Care Home: 97a Shurdington Road

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 97a Shurdington Road 97a Shurdington Road Cheltenham Gloucestershire GL53 0JQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Patricia Hellier     Date: 3 0 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 97a Shurdington Road 97a Shurdington Road Cheltenham Gloucestershire GL53 0JQ 01242578922 01242578922 Telephone number: Fax number: Email address: Provider web address: www.brandontrust.org Name of registered provider(s): Type of registration: Number of places registered: The Brandon Trust care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: The maximum number of service users who can be accommodated is 5 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 categories: Learning disability (Code LD) Physical disability (Code PD) Sensory Impairment (Code SI) To reduce numbers to 4 when a vacancy occurs Date of last inspection Brief description of the care home 97a Shurdington Road is a large detached bungalow that provides accommodation for adults with learning and physical disabilities who may have complex needs. The home is situated within easy access of Cheltenham town centre. The home benefits from Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 0 5 5 5 Brief description of the care home being on the main route into Cheltenham with easy access to public transport. The home has the use of its own vehicle which is suitable for wheelchair users. The home is run by Brandon Trust and Advanced Housing manage the property. Accurate information about fees were provided and range from 310.80 pounds - 555.60 pounds per week. The assessemnt of fees are calculated according to needs assessment. All personal items are not included by the fees however the home does have a budget for petrol and activities. Prospective service users are given information about the home including copies of the Statement of Purpose and Service User Guide which includes information about what is covered by fees. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place over one day,was unannounced and the registered manager was present throughout As part of this key inspection the manager sent us an Annual Quality Assurance Assessment (AQAA), which was well completed. The AQAA contains general information about the home, and of the people living and working there. It also told us about the improvements made since the last inspection and what the service is hoping to improve in the future. As a way of judging the quality of the service overall, during our visit, we (the Commission) spent time speaking with the staff and the manager and observing the residents interactions with staff, through behavioural and non verbal communication. It was not possible to communicate directly with the residents, as they have complex Care Homes for Adults (18-65 years) Page 6 of 29 communication needs. We also looked at the care and accommodation offered to people living at home and observed care provision and support provided for them. Practices were observed and documents relating to care, recruitment and health and safety were reviewed. 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 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents assessed needs are well met. Residents and their representatives have the information they need to make an informed choice about the home. Evidence: The home has a clear and concise Statement of Purpose and Service User Guide. Both documents have recently been reviewed and updated and contain the information required for people who use the service to make an informed decision. The Service User Guide which contains important information about the service has been produced in an easy read format to help people understand what to expect of the home. There have been no new admissions to the home since the last Key inspection. Many of the people living here have done so for a number of years. Previous inspection reports show that the home has good processes in place when considering an admission to the home. We looked at two care files, which show that information is gathered from various professionals, relatives and prospective residents themselves before admissions take Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: place. We read a very informative assessment about the persons physical, mental health and social needs. In the assessment there was information about the likes and dislikes of the person and their preferred choice of social and therapeutic activities. We saw good written evidence that assessment records are regularly evaluated and updated. This helps to demonstrate residents needs are monitored and reviewed. The assessment process ensures that the home is able to meet the individuals needs. We also saw written evidence that residents are involved in the assessment and care planning process in an appropriate manner to their ability. This shows how residents are being supported to make their own decisions about the type of care they may need. The manager talked about ensuring that the stability of the house is maintained by considering the needs of the people currently living at home when assessing the suitability of future residents. This is important with only five people living at the home. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with assistance and support that is tailored to their needs and aspirations. Residents needs are well met through good practices that are supported by detailed care plan documentation. Residents are supported to make decisions and to take risks in their daily lives. Evidence: We observed the staff on duty talk to the residents in a sensitive and calm manner, communicating through listening and awareness of non-verbal cues that contributed to the conversation. Residents in this home have complex needs and communication difficulties which are well managed through the use of Total Communication methods, by a stable and sensitive staff team. People living at the home appeared happy and content, and interactions observed with staff showed a good rapport between the residents and them. Each person living at the home has a well-developed care plan; we looked two plans of care to help us judge how care is planned and delivered. We saw detailed care Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: plans written with the involvement of the resident, and their relatives where appropriate. This gave us good information about their personal history and information about their physical and mental history and also their family and friends. An informative plan of care had been prepared which clearly stated how the persons physical, mental, social and emotional needs were to be met. The care plan clearly set out the individuals wishes and preferences and how to support them. It was clear that the information in the care plan aimed to promote the persons independence as much as possible. Regular reviews of peoples support needs are held and people are involved in these reviews. Family members and care managers are also invited to attend where appropriate. The home has a key worker system, which means that staff are allocated specific responsibilities for individual people, which enables them to build a meaningful relationship and to ensure the home provides a quality of life for that individual. In the care plan we saw detailed information about potential risks the person may face, and any risks from particular activities that they take part in. The care plan set out the preferred approach staff should take and was helpful and informative. During the course of the inspection we saw residents go out with staff for various social and therapeutic activities. This demonstrated how residents are well supported to take risks in their daily lives, and are enabled to undertake enjoyable activities of daily living. Information contained in the residents daily records showed that staff aim to support them to maintain their independence in their daily living. Interactions and care provision observed supported this information, and demonstrated staff understanding of the individuals needs and care provision. Staff told us they were always given up-to-date information about the support needs of the people living at home. We were told there is good communication in the home, one staff member told us, any changes are also discussed with us. Discussions with the staff and manager during our visit showed that they had a good understanding of peoples caring communication needs. In the AQAA we are told we liaise with other professionals and agencies to ensure that we are providing and meeting the needs and choices of our residents. We are also told we respond to the health needs of residents in a proactive manner. Observations of practice and documentation inspected supported the statements. Due to the communication difficulties of these residents it was not possible to Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: ascertain their opinion, however we did see residents getting up at different times and their choices and preferences being respected and met. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience 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 are treated as individuals and staff respect their rights. They have the opportunity to enjoy regular events and activities to enhance their quality of life. People living at the home are supported to maintain important links with family and friends. Residents benefit from balanced and varied meals that support their likes and dislikes. Evidence: We were told about the various activities enjoyed by residents both inside the home and in the wider community. Some people attend weekly clubs for people with a learning disability e.g. Oakley AOC, St Vincents. On the day of inspection we observed three residents being taken shopping, and one resident was visiting a club in the afternoon. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Daily life at the home is agreed with the individuals and planned in response to the individuals choice, however flexibility to the timetable is maintained to ensure their well-being. The home also provides additional in-house activities which include evening activities for the residents. There is a structured programme of activities which includes one-to-one time with staff, swimming at the local Recreation Centre, sensory sessions at St Vincents, and visits to local pubs and cafes. Photographic records of activities both inside and outside the home are maintained, and these were seen in various parts of the home. We were told by staff, and information in care plans supported this, that the home encourages contact with family and friends. Some residents see their relatives on a very regular basis. We observed that staff are very respectful and polite to residents. Holidays are organised and some people have opportunities to visit relatives for holiday. Residents for whom a holiday would be stressful or difficult are offered days out. In the AQAA we were told the home is exploring the use of interactive technology to have more diverse ways of recording a persons daily life and their preferences. We were also told for residents that need help eating and drinking we have consulted the speech and language therapist, for guidance and advice on best practice and specialist equipment. Care plans inspected, practices observed and staff understanding supported this information. Staff were knowledgeable about each of the residents care needs, preferences and behaviours. Staff were observed using their skills to manage behaviours that can be challenging, and to facilitate a calm community environment. Residents and staff are involved in housekeeping tasks and we observed one resident assisting with the preparation of the lunch. Menus inspected showed they are also provided in pictorial form and contain a list of ideas that the individual can choose from. This means that meals are prepared to meet individual taste and choices and are offering a balanced and varied diet. The kitchen is small and domestic in scale and provides an important area for daily living tasks and activities. The home received a visit from the Environmental Health Officer (Food) last summer and were given a one star rating. This was of concern to us, however inspection of the kitchen and food management facilities demonstrated that the requirements and recommendations from that visit had been implemented. However the kitchen flooring was split in the middle of the floor thus potentially causing a trip hazard. (Further information regarding this is contained in the environment section). Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the care and support they need in a way they prefer; and their health needs are well met. They are well supported by the inclusion of external health care professionals. Residents are protected through safe practices in the management and administration of medicines. Evidence: Care plans detail the level of support required by people in respect of personal care and during our visit staff attended to peoples personal care needs in a sensitive way, providing care in the individuals preferred way and according to their care plan. The home has good details and records about how peoples health related needs are met and monitored. We saw that support is provided in a flexible consistent and responsive manner, as residents were asked, and assisted, to choose where to sit and what to do. Clear evidence was seen in each individuals health action plan that they receive advice and treatment from a number of relevant health care professionals, including GPs, nurse specialists, occupational therapists, dentists, optician, and speech and Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: language therapists. When needed people are supported to attend the GP or hospital appointments. Health action plans were noted to have been reviewed regularly and included changes and additional information to ensure full support for the individual. We looked at how the home manages medication, its administration, storage and disposal, to see if they are handled safely for the protection of the residents. We looked at the medication administration records of three residents. There were no gaps, indicating that people receive the medication as prescribed. For handwritten entries that had been made, two signatures had been obtained to ensure accuracy, which is good practice and reduces the risk of error. Staff confirmed they regularly undertake medication administration training to enable them to do this safely. The home has a well developed homely remedies policy, for medicines that can be bought over the counter. They have obtained consent from each persons GP to use these remedies when needed. This is good practice. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are listened to, and well supported to make complaints about the service. Residents are protected from abuse through robust systems and knowledgeable staff. Evidence: The service has an open culture and staff we met conveyed a good understanding of the importance of respecting residents views if they are unhappy about any aspect of the service. This was witnessed at lunchtime. The service has a complaints procedure that is clearly written, and produced in pictorial format to assist residents in their understanding and communication, and is displayed in the home. The manager informed us there are good communication links with families, and all discussions are fully minuted. We saw the complaints log book and noted there had been no complaints made since before the last inspection. All staff have received training in the protection of vulnerable adults to ensure they have the knowledge and skills to protect residents from abuse. Staff interviewed demonstrated a good understanding of what abuse is, how to recognise it, and steps to be taken to protect the individual. They told us they had never seen signs of abuse in the home. The home has clear policy guidance and procedures in place to assist staff in protecting residents from abuse. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is suitable for their needs and lifestyles. Evidence: The home is purpose-built in a residential area, a short distance from the centre of Cheltenham. The home is near to local shops bus stops, pubs, clubs, churches and the library. It is also close to the health centre and other provisions for people with learning disabilities. This means residents can be part of the community if they wish. Residents have access to all areas of the home. The home looked clean, tidy and satisfactorily maintained in most areas that we saw. However we noted a number of maintenance issues the manager had requested be repaired, and was still waiting for these to be done. We noticed the garden fence was very shabby and in need of painting; the security light outside the house has been broken for several weeks and not been repaired; and the kitchen flooring is split in the centre of the kitchen potentially causing a trip hazard. The manager explained that she has no influence over the timescale in which these maintenance repairs will be completed. Advance Housing must ensure that items, which were considered to be vital to the safety and well-being of residents are dealt with in a satisfactory timescale. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: The residents allowed us to see their bedrooms. They looked clean, tidy and satisfactorily maintained. One bedroom is for shared use and had appropriate screening to ensure privacy and dignity of each individual at all times. We saw that the rooms had been decorated and personalised for each individual resident. Bathrooms in the home are fitted with appropriate aids and adaptations to meet the complex needs of the residents. We observed residents looking relaxed and comfortable in the home, as well as being able to move around as they wished and undertake activities they wanted. Interactions between residents were observed and appropriate staff intervention ensured the well-being of each individual. The home has a garden which looked in need of attention however staff had obviously undertaken some activity to tidy it up, for the benefit of residents. On the day of inspection one resident was observed sitting in the garden enjoying the sunshine. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by sufficient competent, qualified and well supervised staff. Evidence: We looked at the staff duty records for the previous three weeks to check the numbers of staff on duty are sufficient to support residents. There are usually two or three staff on duty for a day shift and one member of staff at night. The staff team has the skills to communicate effectively with the residents and this was evident during the inspection. The staff team are small but relatively stable, with a long-standing core of staff to provide flexible and consistent care. We looked at staff employment files. We saw two written professional references had been taken up for all new staff, together with the Criminal Records Bureau (CRB) check prior to offering work at the home, and commencing employment. These checks provide the required safeguards to ensure only suitable people are employed to work with the residents. We reviewed the training records of three staff and noted they had received training in both mandatory and specialist areas in the last 12 months. This ensures staff have the relevant knowledge and skills to meet residents needs and provide positive outcomes Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: for them. Staff spoken with told us they had undertaken the National Vocational Qualification in Care awards, and evidence was seen that others are working towards completing them. Staff told us they are well supported by the manager and regular supervision, in which their practice and development needs are discussed. Records seen confirmed that supervision is undertaken and recorded on a regular basis, in accordance with the recommendations. This is good practice and enhances service provision in the home. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is run for their benefit. There is an open and approachable management style in the home. Evidence: The manager is experienced and well qualified. She is a qualified nurse in learning disabilities with several years experience and is competent to manage the home. The ethos and leadership of the service is one of inclusiveness and openness that is of benefit to the residents. People living at the home appeared to interact well with the manager, and staff spoke of confidence in her abilities and felt that she would listen to them. The manager has a positive attitude towards inspection and regulation; she is well organised, finding documents, files and records as requested. This reflects good management and a wellrun home. The home has several ways of monitoring the quality of the service. An annual quality assurance report is compiled and considers the views of people living at home, and Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: their families. Regular meetings are held with relatives which provide them with an opportunity to have their say in an informal way and any problems or feedback arising from these meetings are dealt with in the house. In the AQAA the manager returned we are told staff are encouraged to challenge each other and the managers practice; team discussion is encouraged when making decisions about the home or residents; clients are present when meetings about them are held. In discussion with the staff team present, and a review of quality audits we concluded that the home continues to provide services of a good standard to the people living there. During the inspection we looked at the records relating to health and safety in the home. Staff have received mandatory training including, fire safety, manual handling, infection control and food hygiene, which promotes good health and safety practices. The manager keeps an account of what needs to be completed in respect of health and safety and regularly checks to ensure they have been completed. The manager is aware that night staff must also be included in any training and fire drills that occur in the home to ensure continuity and consistency of action among the staff team. The fire logbook showed that the fire system has been regularly maintained and tested. The AQAA showed maintenance and servicing of electrical systems was not up to date. The hoists have not been maintained since 2007. It is required that these are regularly serviced to ensure they are safe for residents use. The home has some policies and procedures in place to advise and inform staff in key areas. However they do not appear to have all required policies in place. Some policies currently in place were seen not to have been reviewed for more than three years, thus not providing staff with information and guidance in current best practice. It is recommended that these are reviewed, and other policies required implemented. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 13 The registered person must ensure that maintenance and repairs required for the safety and well-being of residents are undertaken within a satisfactory timeframe. To ensure residents live in a safe and well maintained home 31/05/2009 2 42 13 the registered person must make arrangements for the safe moving and handling of residents. The hoists must be regularly serviced to ensure they are working correctly for the safety of residents 15/05/2009 Care Homes for Adults (18-65 years) Page 27 of 29 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 41 The registered person should ensure that all required policies and procedures are in place, with current information regarding best practice included, to ensure the rights and interests of residents are safeguarded. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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