Care Home: 64 Chesterwood Road

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What the care home does well Chesterwood aims to support people to live the lifestyle of their choice by involving them in every decision that is made with the care and support they receive. The focus of the service is to be an enabler making sure that all the people who live in the home have choices in how they want to be supported. The staff are friendly and helpful to ensure people are given opportunities to learn new skills, new leisure activities and stay in touch with friends and family. People are supported by staff they know and who are familiar with their needs. What has improved since the last inspection? TRACS have made the following improvements since the last inspection: Decoration of several communal areas has taken place. New dining furniture has been purchased. A new smoke room has been created enabling the conservatory to return to being a communal room for general use. The laundry room is now located within the main building enabling laundry to be done late at night or early in the morning should the people living in the home wish to do so. TRACS continue to assess the needs of people living in the home in relation to the accommodation they live in and takes a positive view to improve the accommodation further. What the care home could do better: It is considered that this service is currently performing well, setting its own objectives for continual improvement. There have been no requirements made as a result of this inspection. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Chesterwood Road, 64 Chesterwood Road, 64 Kings Heath Birmingham West Midlands B13 0QE     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: Sue Scully     Date: 1 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 28 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 28 Information about the care home Name of care home: Address: Chesterwood Road, 64 Chesterwood Road, 64 Kings Heath Birmingham West Midlands B13 0QE 01214443736 01214443736 chesterwood@tracscare.co.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) : Tracscare Group Ltd care home 6 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Additional conditions: Residents must be aged under 65 years 6 6 That a full time deputy manager be employed to work in the home. That the Registered Manager is employed to work no less than 28 hours each week. That the effectiveness of the management structure in the home be reviewed by TRACS and the CSCI every three months. The home may provide care for 6 service users with an acquired brain injury. Date of last inspection Brief description of the care home 64 Chesterwood Road is owned by TRACS and provides a service for up to five adults. The home is registered to accommodate people with a learning disability and physical disabilities. The home currently accommodates four service users who have an acquired brain injury. 64 Chesterwood Road is a two-storey traditional style detached residence situated in the middle of a quiet residential road in Kings Heath, Birmingham. The home is within Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home walking distance of a variety of community facilities, which includes shops, parks, a leisure centre, places of worship, pubs, restaurants and a good selection of public transport. There is off road parking to the front of the property and a well-maintained garden to the rear. A wooden chalet has been erected at the bottom of the garden to provide an area for staff meetings and breaks. Service Users and staff assist in maintaining the garden areas. There are two ground floor bedrooms one with en-suite shower facilities, ground floor shower room and toilet and four single bedrooms on the first floor. There is a communal lounge / dining area, kitchen and laundry facilities. The current scale of charges for the home is £1032.71 to £1904.23(Variable) £2584.92 when required). Visitors to the home can request to see a copy of CSCI reports from staff as these are located in the homes office. 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: 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: The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for the people who use the service and their views of the service provided, meaning they tell us if the service is meeting their needs, if the service is flexible and suits their life style. The inspection was completed over one day by one inspector. The home did not know that an inspection of the service was taking place. As part of the inspection process three people were case tracked this involves looking at peoples care files, health care records, daily records and risk assessments. We look at these records to see if the service is meeting peoples needs as they choose. We Care Homes for Adults (18-65 years) Page 6 of 28 also discuss peoples individual care focusing on outcomes for people. Case tracking can help us understand the experiences of people who use the service. In addition to this, information is looked at during the inspection such as polices and procedures, and the general operation of the home in relation to meeting peoples needs. The home is also required to complete an annual Quality Assurance Assessment (AQAA). The Commission sends this document to the provider before the inspection. This enables the manager to tell us of any future plans they may have and any changes there might have been since the last inspection. At the time of the inspection the AQAA had not been completed. The manager forwarded the completed AQAA a few days after the inspection and some of the information has been included in the report. 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. 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 health care 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. Detailed information is provided about the services offered at the home to help people make an informed choice about whether they would like to live there. People can be confident that an assessment is undertaken before they move into the home so the staff have the information to be able to meet their needs. Evidence: The service user guide contained lots of information about the service such as a summary of the statement of purpose, terms and condition, information about how assessments are carried out, what support the home can provide, how to complain, and the qualification of the manager and staff. The service user guide and statement of purpose are in different formats to meet people individual needs, such as large print, pictures and other accessible formats for people with learning disabilities. There had been no new people admitted to the home since the last inspection, however information sampled at the last inspection showed that a full assessment of Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: the person needs is undertaken before they move into the home and this included a visit to the service to enable the individual to meet other people, look at their rooms and meet the staff team who would be supporting them. We also looked at an assessment that had been completed some time ago to enable us to cross reference with the homes admission procedure. The information showed us that a comprehensive assessment is completed that is informed by the person living in the home and other health care professionals such as social workers , speech therapist and physiotherapist. One person spoken to during the visit said I love music and am very happy with my bedroom and the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs preferences and wishes of people using the service are respected. This means people can be confident their needs will be met the way they chose. Evidence: We looked at three care plans; care plans are documents where information is recorded about the person to enable staff to meet their needs The purpose of the assessments and the care plans are to find out as mush information as possible about the individual who will be living in the home and will be supported by staff. The care plans we looked at showed how staff and the individual had identified the goals they wanted to achieve and also how staff would support them in meeting their goals. The care plan contains the information to make sure that all care is provided in a way the person prefers detailing the choices the individual makes on a daily basis and their daily routines. This encourages the person to be as independent as possible and lead a fulfilled life. All three care plans contained information that had been Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: provided by the individual, the family and other health care professionals, meaning the people living in the home are very much involved with their every day care and support. Reviews take place regularly with the person living in the home to ensure their needs are being met the way they choose. There is a section in the care plans that outline the daily needs of the individual and has been broken down into sections like waking up routine, shower, and dressing, breakfast, going out, hobbies, activities, friends and family. There is also a reminder in the persons bedroom in the form of a notice board that staff fill in each day to remind the person of the activities for that day, and this can include house chores, activities, if visitors are coming or if the person is going out with staff. This reminds the person on a daily basis what they have chosen to do. The communication plan directs staff to support people in a positive way and details how the support should be carried out like if they want to go out and take part in a particular activity or as one person said staff help me with my music. People living in the home are allocated a key worker to oversee their care. Each key worker builds a closer relationship so they gain more understanding and knowledge of the persons individual needs, goals and wishes. Plans are reviewed regularly or as any changes in need occur. Staff spoke to were fully aware of peoples care plans and clearly use them to guide their practice. Handover meetings are held between shifts to make sure all information is shared. Guidelines are in place, which promote the management of behaviour. These guidelines give clear indication of signs to look for, possible triggers to avoid and appropriate responses to use. Comprehensive and detailed risk assessments are completed to cover all areas of potential risk to the individuals and staff. This means people are supported and cared for safely. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place so that people living in the home experience a meaningful lifestyle that meets their needs, choices and personal preferences. Evidence: The home provides a range of activities for people living in the home both in-house and within the local community. All activities are organised to take into account peoples individual needs and preferences to ensure everyone has the opportunity to attend. Activities are recorded in individual files providing a clear record of individuals lifestyles. Clearly documented in peoples care plans is the different support people need with different activities. Activity plans include further education opportunities to enable people to learn new skills or enhance the skills they already have by attending Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: college. Records are kept of the activities people do, if they are not keen on any activity that takes place in the community or home, the staff discuss what they would like to do and support them. It was evident from care records that contact with people who are important to them is encouraged, this includes people coming to the home, phone calls, and people making visit to their family and friends. One relative spoken with said The staff are excellent they support my relatives to lead an active social life, and provide support in the way they want. The staff are always polite and friendly, and always discuss my relative care, they are always trying to improve what they do. In house activities include being supported to do laundry, food shopping and household tasks. Cooking sessions include programmes which support people to make their own lunch, help with the preparation and cooking of dinner, shopping for ingredients, making cakes, bread, and desserts. Fresh fruit and vegetables are offered daily to ensure a well-balanced nutritional diet is offered. Menus are changed according to the season, such as the summer and this is displayed on the menu board each week after a discussion with the people who use the service. In peoples care plans; information is available for special diets, what adaptations are needed, such as cutlery to enable the person to be as independent as possible. Regular meetings with the people living in the home are held to discuss menus and activities and their daily routines. This means people are fully involved in all aspects of the running of the home and care is tailored to the individual needs of the people living in the home. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and health care 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and health care needs are clearly identified in care plans. The plans provide information and promote consistency of care and support for people living in the home. The home has a clear medication policy and procedure, which is followed to make sure that all medication as prescribed is administered and stored safely. Evidence: We looked at peoples health care plans and these showed us people are well supported by medical services, which includes GPs, psychologist, dentist, community learning disability team, Occupational Therapy, and Consultants when required. Peoples care records and plans provide detailed information about their physical and mental health and the support needed from staff to maintain their good hygiene and health. The care plans sampled contained information about peoples preferred care routines and the arrangement in place for preventative health services such as annual health care screening. This means peoples health care needs are monitored and reviewed. The staff support people to be self managing of their personal care to enable Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: them to maintain independence. The care files are well managed and regularly updated. The home has a medication policy and procedure in place. Records are well maintained and hand written entries on Medication Administration Record forms have two signatures as a double check for accuracy. Entries in the daily records clearly indicate the reasons for any changes to medication. Medication records show regular reviews with the persons General Practitioner to ensure people were not taking medication unnecessarily. Medication systems ensure people are administered medication safely by staff that have been trained in the safe handling and administration of medication. Where possible the people are supported to self-administer their own medication and systems are in place to ensure they do this safely by regular consultation with each person. The manager completes regular audits of all medication that has been received into the home, including audits for people who self administer their own medication. Copies of prescriptions are retained so staff can check the correct medication has been received from the chemist. Where people are administered prescribed medication as required (PRN) , a protocol is in place stating when and why the medication was given or taken so staff can monitor if the medication is needed regularly and consult other health care professionals if required to ensure there is not a underlying health problem. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are protected by easy to understand information about how to complain, with appropriate information for staff provided. Staff support people to express their views and any concerns they may have. Evidence: There are procedures in place to investigate all complaints or concerns. The complaints procedure is in different formats that are suitable to peoples needs, such as pictorial, written, and audio for people who are unable to read. This means people have access to the complaints procedure and know how to complain if they feel they have any concerns. Reviews with each person are undertaken regularly where concerns can be raised and action taken quickly, this ensures people have access to different sources to make a complaint if the wish. All complaints made and the actions taken in response to them are fully recorded. A review of the number and nature of complaints made is used as part of the quality assurance procedures in use at the service. The home learns from complaints in order to improve its service. There had been no complaints from the people who use the service received at the Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Commission for Social Care Inspection (CSCI) since the last inspection. There was one complaint from one of the people living in the home recorded in the complaints log this had been investigated by the manager and a recorded outcome to the individual. Care plan and risk assessments have detailed information of how to support people safely meaning people are protected from injury or harm. The home has a written policy that covers all relevant aspects of adult protection, which is complimented by the No Secrets document issued by the Department of Health. The home has a rolling programme of staff training in respect of adult protection that ensures people are looked after safely. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is not purposed built but offers a comfortable and clean environment for people to live. Evidence: Since the last inspection the service had decreased in the number of people the home support from six people to five. The manager said this had proved to be a good change to the home because it means the staff team can spend more time with each person and the home has more room. The home has five bedrooms which vary in size, all bedrooms seen during the visit were clean and very personal to the individual. Aids and adaptation are provided based on the assessed needs of the individual when required. To the rear of the property there is a summerhouse which can be used by the people living in the home and is also used for staff meetings, staff breaks and visitors if they wish. There have been some changes to the home since the last inspection and include: Decoration of several communal areas has taken place. New dining furniture has been Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: purchased. A new smoke room has been created for the people living in the home enabling the conservatory to return to being a communal room for general use. The laundry room is now located within the main building enabling laundry to be done late at night or early in the morning should the people living in the home wish to do so. TRACS continue to assess the needs of people living in the home in relation to the accommodation they live in and take a positive view to improve the accommodation further. 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. People living in the home benefit from staff that are safely recruited and trained to meet their individual needs and care for them safely. Evidence: All staff receive training on a regular basis so they are suitably qualified and experienced. The training records sampled show staff had received training in LDAF, fire safety, Adult Protection, medication and the majority of staff have undertaken NVQ Level 2 in care or above, this ensures people are supported safely. Other training courses include communication, safe handling of medicines, and abuse. The home employs a mix of staff from different cultural backgrounds to meet the needs of each person. A full induction takes place that is in line with skills for care, which ensures all aspects are covered to enable staff to have adequate knowledge of their roles and responsibilities. The three staff files examined revealed that all necessary checks are carried out before employment is commenced, such as references, application forms, medical clearance previous employment history, education and experiences. POVA checks (Protection of Vulnerable Adults), CRB (criminal Records Checks) are completed to ensure the people Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: who use the service are safe from harm. The staff have regular meetings to discuss issues that may affect the running of the home, such as peoples needs, risk assessments, care plans, complaints, how staff can improve the service further. All ideas and suggestion are shared with the people living in the home for their views. The number of staff on duty at the time of the inspection was satisfactory to enable people to access the community and receive the level of support and supervision required. The staff spoken to said they felt supported and undertook training when required enabling them to have the knowledge and experience to care for people safely. The staff were complementary of the manager and team manager and said they could contract them at any time if they had any concerns. People living in the home benefit from staff that are regularly supervised and have annual appraisals, this means staff are supported, well managed and their performance in relation to meeting peoples needs is regularly monitored and reviewed. 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 managed with clear lines of accountability. A committed staff team supports the registered manager. Together they provide a well-run service. Evidence: The manager is experienced and possesses the skills to oversee the day-to-day management of the home and communicates a clear direction so people needs are known and met. The manager is very focused on ensuring peoples needs are met and ensure people rights and choice are respected. Staff confirmed the manager is approachable and they receive support and training to meet peoples needs. The manager submitted an annual quality assurance assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. The AQAA contained clear relevant information with a wide range of supporting evidence, some of which was seen during the inspection. TRACS clearly defined areas of planned improvement with how this will be achieved, discussion with the manger and team manager during the inspection confirmed this. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The health and safety records showed that all routine tests and servicing of gas, electric and fire equipment had been undertaken. The Quality Monitoring reports completed by the home suggests peoples needs are met as they choose and the service regular monitors its own performance in meeting peoples needs and making plans for the future. Comments form the report includes: I am happy with the service My son has been in your care for 16 years and I am very happy and satisfied with the care provided My relative seems very happy 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 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. 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