Care Home: 95 Collinson Road

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What the care home does well Information about this home is available in an appropriate format to enable people to make a decision on whether the home could be the right place for them. They can be assured that the home will meet their individual care needs. Care planning processes ensure that each person receives the individual care and support that they need. The management of any risks supports people in trying new experiences but safeguards them from harm. People will be supported to lead their life as they want and to use community and learning resources. They will be supported to develop their independence. People will be supported to lead their life as they want to, and to use community and learning resources. They will be supported to develop their skills and independence. Each person is supported to have a healthy lifestyle. Their health and personal care needs will be met and monitored. Medication systems are safe. The people who live in Collinson Road are encouraged to say if they are unhappy and have concerns. They have access to a robust and effective complaints procedure. People will be safeguarded from harm. People live in a homely, clean and safe environment. The home meets the needs of the people living in there. The people who live in Collinson Road are looked after by a staff team who are skilled and competent and able to meet their needs. The home is well managed and run in the best interests of the people who live there. It is safe and the welfare of the people who live there is protected. What has improved since the last inspection? There was only one requirement made following the last inspection and this was in respect of decorative work that needed attending too. This was actioned. The home have continued to provide an excellent service for the four people who use this service. What the care home could do better: It has not been necessary to issue any requirements as a result of this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: 95 Collinson Road 95 Collinson Road Hartcliffe Bristol BS13 9PH     The quality rating for this care home is:   three star excellent 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: Vanessa Carter     Date: 2 4 0 3 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: 95 Collinson Road 95 Collinson Road Hartcliffe Bristol BS13 9PH 01179077215 01179699000 julia.pratt@brandontrust.org www.brandontrust.org The Brandon Trust Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Nicola Webster Type of registration: Number of places registered: care home 4 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 accomodated is 4 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home 95 Collinson Road is registered with the Care Quality Commission to provide personal care to four people with a learning disability aged between 18 and 64 years of age. There are currently no vacancies at the home. The home is situated in a residential area in the South of Bristol at the end of a cul-de-sac. Within half a mile there are shops, bus routes and other local amenities. The house is based over two floors with stairs as the means of accessing the first floor. The house has the appearance of a domestic dwelling in keeping with the neighbouring properties. The Brandon Trust a non-profit making organisation. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 4 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 last inspection of this service was undertaken on 4th April 2007 and our overall judgement about the quality of the service provided for the people who live in Collinson Road was that they received an excellent service. After that inspection we planned to visit the home again within three years. In the meantime, we have completed annual service reviews and have been assured that the service was still providing excellent quality outcomes for the four people who live there. Prior to this inspection the registered manager (Locality Manager for Brandon Trust) submitted their annual quality assurance assessment (AQAA). This is a self assessment document that focuses on how well outcomes are being met. The assessment had been completed in detail and told us about what has happened in the last year, the improvements that have made, and identified those areas where they plan to make further improvements in the next 12 months. Care Homes for Adults (18-65 years) Page 5 of 28 We sent our survey forms to the home to be completed by the people who live there. The four people were supported by advocates to complete the forms. The advocates told us that they know each of the four ladies very well and have been working with them for a long time. They provided very valuable information about what it was like to live in Collinson Road and how each person is supported to live the life that they choose. We also sent staff surveys to the home and received three completed forms back. During the inspection we met all four people who live in the home,and looked at records kept by the home, including care records and those that are kept in respect of the running of the home. We spoke to the staff member who was on duty, and later spoke to the locality manager. The four people who live in this home have lived together for many years and there will be no vacancies for the forseeable future. Details about the fees for placement in the home and any additonal charges that may be made for other services, can be obtained from Brandon Trust. 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. 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 Care Homes for Adults (18-65 years) Page 7 of 28 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. Information about this home is available in an appropriate format to enable people to make a decision on whether the home could be the right place for them. They can be assured that the home will meet their individual care needs. Evidence: The information produced by The Brandon Trust about this service will enable people, or their representatives to make an informed choice on whether the home could meet their individual needs. They have produced a statement of purpose that sets out what the home has to offer and what can expect to receive if they live in the home. There is also a service user guide and a contract of care - Places to Live. The guide is in a pictorial and symbol format to help people with a learning disability understand the information. On a yearly basis, people are provided with a statement about their board and lodging fees - this details who is responsible for which part. It is not predicted that a placement will become available in this home in the foreseeable future however Brandon Trust have a stringent admission criteria and policy, that would be followed in such circumstances. The four people who are Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: currently living at the home have done so for many years. There have been no new admissions since 1994. We looked at the assessment process for two of the people who currently live there. Comprehensive needs assessments had been completed for each person, and it was evident that each persons individual needs are well known. These assessments are used as the basis for care planning documentation. 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. Care planning processes ensure that each person receives the individual care and support that they need. The management of any risks supports people in trying new experiences but safeguards them from harm. Evidence: Care plans are prepared for each person and two peoples care and support files were looked at to determine how they are looked after. The plans present a person centred and individualised approach to the persons identified care and support needs. It was evident that the plans had been prepared based upon an extensive knowledge of the person and that peoples views and preferences are listened to and incorporated into their plan of care. Comprehensive information included in care plans was informative and useful in helping the support staff understand how to support people with their personal care needs, their health, emotional and social care needs. The plans included information about what the person liked and how you can tell I am happy and also things that they dont like and how you can tell I am not happy. The plans included details about any specific equipment the person needs and there was reference to the Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: level of personal care required. A communication profile details the best way to communicate with the person. These measures ensure that people receive the care and support that they individually need. Everything is alright and Yes yes were responses made by two people who were asked how they were. The following comments were made in our survey forms (completed by a person with advocacy support) - they look after the ladies well and they look after her health and keep her safe. A monthly summary review is completed by the persons keyworker and care planning documentation is reviewed on a 6 monthly basis. The person is part of this care plan review and any views that they express are incorporated. It is evident that the home supports people to make decisions for themselves. House meetings are held on a regular basis and in these meetings decisions are made about things that affect the running of the house and day to day activities. Risk assessment processes are robust and will ensure that any identified risks and hazards are identified, and either eliminated or reduced. A plan of action is devised to support the person and avoid any undue limitations being placed upon the persons daily live. We saw generica risk assessments that had been completed in respect of the home and the four people who live there and also specific risk assessments that had been prepared for an individual. These measures will ensure that people are safeguarded but are not unduly prevented from trying any new experiences and activities. 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. People will be supported to lead their life as they want to, and to use community and learning resources. They will be supported to develop their skills and independence. Evidence: People are encouraged to lead an active and independent life. There is a person centred approach in supporting each individual person in all aspects of their differing lifestyles. Each person has a weekly programme of activities. Examples of those things that the four ladies access include college courses, a womens group, visiting the city farm, and other evening clubs - bowling, line dancing, discos and drama. It is evident that people have a good quality of life and are able to particpate in meaningful activities. We saw for one person that there are future plans to explore opportunity for a work based activity. In addition to the in-house support workers, day care workers are provided and they Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: will spend individual time with one of the people and undertake activities of the persons choosing. On the day of inspection one of the people went out with their day care workers and we observed them being encouraged to make a choice about how they spent their time. The people in the home are supported to use community facilities and to explore options for new experiences. An annual holiday is arranged for each person. This may be achieved on an individual basis or with two people. People are involved in making choices about holidays with the use of pictorial information and through house meetings. All holidays are based on individual choice and previous holidays have included visits to Cornwall and Spain. One person told us they were in the process of deciding and planning where they go this year. The support workers help each person to maintain good relationships with their families and others who are important to them. It was evident throughout the inspection and from discussions with the locality manager that the four people who live in this home are well thought of. There was a warm friendly and homely atmosphere. People were spoken with and spoken about in a respectful manner. In all four survey forms it stated We have observed staff treating X with dignity and respect on all occasions that we have visited. Each person now has an allocated food budget and are actively involved in the planning of their meals. The home supports people to be independent by having their own food cupboard, eating what they want for breakfast and lunch and being involved in the choice of evening meal. Each person is supported to prepare their own meals and they each take it in turns to make cakes for the house. The weekly menus are decided during house meetings. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is supported to have a healthy lifestyle. Their health and personal care needs will be met and monitored. Medication systems are safe. Evidence: The manager spoken with after the inspection and the support worker who was on duty, both demonstrated a thorough knowledge of each persons specific health and personal care needs. Care planning documentation provides very detailed instruction for the staff on how the persons needs should be met. Each person also has a health care action plan and this includes details about specific healthcare needs and how there are to be monitored. Records are kept of all contacts with other healthcare professionals such as GPs, occupational therapists, hospital consultants, community learning disability teams, and physiotherapists. The procedures and systems in place for the ordering, receipt, administration, storage and disposal of medication were looked at and evidenced that there are safe systems in place. If a person wishes to maintain control over their own medications suitable risk assessment and actions are in place to ensure the persons safety. The support worker talked about the arrangements in place that enables one person to look after Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: and take their own medications. 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 people who live in Collinson Road are encouraged to say if they are unhappy and have concerns. They have access to a robust and effective complaints procedure. People will be safeguarded from harm. Evidence: The home has a Complaints Procedure to follow in the event of a formal complaint being made. The people who live in the home are made aware of the procedure as a pictoral copy of the complaints procedure is displayed in the ground floor hallway. In the last 12 months the number of complaints received is three - each were dealt with within the timescales set in the policy. The manager maintains a complaints log which evidences the actions taken as a result of the complaint. Each time a care plan review meeting or a house meeting is held, people are asked if they are unhappy about anything and any grumbles or concerns are dealt with informally. We received surveys back from each person - all stated that they know who to go to if unhappy. Staff are able to understand Xs communication and behaviour. If they were unhappy, we have every reason to believe staff would respond quickly and do their best to resolve the problem was one comment made by the advocate for one lady. We are assured that the people who live in this home are listened to and any concerns they may are responded to appropriately. The Brandon Trust have the appropriate policies and procedures in place to safeguard the vulnerable adults in their care and a copy of the policy is kept in the staff office. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The home has a copy of the Bristol Council No Secrets reporting protocols. All staff will receive training in safeguarding of vulnerable adults (SOVA). Some of the staff team have also recently attended mental capacity act (MCA), deprivation of liberty safeguards (DOLS) and human rights training. The member of staff spoken with during the inspection demonstrated a good understanding of safeguarding issues and their responsibilities to protect who they are looking after. The home has robust accounting systems in place in order to ensure the protection of peoples finances. All transactions in and out of a persons account are supported with written receipts or shop receipts. 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. People live in a homely, clean and safe environment. The home meets the needs of the people living in there. Evidence: This property is a five bedroomed two storey semi-detached house, at the end of a cul-de-sac in a private residential housing estate. The property is within walking distance of shops, bus routes and other local amenities. The house has the appearance of a domestic dwelling and in keeping with the neighbouring properties. Accommodation is situated over two floors and is suitable to meet the care needs of the people living at the home. There is a small garden to the front with a larger outdoor space at the rear. Each person has their own individual bedroom space, two are on the ground floor along with a downstairs bathroom, and the other two bedrooms are upstairs where there is also a family bathroom. The fifth bedroom is the staff office/sleeping in room. The bathroom on the ground floor is suitably adapted to meet the needs of people with physical disabilities. Each person chooses the decorations in their bedroom - each room was seen and reflected the personality of the occupant. Communal space consists of a kitchen, dining area and lounge room. Each of the rooms are suitably furnished with domestic style furniture, and are in fair decorative Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: order. The overall house was clean, tidy and free from odour. No health and safety issues were apparent from this inspection. An environmental health officer visited the home in February 2010 for a routine inspection - the home was awarded the maximum five stars. 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. The people who live in Collinson Road are looked after by a staff team who are skilled and competent and able to meet their needs. Evidence: There is currently a team of eight support workers who are employed to care and support the four people who live in the home. They have all achieved at least a National Vocational Qualification (NVQ) Level 2. This means that the people who live here will be looked after by support workers who are trained and are competent in meeting their needs. We received three surveys back from staff who work in the home. They each confirmed that they received training that was relevant to their role, helped them understand and meet the individual needs of people, kept them up to date with new ways of working and gave them enough knowledge about health care and medications. Brandon is very good for all training for staff In addition to NVQ training, examination of the staff training files evidenced that training has been attended in respect of makaton (a communication method), health action planning, supported living, safe medication administration, manual handling, health and safety and food hygiene. All staff have had recent fire awareness training. There is an agreement between Brandon Trust and the Commission that staffing Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: records are not held in the home. These are held at the organisational headquarters and are inspected at regular intervals. The last visit by a team of inspectors did not raise any concerns and evidenced that robust recruitment procedures are always followed. We are aware that the four people in the home are involved in the recruitment of new staff and are encouraged to be involved in the decision making process about who is employed - they have developed individual questions for applicants. 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 and run in the best interests of the people who live there. It is safe and the welfare of the people who live there is protected. Evidence: There has been a change in the management structure since the last inspection. Nicola Webster, Locality Manager with Brandon Trust is the registered manager for this service. She is also the registered manager for two other small community homes and shares her times between the three establishments. She has been a registered manager fro 12 years, is a registered nurse for people with a learning disability, has an NVQ 4 in management and Registered Managers Award (RMA), and an NVQ assessors award. She is well qualified and experienced for this position. The manager was not present for this inspection visit however was consulted with the following day. To support the manager in the running of the home, there is one senior support worker who also has many years experience of working with people who have a learning disability. These management arrangements are appropriate for a small comminity based care home. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The home is visited on a monthly basis by a senior manager from Brandon Trust to monitor the overall running of the home (regulation 26 visits). The most recent visit had been completed the day before inspection, but the records could not be located for inspection. Discussion with the manager following the inspection confirmed that monthly regualtion 26 visits are undertaken. Brandon Trust have processes in place to regularly monitor the quality of the service. Staff supervision and staff meetings, care plan reviews and house meetings are used to ensure that the service remains appropriate for the four peoples needs. There have been recent changes to the moving and handling needs of one person and new equipment has been provided to meet the persons needs. The staff team have been provided with specific manual handling training and have been shown how to sue this equipment with the individual involved. The fire logbook record showed that the necessary weekly, monthly and regular fire safety checks have been carried out. All staff have attend recent fire awareness training and there are regular fire drills. Staff attend mandatory health and safety training. No health and safety concerns were raised as a result of this inspection. 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. 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