Care Home: 50 Yateley Avenue

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What the care home does well The home has not had any new people for some time but they have written information to give to new people and would ensure that people get to know the home before they are admitted. There are written plans that say how people will receive help with their personal care, how they will be kept well and how risks to them can be lessened. This helps staff provide the care in a way that meets people`s needs and keeps them safe. There is good information available about how the person communicates their needs, this includes photographs of the person demonstrating the signs they use to communicate and information for staff how to assist when they do not understand what the person is trying to say. This helps the person to be included in everything that happens and prevents the person becoming frustrated. People were observed using this communication with the person. People are assisted to keep in contact with people that are important to them by either telephone or going to see them. When people have had experience of the ill health of their house mates this has been managed well. People are helped to remember people that have died. This helps people to express and manage their feelings. People received regular health check ups as well as getting help from specialists such as chiropody, community nurses, hospitals and so on if they need it and this helps to keep them well. Medication was given in the way it was prescribed and staff talked to know what medicines are for and this ensures people`s health is maintained. People have opportunities to raise their concerns and staff are trained in safeguarding of people and this helps to ensure that they remain safe. The home was clean uncluttered and fresh and this makes it a nice place for people to live. There are regular meetings with people living in the home when their views on activities, holidays and so on are collected and their understanding about concerns and complaints discussed. The home has good health and safety and maintenance. This means that people`s safety is protected. What has improved since the last inspection? The statement of purpose and service user guides had been reviewed and this now gives more accurate information about charges to people. The windows in a person`s bedroom now open and this has made the person happy.Staff have received training in behaviour interventions and the safeguarding of people and this helps to ensure that people remain safe. What the care home could do better: The person currently in the home could have more leisure activities. Activities have been limited partly by the circumstances at the home. Although the home has clear information about the diet needed to maintain the health and well being of a person there was no attention to make it happen. Whilst accepting people can make choices the home could not demonstrate that healthy options were available. Staffing levels in the home were only sufficient to manage the expected pattern of events and not enough to deal with emergencies such as the person at the day centre being unwell. The home still needs to ensure that staff have all the levels of training to ensure that they are safe to work alone with people; not all staff have an National Vocational Qualification level 2 in care or have completed all the mandatory training recently. There was a need to ensure that staff have also undertaken some training in autism. Information about the recruitment of staff is kept away from the home and there was not a statement about the outcome of checks made on the staff file in the home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Yateley Avenue, 50 Yateley Avenue, 50 Great Barr Birmingham West Midlands B42 1JN     The quality rating for this care home is:   two star good 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: Jill Brown     Date: 2 6 0 3 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 29 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 29 Information about the care home Name of care home: Address: Yateley Avenue, 50 Yateley Avenue, 50 Great Barr Birmingham West Midlands B42 1JN 01213580462 01213580462 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Milbury Care Services Ltd Name of registered manager (if applicable) Mrs Roseben Okeudo Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Residents needs are kept under review. That the home can continue to accommodate two service users over the age of 65 years. Date of last inspection Brief description of the care home 50 Yateley Avenue is currently registered to provide accommodation, support and personal care for up to four adults with learning disabilities. The Home is run by Milbury Care Services and staffed 24 hours a day. It accommodates three male residents at present, having recently converted a shared room to a single bedroom. The house is situated in a quiet residential street in the Great Barr area of Birmingham, about five miles from the city centre. The property is semi-detached and on a domestic scale, in keeping with other houses in the neighbourhood. The Home is well served by public transport, and there is a range of local amenities including shops, pubs, libraries and parks within walking distance. There are three single bedrooms in Care Homes for Adults (18-65 years) Page 4 of 29 care home 3 Over 65 0 3 Brief description of the care home the house and a bathroom with w/c on both floors. Downstairs there is a separate lounge and dining room, kitchen and laundry. One of the single bedrooms is also situated on the ground floor. Upstairs there are two single bedrooms, and the staff sleep-in room. There is limited off-road parking on the front drive. To the rear of the property is a pleasant enclosed and private garden. The fees for the home up until April 2009 was £1272.16 per week. Care Homes for Adults (18-65 years) Page 5 of 29 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: We arrived at the home to undertake an unannounced inspection on a day in March 2009, however the one person living at the home was about to attend a day service and the member of staff on duty was not going to be available. We arranged to complete a short notice announced inspection later in the week. We undertook a key inspection where we looked at the majority of the National Minimum Standards. The home gave us information in an Annual Quality Assurance Assessment (AQAA) before the key inspection. The AQAA shows how the home rates their performance in the areas set out in this report and their plans for any improvements. During the inspection one persons care was case tracked, this involves looking at all Care Homes for Adults (18-65 years) Page 6 of 29 the records about this person and how the home manages their care. People living in this home have difficulties communicating verbally. Easy read comment cards were sent to the home and staff completed these with the people. We also received comment cards from two relatives. Four staff completed comment cards as well. We looked around parts of the building and viewed the health and safety checks that had been undertaken. We have received no complaints about the home before we inspected. Our last key inspection took place in March 2008. What the care home does well: What has improved since the last inspection? The statement of purpose and service user guides had been reviewed and this now gives more accurate information about charges to people. The windows in a persons bedroom now open and this has made the person happy. Care Homes for Adults (18-65 years) Page 8 of 29 Staff have received training in behaviour interventions and the safeguarding of people and this helps to ensure that people remain safe. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 29 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 29 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 home supplies adequate written details to people to enable them to make an informed decision about moving into the home. Information about the process of assessment suggests that peoples needs would be looked at and a decision made before they are admitted about whether the home can meet the persons needs. This means that placements are more likely to be successful. Evidence: The home has a Statement of purpose and Service User Guide that sets out the aims and objectives of the home so that people considering the service have information on which to base their decisions. The Service User Guide includes some simple pictures as an aid to communication for people. This has recently been updated to change information about the contact details for the new commission and changes to the charges people can expect towards the homes vehicle. People have contracts advising them of the fees payable and this includes information on the charges for the use of the vehicle. Charges are worked out on the amount of Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: mobility component they receive from their disability allowance rather than the amount of use they make of the vehicle. There have been no new admissions to the home for a number of years. The home is registered to take 3 people but sadly one person from this from has died and another had been admitted to hospital. Previous inspections have determined that people have had comprehensive preadmission assessment carried out by the manager and reports from external professionals. Care Homes for Adults (18-65 years) Page 12 of 29 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. Care plans are detailed and they provide staff with information about how peoples needs are to be met. People are helped to make decisions and supported to do what they wish to do. Evidence: We looked at the care plans available for the one person currently resident in the home. We found the care plan had been rewritten in parts in April 2008. Care plans show what the persons usual daily routine is. This includes the time they get up, their personal hygiene routines, their daily rituals, their likes, dislikes and methods of communication and so on. There was good information on communication. There were photographs of the person living in the home showing how they communicate something such as give me money for the day centre, and pictures of the signs (Makaton) that the person knows. It was Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: clear that when the person tries to communicate and isnt understood steps that staff can take, and things they should say to make this less frustrating for the person. The ability to communicate with a person helps to ensure that the service responds to what the person wants. On the first morning the person was able to communicate that they wanted to show us something in his room and this shows some confidence to interact with a person they havent met before. There were some risk management plans in place for example to help the person with their mobility, management of the risk included reminding the person not to rush, to use hand rails and not to carry things on the stairs and ask for help. In addition there was information that the person disliked escalators and subways and this could provoke challenging behaviour. Another risk management plan for choking needed further development however more details were available on the social skills plan. Staff have information that tells them how a persons behaviour may be challenging, what may cause it, and how to act if this happens and to return the atmosphere back to normal and this helps staff manage difficult situations. Care Homes for Adults (18-65 years) Page 14 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Food in this home does not take account of peoples health conditions and although people can make choices they are not assisted to make healthy ones. Activities are on offer but more variety is needed to ensure that people remain open to change. People are assisted to keep in contact with people that are important to them. Evidence: The homes Annual Quality Assurance Assessment stated that they enable and encourage residents to experience a wide range of activities. We looked at the activities the person had undertaken since June 2008, apart from attending the day service and found that these in the main were going to church. According to the records the person had two evening meals out and twice went shopping. There were two times when they went out for the day once to Drayton Manor park and secondly to Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: see Walsall illuminations but there was no evidence of a funded holiday. The service provider also identified this was an area that needed improvement. People are encouraged to be as independent as possible and for this person this means bringing the milk in on a morning and taking the rubbish out. They are also encouraged to be involved with processes as buying items from a shop, making a cup of coffee, changing the bed with assistance. Whilst on inspection we noted that the person liked to pack their lunch bag ready to attend the centre daily. Involvement in the daily life and the encouragement of independence helps people achieve and that is important for peoples self-confidence. People are assisted to keep contact with people that are important to them and a plan was seen to help a person use a telephone. Relatives said the care home always gets in touch to inform me of (my relatives) needs.... They inform me of any important issues. One person in hospital is getting support from staff to encourage them to eat. We note that their housemate has been assisted to visit them there and this helps to allay fears and maintain relationships. Within the home there is a record of food people had eaten and food taken to the day centre. At the moment the person has a choice of what they eat, as they are the only person in the home. The food provided does not ensure that the person is having a healthy diet especially with their health conditions. For example for the records sampled all lunches contained either a pork pie, sausage roll or savoury egg, with a sandwich and a cake and the evening meal was also high in fat. The provider had arranged for cards that had a photograph of a meal and how to prepare it to be made available these were not in use. There was enough food in the home for several days, and there was evidence of fresh fruit and vegetables being available. Care Homes for Adults (18-65 years) Page 16 of 29 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 healthcare needs are being identified; recorded and systems put in place to promote their health and wellbeing. The management of medications are good; this means that people are receiving their prescribed medications correctly. Evidence: Health Action Plans were in place to ensure that people had planned health care. For the person case tracked there was evidence of recent sessions with external health professionals such as chiropodist and dentist. The GP had undertaken a full health screen and a medication review in the last year. The person had access to a flu injection. These actions help to ensure that people are kept as well as possible. People had further contact with health professionals as needed. The home ensures where they are concerned about a persons health they work on the persons behalf to ensure that their health needs are recognised and met. One persons health plan stated they were to have low fat food and this was not in evidence (please see standard 17). Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Where people have accidents, injuries or incidents these are recorded and the commission contacted where necessary. Medication administration was good for the person. Records of medication administered matched the stock of medications found. Medications were appropriately stored for safety and to keep their effectiveness. The person has medication to be administered as required for challenging behaviour that had resisted being managed by other interventions. This medication had not had to be used for some time. This indicates that the home have ways of keeping the person calm. The home keeps a copy of the return slip on doctors prescriptions but not a copy of the prescription. It is recommended that prescriptions are photocopied as this would include any short term drugs such as antibiotics. At present there is only one staff member on duty as there is only one person in the home, not all staff had evidence on file of having done administration of medication course. The home has tried to asist the remaining person with the concerns they have about the death of one house mate and the hospitalisation of another. They have assisted the person to make choices about attending the funeral and visiting the hospital. The person has access to phographs of people they have shared the home with. Care Homes for Adults (18-65 years) Page 18 of 29 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. Residents are supported to express their concerns and are protected from abuse. Procedures and training for staff is in place to help prevent any incidences of abuse. Evidence: People have a written procedure in their files. This is called letting us know what you think/ I am worried, company concerns, and complaints procedures. The home has also a makaton version of the complaint procedure. The home has logged no complaints since the last inspection. We have received no complaints. A relatives comment card said The care home looks after my relative very well they put his needs as a high priority. An issue in one persons bedroom about the windows opening had been resolved on a temporary basis. The person showed me their room and indicated that the windows were now fine. There are resident meetings held monthly and people were talked to about complaints in October and records of that meeting indicated that people would talk to the manager or the inspector if they had problems. The home had information available about safeguarding however it was not possible to sample staffs understanding of safeguarding. Two new staff files looked at showed that these staff had completed training in this area. We have had no information that people in this home needed protection. Where people have incidents of challenging behaviour the homes procedure indicates that the commission must be informed. Comment cards from staff did not state that they had concerns about the care given in Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: the home. We looked at one persons financial records and found that people have a section about money management in their care plan. This helps to involve the person as much as possible in the spending of their money. Records were available of the money held in the persons bank account and in the home. Receipts were available for any spending and it was clear that the person was choosing to spend some money on leisure items. Care Homes for Adults (18-65 years) Page 20 of 29 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. People have a clean, warm, and fresh environment in which to live and this enhances their life. Evidence: The home is a family sized premises and does not stand out as being different from other houses in the vicinity. All areas of the home were seen to be clean uncluttered and free from dust. Previous requirements about the environment had been put right. The homes Annual Quality Assurance Assessment (AQAA) stated that they intend to have the whole house double glazed in the next 12 months. This was also put in their last AQAA statement. People have the ability to buy and bring in to the home any items to make their room more personal. Kitchen areas had been kept clean, the home checked fridge temperatures, good food hygiene practices were maintained and this helps to ensure that people are kept well. Care Homes for Adults (18-65 years) Page 21 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are sufficient to ensure that the person in residence is cared for appropriately in usual circumstances. Training of staff is not sufficient to ensure that all lone workers have the knowledge to care for people appropriately. Evidence: The home currently is only staffed by one member of staff at a time as there is only one person in residence. The manager stated that the day centre had her mobile phone number for when the worker was out of the home collecting the shopping or visiting the hospital. At present there are no agency workers on duty. There was only sleep in night staff. The staffing available meets the needs of the person in residence only if nothing exceptional happens. The home had only 3 of the 5 staff with a National Vocational Qualification level 2 in care and only 2 of the 5 staff have LDAF. The home recognised in their AQAA that this needed to be improved. This is especially important where staff are working on their own. The home keeps its main recruitment records in the head office in Henley. We looked at two staff records and found one person had moved within the company and a Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: criminal records bureau (CRB) check for the company but not for this home. We do not see the checks that the company make we have a statement from the company that the checks have been applied for and received with a date and that they have received the application form and references. The company should also make a statement that the checks made are clear, there are no gaps in the application and if there are issues what risk assessments have been undertaken. People new to the organisation have a company induction programme. The staff files looked at indicated that staff were enrolled to have computer generated training, staff enrolled had had safeguarding training. There had been some difficulty enrolling one person on to the system and their refresher training had been delayed. The home could not demonstrate that the staff had completed all areas of training required by the common induction standards within the timescales. A comment card said staff do a great job what would we do without them, they are brill. Care Homes for Adults (18-65 years) Page 23 of 29 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. People can have confidence in the way the home is managed. This means that peoples safety is protected. People are consulted about what they would like and how the service is run and this means people are happy with the service. The home is generally well run and in the best interests of the people living in the home. Evidence: The homes AQAA shows the manager has the qualifications to manage the home having a Registered Managers Award. She has also updated her training by attending a management development programme. There was evidence of meetings with staff on a 2 monthly basis over the last year. These included information about training, response to the staffs performance and a place to give information. The comment cards from staff showed that staff were aware of the homes aim to provide person centred care. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: The home had completed an AQAA and this was completed satisfactorily with few gaps. It states that the organisation has appointed a regional quality assurance manager. There was a quality assurance assessment in January 2009 where the statement of purpose and service user guide were reviewed and added new transport contract was added. There was a request that training on the Mental Capacity Act be given and that more activities were needed. People were asked at resident meetings about how they felt about the service. We looked at records for gas, electrical, lifting equipment, water temperature and fire safety. We found that there was good information about how to evacuate the home in case of fire and that fire safety checks had been completed. Gas, electrical lifting equipment and water temperature safety checks had been done. Care Homes for Adults (18-65 years) Page 25 of 29 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 26 of 29 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 17 16 (2)(i) 12(1)(a) People with health conditions that require a low fat diet should have these choices available. This is to ensure that people with health conditions remain as healthy as possible 29/05/2009 2 20 13 (2) 12(1)(a) All staff must 30/06/2009 be trained in medication policies and procedures and also the indications and side effects of the medicines they handle. This is to ensure that staff administer medication appropriately and are aware of any potential problems that the medication may cause. 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 Care Homes for Adults (18-65 years) Page 27 of 29 improving their service. No. Refer to Standard Good Practice Recommendations 1 14 People should be encouraged to undertake a wide range of activities and have the benefit of a holiday as these enhance peoples life. It is recommended that prescriptions are photocopied and kept with the Medication Administration record they relate to this is to ensure a further check that medication received is correct. Training must be improved to ensure that lone workers have the skills and training to give care safely. 2 20 3 35 Care Homes for Adults (18-65 years) Page 28 of 29 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. 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. Care Homes for Adults (18-65 years) Page 29 of 29 - 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. 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