Care Home: 51 Deepdene Avenue

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What the care home does well Pre admission and assessment procedures are thorough and when a new service user is considering moving to the home or is being introduced the process is planned to take place at the persons own pace and includes existing service users and staff. Care plans are person centred and completed with the involvement of the service user,they include photos and pictures and clear information on all aspects of their lives.The plans are reviewed and kept up to date,risks are assessed and service users are supported to take acceptable risks. Health and personal care is provided according to personal preferences,specialist heath advice is sought if there are concerns about health or well being. The individuality and diversity of service users is valued and staff help them to explore new opportunities in their lives and participate in activities that are educational,that build independence and confidence and meet social and recreational needs. One service user put on a survey that---I really enjoy big time living at Deedene, it is cool. The home is well managed,it has a warm and friendly atmosphere and is well decorated and maintained,new furniture has been purchased and redecoration has taken place in response to the wishes of service users. Staff are well trained and supported and they understand individual needs well,comments made by staff were very positive about working at the home. What has improved since the last inspection? A new accessible organisational brochure has been developed to supplement specific information about the home. There has been some redecoration and refurbishment and in accordance with service users wishes a pool table has been provided for the smaller living room. The home now only uses staff it employs and is hoping to recruit bank staff who will be familiar to service users. What the care home could do better: The bath needs a new panel fitted. If service users choose not to sign their care plans this decision needs to be recorded. Key inspection report Care homes for adults (18-65 years) Name: Address: 51 Deepdene Avenue 51 Deepdene Avenue Dorking Surrey RH5 4AA     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: Deborah Sullivan     Date: 1 3 0 7 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 28 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 28 Information about the care home Name of care home: Address: 51 Deepdene Avenue 51 Deepdene Avenue Dorking Surrey RH5 4AA 01306740123 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Care Solutions care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 51 Deepdene Avenue is a large detached property situated just outside Dorking Town centre.The home provides support for up to six people with learning disabilities and autism and challenging behaviour. Accommodation is provided over two floors and the second floor is accessed by stairs.Bedrooms are all single occupancy.There are two bedrooms on the ground floor and four are based on the second floor they are provided with ensuite facilities and a separate communal bathroom is available. There is a fully enclosed garden to the rear of the house, which has a patioed area.There are steps that lead up to a grassed area. Handrails are provided on both sides of the steps. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home Parking facilities are available at the front of the house The weekly fees range from #1,600- #2,300 Care Homes for Adults (18-65 years) Page 5 of 28 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: This key inspection of 51 Deepdene Avenue took place on 13th July 2009 and lasted for four hours.During the visit time was spent with the manager of the home,a service user and support staff.Individual discussion took place with two members of the support staff team,one service user and the manager.The building was toured and a range of records and documents including care plans,medication records and staff training information was read.We have received one service user and one staff survey and information they provided has also been used to inform this inspection.The AQAA (Annual Quality Assurance Assessment) that each service is required to complete was sent out late due an ommission on the part of the Commission so was not available in time for the inspection.It was however completed by the registered manager and received before this report was finalised and reflects the information found during the visit. The home was last inspected on 18th July 2007. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 7 of 28 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 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of potential service users are thoroughly assessed and a place at the home is only offered if it can be sure their needs can be fully met. Information about the service is accessible to potential service users and their representatives. Evidence: At the time of the visit two people were living at the home and there were plans for a third service user to join them in the near future.The manager undertakes the assessment of people referred to the service and had completed a thorough assessment of the potential new persons needs.The assessment had included gathering information on their daily routines and preferences,the person had visited the home,had meals there and met staff and existing service users.Good pre admission assessment information was seen on the care plans of the two service users currently in residence. There is a statement of purpose and service users guide both of which are accessible Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: for service users and they are given a copy of the service users guide .The information is supplemented by a new brochure developed by the organisation in consultation with a group of service users that is very well presented with photos, pictures and clear text.A survey form that had been completed by a service user with assistance from staff stated that they had received information about the home and had been asked if they wished to live there. The home demonstrated during the course of the visit that it was meeting the needs of service users well and they were settled there. Care Homes for Adults (18-65 years) Page 11 of 28 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. Each person has a care plan that is person centred,reflects individual needs,aspirations and preferences and is regularly brought up to date. The home is service user led with flexible routines,service users have plenty of opportunities to contribute to its daily running. Evidence: The care plans of the two people living at the home were read,they are detailed,person centred,clear for staff to follow,reviewed monthly and contain pictorial information.One service user had chosen to sign their care plan,the other had declined although there was evidence of their involvement in developing it.There are individual support plans for each aspect of daily living and independence. The manager said that soon a revised care plan format is being introduced that is designed to be even more person centred and accessible. Recording was of a very good standard in respect of each persons routines,preferences,communication,personal care,social and recreational needs,goals and preferences. As well as the main care plan folder there Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: are separate folders for health information, and a food and an activities folder.Reviews take place and they had been signed and dated. Each person has a key worker and co key worker who are responsible for reviewing needs,meeting with them on an individual basis and helping them to plan and access community facilities and activities. The home is service user led,daily plans and routines are flexible and service users have plenty of opportunities to express their views and to make decisions about their own lives and how the home is run on a daily basis.Staffing is arranged in accordance with daily activities,service users choose meals daily, and during the visit a key worker came on duty during the morning as a service user had contacted them as they wished to go out to a particular venue.A survey from a service user confirmed they made decisions about what to do each day.Service users had requested some new furniture and redecoration recently that the home had agreed to and if they have a particular interest or are keen on starting a new activity every effort is made to facilitate this with goals in place. Personal information is stored confidentially whilst service users can access their care plans at any time. Personal and environmental risk assessments are completed and reviewed and if a new activity is introduced they are prepared in response to any attached risks.Service users are supported to take acceptable risks and to understand any involved in activities they do. Support is given with the management of personal finances,one care plan showed that the service user was being supported to understand the value of money and what notes looked like,a project for them had been developed with pictures of money. The manager said that the person had made good progress and liked to go shopping and look after receipts personally whilst staff still maintained a record of expenditure. Care Homes for Adults (18-65 years) Page 13 of 28 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. Service users lead an active lifestyle and activities are arranged to meet individual interests and aspirations. Contact with relatives is promoted and service users are supported to keep in touch with them. Meals are healthy and varied and service users are involved in planning the daily menus. Evidence: Service users lead active lifestyles and have personalised activity schedules arranged around their interests,social lives,personal development goals and aspirations.Daily activities can be flexible and include bowling,going to the cinema,shopping,having meals out,college,trampolining and basketball.One person likes to go the library to Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: access the internet another has a laptop they use at home.Some activities are more structured than others and staffing is provided to accommodate this and individual choice of activity. A service user who has a great interest in cars is supported to regularly visit a car scrapyard and car showrooms and had just bought their own second hand car that was being made safe so they could work on it under supervision.They were very keen to get started this project.Their activities folder includes photos of them at the scrapyard. Comments on a service users survey were that------ I like my support worker taking me shopping and going out for lunch and that a support worker helped them with the internet. One person does gardening voluntary work under a supported employment scheme one day a week.Both service users are having separate holidays this year and outings and social activities are arranged if they wish at weekends.One person said they liked going to a monthly nightclub. Service users are encouraged and supported to keep their rooms clean and tidy and help with household chores.One person was tidying and cleaning their room with staff and collecting their laundry for washing.They can help with cooking if they choose and decide what they want to each each day.There are pictorial menus and meals are healthy and varied. A record of the meals each person has taken each day is recorded in their food folder. The home promotes contact with relatives and records evidenced family contact,relatives are welcome to visit and service uses are supported to keep in touch with them. Care Homes for Adults (18-65 years) Page 15 of 28 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. Support with health and personal care needs is delivered in the way that service users state they prefer and independence is promoted. Medication procedures are robust and protect the people living at the home. Evidence: Each care plan contains information about health and personal care needs and peoples preferences for the delivery of personal care.The home provides a service to people who have learning disabilities and autism and their needs can be complex.Health professionals are involved where necessary such as as a speech and language therapist,psychologist,community nurses and dietitian.A referral had recently been made to the a local specialist community health team for an additional needs assessment and a service user had recently had a routine check on their level of medication.Records are kept of contact with health professionals and the outcomes.Routine health checks such as dental appointments are kept up,one person was exercising their choice in choosing not to take up a routine eye test but was being encouraged to consider this. Service users need some encouragement and support with their personal care and independence is encouraged,discussion with support Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: workers showed that they are aware of personal care preferences and how people like care and support delivered. During the visit staff demonstrated that they understood methods of communication and respected the privacy and dignity of service users. The manager and support workers understand signs of mood changes in the behaviour of service users and know how to react to them. Nutrition is monitored through the information kept in food folders and advice sought if there are concerns about a persons weight or food intake. Medication is satisfactorily stored and all staff who administer medication receive externally provided medication training,with annual refresher training and in house assessments.Medication recording sheets were being properly completed. Evidence was seen that the wishes of service users and their relatives in the event of the death of the service user are explored sensitively by the home. Care Homes for Adults (18-65 years) Page 17 of 28 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 an accessible complaints procedure and service users can be confident that any concerns will be taken seriously and addressed. Safeguarding procedures are in place and staff are aware of what constitutes abuse. Evidence: The home has a complaints procedure that is available in a text and pictorial format and is on display in the home.A survey form from a service user said that they knew who to go to if they were unhappy.One formal complaint had been raised since the last inspection that was being dealt with in line with the organisations procedures,the manager had promptly informed the Commission of the concern when it arose. There is a safeguarding procedure that is regularly reviewed by the organisation.There had been four safeguarding vulnerable adults alerts made since the last visit,they were all raised by the home and reported by them to the local authority and the Commission,all are now closed. As the home raised the alerts this demonstrates that staff have good awareness of what constitutes abuse and how to report it, and that they take their safeguarding responsibilities seriously. Staff spoken with confirmed they were aware of the safeguarding procedure,who to refer any concerns to and they receive safeguarding refresher training each year. The manager has referred service users for support from an advocacy service. Individual behavioural guidelines have been developed in order to make sure that Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: service users are protected from harming themselves or others. Care Homes for Adults (18-65 years) Page 19 of 28 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. Service users benefit from living in an environment that is homely,well maintained,safe and clean. Changes are made to the home in response to service users preferences and needs. Evidence: The building is homely,well decorated and maintained,clean and safe.Changes and improvements are made in response to service users requests and preferences and they are consulted about colour schemes.The bedroom that was to become occupied by a new service user was going to be decorated in a colour of their choice and current service users had requested the hall be redecorated and a new sofa for the living room,the sofa had been purchased and there were plans for the hall.There is a smaller quiet room with a pool table,this was also provided as service users asked for it.The living room is comfortable and attractively decorated as is the quiet room.There is a dining room and well equipped kitchen.A survey user put on a survey form that they wanted to stay at the home forever. The garden is well kept and safe and there is a patio area,one service user had done some gardening at home and this had been recorded as a project in their care plan with photos.During the visit one person preferred to stay in their room and the other was using their room and shared areas Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: freely and was comfortable in doing so. Bedrooms are all of a good size,light and airy and nicely decorated,one occupied bedroom was visited with the occupants permission,it contained plenty of of personal possessions such as a TV,playstation and games and photos.Service users are offered keys to their rooms. There is a downstairs bathroom,the bath panel needed replacing and a hygiene matter regarding the bathroom was discussed with the manager who was already taking measures to address it. Laundry arrangements are at the top of the stairs and a requirement was made as a result of the last visit that associated risks be assessed,this has been done and the organisation is seeking advice on relocating the laundry. Care Homes for Adults (18-65 years) Page 21 of 28 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. Service users are supported by a confident,competent and well trained staff team who feel well supported themselves and who like working at the home. Recruitment procedures are through and protect service users. Evidence: The service is well staffed and the number of people on duty is flexible in order to accommodate the daily activities and choices of service users.The home was fully staffed and recruitment had started for bank staff to cover if there was a need,the home does not use agency staff so that there is always consistency of care and service users know who will be supporting them.The staff group is diverse and there is mix of male and female support workers. During the visit the manager,a senior support worker and two support workers were on duty,one support worker arrived in response to a request from a service user to go out,this possibility had been prearranged.Although the home was not full staffing had not been reduced,there are two people on at night.No domestic staff are employed and staff are responsible for cleaning,cooking and laundry. Staff showed that they have good relationships with service users and the person present during most of the visit was obviously Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: comfortable with them,staff provided them with advice and support in a kindly way whilst giving a clear sense of direction in discussion about the activities of the day and future goals.A service users survey included the comment about staff that ---They help me do things I enjoy. Staff files that included recruitment information were not accessible during the visit so it was not possible to inspect them.There have been no concerns about the recruitment process brought to the attention of the Commission and none were raised at the last inspection.Discussion with the manager and two support staff provided verbal evidence that recruitment procedures are thorough.Verbal evidence gained is that all the necessary recruitment checks and vetting takes place,interviews are held and if necessary written references are followed up by telephone.Staff confirmed that thorough induction is provided and core and specialist training is given.All core training is updated annually and over 50 of the staff team hold an NVQ in care at level two or above,one person spoken with had just started their NVQ.Service specific and specialist training includes,autism,epilepsy,the Mental Capacity Act and person centred care. The training file confirmed that annual certificated update training and other courses are attended. Regular supervision is given to staff and they said that they can always discuss any issues with the manager in between,as the service is small it allows for plenty of individual time for discussion and support.Staff meetings are also held. Examples of comments from support staff are -----The organisation is one of the best for training and -----We are a team. Care Homes for Adults (18-65 years) Page 23 of 28 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 home is well run in the best interests of the people that live there and the staff team. It is homely with a friendly and open atmosphere and is responsive to service users needs. Evidence: The manager is experienced in supporting people who have learning disabilities and behaviours that can challenge,the manager intends to apply to become the registered manager of the service having been appointed last year. The service has a very open and friendly feeling and the atmosphere is that of a family home,as has been stated earlier in this report it is very service user led.A support worker said the home ---- Is really nice it has a friendly atmosphere. Quality assurance is undertaken via monthly visits by a senior manager and annual surveys are distributed to service users,relatives and other stakeholders and professionals.The results of the surveys are collated by head office.Keyworkers hold regular meetings with service users and as the home is small there are frequent opportunities for service user consultation. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The organisational policies and procedures are available in the office,they were sampled, those read were clear for staff and had been reviewed. The service takes the safety of service users and staff seriously and measures were in place to prevent accidents or injury,for example any substance that could pose a risk was safely stored in a locked cupboard,maintenance checks on equipment are kept up and the home consults with the fire authority. Investment is being made in the service,over the past year there have been environmental improvements,requirements made at the last inspection are met and no requirements have been made as a result of this visit. The manager keeps us informed of any matters that they are required to notify us about promptly.All the documentation and records inspected were completed to a good standard,recorded information is respectful to service users and personal information is confidentially stored. Care Homes for Adults (18-65 years) Page 25 of 28 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 28 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 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 27 of 28 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!