caring organisation was good. One support worker commented, We receive pretty regular training, and I feel that they give me the right skills to do the job. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Strong values and management approach means that this is a good home, which is run in the best interests of the service users. Evidence: We spoke to the manager of the home at length about his role and responsibilities and how he ensured the the people who used this service received good, individual support. The manager of the home had achieved a recognised qualification in management (National Vocational Qualification Level 4) and his Registered Managers Award. This training helped him to do his job to a high standard and manage the home more successfully. It was clear that he had very strong values regarding how adults with a learning disability should be supported. These values were also evident when the inspector spoke to the support workers. There seemed to be a strong team ethic among the support team and people were very clear of their roles and responsibilities. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: There were regular meetings for the staff team, which helped important information to be passed on to all of the team. A communication book supplemented this where regular daily information could written down and passed on to other support workers on a daily basis. All of the people who used this had an element of risk in their daily lives. This is sometimes necessary for people to experience life and achieve goals. We found that risk was recorded and assessed properly so that the support workers were aware of what action to take within a given situation to minimise danger. There were certificates to show that competent people had checked the fire alarm, gas systems, electrical installations and lifting equipment. There were also yearly checks to the fire safety equipment and water supply. This helped to ensure that the service users lived in a safe environment. There had been training in safety issues, such as first aid, food hygiene and moving and handling. The organisation conducted regular themed audits to ensure that quality issues were being addressed. Each of the service users had a bank account that was safely audited by the manager and the organisation. Daily finances were handled correctly and professionally. Proper checking is essential to ensure that peoples money is safe. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 13 The manager should ensure 09/10/2009 that medication is stored securely and safely at all times in a robust medication cabinet. This is to help ensure that residents are not put atr risk and that all medication is safely stored away. 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 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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