Care Home: 68 Bescot Road

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well People have information about the home so they know about the home before they move in. The home knows their needs because the home does an assessment. The home plan how to care for people and care for them in a safe way. The care plans are done in a way that people living at the home can understand. People living at the home say they know how to complain. The home is able to keep people safe from abuse or neglect. Relatives are usually able to visit the home when they want. People can choose what they want to eat. People living at the home go out and do things in the local area. The home has it`s own transport to help people to go out. What has improved since the last inspection? Since the last inspection which took place on 29th April 2009, person centred planning and risk assessments have improved. The complaints procedure was on display in the home. Fees charged for the service were evidenced in the statement of purpose and service user guide for respite care. Procedures have been put in place for people who need medication as and when required. Staff training has improved. The required information was available for newly recruited staff and this is an improvement since our last visit. What the care home could do better: The premises need significant investment to bring the environment up to a good standard. The management is however aware of this and have a refurbishment plan in place for each area of the home. Cleaning schedules in the home needs to be monitored for effectiveness. Settled and consistent management is needed to build on the progress that the home is making. The acting manager needs to be registered with us as soon as possible. This will ensure good continuity and better outcomes for people who use the service. Key inspection report Care homes for adults (18-65 years) Name: Address: 68 Bescot Road 68 Bescot Road Walsall West Midlands WS2 9AE     The quality rating for this care home is:   one star adequate 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: Loraine Dunkley     Date: 0 7 0 5 2 0 1 0 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: 68 Bescot Road 68 Bescot Road Walsall West Midlands WS2 9AE 01922648758 01215258492 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): enquiries@lonsdale-midlands-limited.co.uk Lonsdale (Midlands) Limited Name of registered manager (if applicable) Jane Anderson Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care Home with Nursing (Code N); 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) 8 Date of last inspection Brief description of the care home 68 Bescot Road is a care home with nursing that is owned and managed by Caretech following the takeover of Lonsdale Midlands Ltd in 2006. The home offers nursing care and personal support to up to eight individuals with a learning disability with health and/or complex social care needs, plus degrees of behavioural challenge. The home has two floors which are identical and are staffed separately. A passenger lift is available. The two units have the same layout and comprise four single occupancy rooms, (some with en suite shower facilities). There is a shared bathroom and two Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 8 2 9 0 4 2 0 0 9 Brief description of the care home separate toilets, lounge, dining room, and kitchen. The two units operate independently of each other although staff work between both. The external area of the home comprises a car park at the front and small rear garden. Entrances and exits are ramped providing good access for people with mobility needs. The home aims to provide its residents with a secure, relaxed and homely environment in which their care, well being and comfort are of prime importance. This is stated to be achieved through a programme of activities designed to encourage stimulation, self-esteem, and social interaction with other residents and with recognition of core values that are fundamental to the philosophy of the home. The core values being Privacy, Dignity, Rights, Independence, choice, and fulfilment. The stated range of fees is 1400 - 1850 pounds per week depending upon the level of dependency needs and service required to support people. People who use the service and their representatives are able to gain information about this home from the Statement of Purpose, Service User Guide and inspection reports produced by Care Quality Commission. Inspection reports can be obtained direct from the provider or are available on our website at www.cqc.org.uk. 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: one star adequate 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: Two inspectors spent the day at the home, talking to people who live there the area manager, acting manager and staff. The inspectors also looked at the care records of some of the people who live in the home and other records so that we can see how the home is run.We also took a good look around the home and people living in the home allowed us to see their bedrooms. The inspectors did not tell the home before they went. The inspectors was at the home from 10:00 to 6:30 pm. They also revisited the home to give feedback to the managers on the findings of the visit. Before the inspection we asked the manager to send us an Annual Quality Assurance Assessment (AQAA). This is a form the manager fills in and sends to the Care Quality Commission telling the inspector how the home is meeting the needs of the people that live there. Care Homes for Adults (18-65 years) Page 6 of 28 Three surveys from people using the service were also returned to us before the inspection. These were completed with help from one member of staff. Two staff also returned surveys to us. We have used all this information to help us to decide on how well the home is meeting the needs of people staying there. Care Homes for Adults (18-65 years) Page 7 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. 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. Prospective people who wish to use this service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed fully in order that they can be confident about the service they will receive. Evidence: The Statement of purpose/service user guide was on display in the home at the time of inspection. This showed it was last updated January 2010. This gave information on key policies and procedures within the home such as the complaints procedure and information on peoples sexuality and same sex relationships. Various other information was also on display in the home these included information on the deprivation of liberty safeguards. These documents are available in pictorial formats and can be made available in alternative languages and formats as necessary. We looked at the records of two people living at the home currently, one record did not have a copy of the service user guide which the manager said also forms the contract for people living in the home. Individual service user guides are available for people staying at the home on respite and these include the cost of staying at the home on a Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: nightly basis. The records of people living or staying at the home that we looked at contained an assessment of needs completed by the referring social worker or a multidisciplinary assessment. No new people have been admitted to the home permanently since the last inspection. People staying in the home for respite at the time of our visit were people who regularly stayed at the home for respite. 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. Care and support plans contains the necessary details to enable staff to know the individual needs of people living at the home. Evidence: The records seen shows that each person has a detailed person centred plan of care based on their individual needs. All files sampled contained evidence that plans are reviewed on a regular basis and that risk assessments are in place that support the contents of each plan of care. The care plans looked at reflected the needs identified in the care needs assessments. Plans in place included those for communication, behavioral management, personal care, community access, nutrition, health and personal care etc. The records showed that staff working at the home signed up to say they had read and understood the needs of each person. Discussion with staff indicated that they understood the communication needs of the people living at the home. Staff were able to give examples of how people expressed their likes and dislikes. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: All needs were risk assessed and cross referenced to the care plans all included clear plans for managing risks. Where there were issues relating to peoples capacity there was evidence of best interest decisions being undertaken by the relevant professionals. The manager said since the last inspection new procedures have been put in place for care planning and risk assessments. Staff spoken to agreed that the new procedures were an improvement. Some people who live and stay at this home have specific communication needs that could impact on them being able to express choices. Staff spoken to demonstrated understanding of promoting good practice in this area. All staff spoken with said they knew the people living at the home well and can tell by expressions and body language when people are happy or unhappy, this enables them to get an understanding of the likes and dislikes of each person. 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. The home supports people to maintain their lifestyle, diet, personal relationships and to participate in community activities. Evidence: Most of the people living or staying at the home attend day centre as part of their activity routine. On the day we visited there were four people living at the home and three people staying at the home for respite. With the exception of one person everyone had gone out to a day centre. The other person later went out for lunch with one of the staff. One person had an activity planner in his room, but this did not have details of any planned activities. The manager later told us that the home did not have a written activity plan for the residents and that this was being developed. Transport is available at the home for use by the residents, so they are able to access community activities easily. One person we spoke to said he attended college. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: People living at the home are able to have visits from families and friends. Where restrictions are in place these are for specific reasons which is agreed with other professionals. The homes statement of purpose has policies on the rights of people to maintain sexual relationships. We spoke to the manager about ensuring that all aspects of peoples diversity is explored in peoples person centred and lifestyle plans to ensure clear and best outcomes in line with the organisations policies. The home told us in their AQAA that they have a staff group which reflects the cultural background of the people living at the home. The menu and lifestyle also reflects their cultural and religious background. Staff training includes diversity, values and principles and alternative communications. People living at the home are encouraged to develop household skills as part of their lifestyle plan. There is a four week menu plan which is in pictorial format to support the needs of people living at the home. Staff spoken with said people are asked what they would like from the menu. Some people living at the home have limited communication and staff said they generally got to know their likes and dislikes over time. Individual preferences are also included in the peoples lifestyle plans. Meals taken are usually recorded on each persons daily record. 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. People living at the home receive support in a way that ensure their needs are met. The health needs of people living at the home are being met. Safe systems are in place to support people with their medication this ensures peoples health and wellbeing is maintained. Evidence: Staff at the home have good knowledge of the needs of the people living there and receive training to support peoples needs. In addition the home works well with other disciplines to maintain the health and wellbeing of people living there. This was evident from the documents and records seen during the visit. Documentations were available for the health care management of people living at the home on a permanent basis. Peoples health care was reflected in the person centred plan and records kept of contacts with medical and health professionals. The manager had introduced new procedures for ensuring peoples health and personal care needs. Staff spoken with confirmed that these processes were an improvement. Where people are unable to fully participate in decisions relating to their care and support, there was evidence of best interest decisions protocols and assessments in place. The Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: home kept a record of each persons weight, this recording had improved since the last inspection and is now been recorded separately to the daily record, which gives a clearer audit trail. One person who came into the home for respite has stayed at the home for an extended period of time; no health action plan was in place for this person. We recommend that this be put in place to ensure the health needs of this person are being maintained whilst staying at the home. Procedures and practices with the home in relation to medicines were found to be good in most areas. Gaps were observed in the recording of room temperature where medicines were stored, but this had already being rectified by the homes internal auditing system. The medication room was well ordered and tidy. Protocols were in place for where medication is required to be given when necessary. Risk assessments for medication was available on the records looked at. No gaps were observed in the medication records. No one at the home currently self medicates. The managers told us that they are planning to introduce a more individualised process for supporting people with their medication. 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 is able to act to safeguard people from abuse and procedures are in place to listen to peoples concerns. Evidence: The home has an easy read complaints procedure this was available at the home and on prominent display in the hallway. The complaints record was looked at. This showed evidence of one complaint which was investigated and responded to within the timescale indicated in the homes policy. Surveys received from people living at the home indicated that They knew who to speak to if they are not happy and how to make a complaint. We received surveys from staff which was of concern to us, this was returned to the provider to be investigated. This was investigated and we received a detailed response in a timely manner. Some people living at the home has specific behavioural needs. Staff have had training in areas to support this need. Notification received from the home shows that people are supported so as to safeguard them from self harm. Records looked at showed that the home is able to act appropriately to safeguard people living there from abuse. The staff records looked at showed evidence of safeguarding training and staff spoken to understood the need to report any allegations to the person in charge. A number of doors in the home have been fitted with key pads the home was advised to seek guidance as to what impact this has on the liberty of people living in the home. Before we concluded the inspection the home had sought the necessary Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: guidance and has developed risk assessments to support the necessity for the restrictions. We have received no allegations about the home since the last inspection. Individual financial records are kept for each person along with receipts for all transactions. These are checked by the manager monthly. There is a safe in the home for the safe storage of peoples monies. At each shift staff check the finances. The finances are also monitored as part of the regulation 26 visits done by the responsible person and the organisation has a process for auditing the financial records by checking random samples. 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 needs to be refurbished to ensure that people live in a comfortable clean and homely environment. Evidence: The home is situated in an area that is easily accessible to local shops and other community facilities. The building has a ramp to aid access for people who have limited mobility. The AQAA submitted by the manager indicated that some areas of the home had been redecorated and new flooring fitted to the communal areas. We found the home to be in need of significant investment to ensure it was up to a good standard. The condition of the kitchen areas were of particular concern. The managers present at the visit stated that they had already identified the need for refurbishment. However they did not have a refurbishment or maintenance plan. We requested the home to produce a detailed refurbishment plan and this was done before the inspection ended. This shows that the organisation is committed to making the necessary financial investment to support bringing the home up to a good standard of repair. At the time of our visit the lift was out of order and awaiting repairs. The manager said people living upstairs were not particularly affected by this as they were all ambulant and therefore able to use the stairs. There were cleaning schedules in place to ensure the home was kept clean and Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: hygienic, however these were not always checked to make sure the cleaning had been done satisfactorily. 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. Staff in the home are trained, skilled, safely recruited and in sufficient numbers to support the people who live there. Evidence: The home has a total staff group of twenty people and is currently recruiting to fill vacant positions. Staffing levels are calculated based on the varying needs of the people staying at the home. Most people who live at the home permanently attends day centre and staffing levels are reflective of this. The staffing levels mainly consist of two staff upstairs to support the people living permanently at the home. Staffing levels are flexible downstairs depending on the need of the people who needs respite and is calculated on a one to one basis. In addition there is always a trained nurse on duty to support the staff team. There is usually three staff on duty during the night. During the visit we spoke to four support workers and the manager. All had good understanding of the needs of the people living in the home. The records we looked at showed evidence of staff training to meet the needs of the people living at the home. Training was current and up to date. Training is organised centrally and is ongoing. There is a team training matrix which identifies when refresher training is needed. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The record of one staff recruited since our last visit was examined. This showed evidence of a robust recruitment procedure, with all key checks as required by regulations being undertaken. This person had also received the necessary induction and training. Supervision is provided to staff, with all staff files sampled containing evidence that they receive formal one to one supervision. Staff spoken to felt that they got on with the management team and were generally being supported. They also confirmed that they received supervision. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A settled period of management is needed to ensure continued improvements within the home. This will ensure that people live in a home which is well run. Evidence: Since 2007 this home has had an unsettled period of management. The registered manager left in 2008. An acting manager was in post at the last inspection on 29th April 2009. This manager has since left and a new acting manager was transferred from another of the organasations home in December 2009. We have not yet received an application for this manager to be registered with us. Whilst it is clear that the home is committed to improvements a settled period of management is required to achieve this. The AQAA was submitted to us when we requested it. It did not give us all the information we requested. During this visit both the area manager and the acting manager were present. Both managers were quite opened about what changes and improvements they were hoping to put in place. Since the last inspection the acting manager said she had improved a number of the procedures and practices within the home. This included Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: more involvement of key workers in reviewing and developing person centred plans with the people they support. Staff spoken with acknowledged that there had been a lot of changes within the management but generally felt things were settling down. Comments have included: Things are settling down now. Feel involved in changes most of the time. Information requested in the AQAA about health and safety checks at the home was not provided to us. During the visit we reviewed some of the safety records. We found the lift had been serviced recently and was awaiting repairs. Other safety checks were up to date. The electrical installation certificate was dated 1/10/2004; there was no record of any electrical circuit checks since then. The home seeks the views of people who use the service by having one to one talk, known as my time which is a 1-1 session with the individuals key worker, this will happen whenever the person living at the home wishes this to happen. The organisation also has procedures in place for internal auditing and reporting. As identified at the last inspection the views of families and external stake holders would be of benefit to the quality assurance process. In addition thoughts should be given to the use of advocacy services to help in obtaining peoples views. 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 1 2 1 19 Demonstrate that everyone living at the home have been issued with a copy of the service user guide. Put in place a health action plan for the person that has been in extended respite care. This will ensure that all health needs are being maintained. Ensure the improvements identified in the homes refurbishment plan are carried out within the timescales identified. This will ensure that the environment in which people live is of a good standard. Cleaning shcedules need to be monitored to ensure all areas of the home are clean and hygienic at all times. Application for approval of the Registered Manager needs to be submitted to us as soon as possible. 3 24 4 5 30 37 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!