Care Home: Aeolian House

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What the care home does well The home provides a comfortable,welcoming and homely environment for people to live in. A person living in the service told us that they were able to choose their preferred decor and furnishings in their bedroom. Good relationships were observed between people living in the service and staff. Two people told us that they were happy living in the home. A person surveyed said that they were happy with the care support that they have. People have detailed and comprehensive care plans, which they are involved in making and they have monthly support meetings with their key worker. People are supported to access a good range of vocational, educational, social and leisure activities and their independence is maintained. A person told us , "I can go out when I like and I work in a supermarket". Another person said, "Staff always listen and try to follow up suggestions that I make". People use local facilities including visiting the pub and town centre. People are encouraged to make choices and decisions about their lives. The home has regular house meetings and people have implemented a house chores list and participate in household activities including cooking and washing. What has improved since the last inspection? The service now has an appointed manager in post who has submitted an application to the Care Quality Commission to register with us. Monthly quality monitoring visits which, are required by the legislation are now being carried out on a regular basis, which was confirmed by reports maintained in the service. What the care home could do better: No requirements have been made as a result of this key inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Lisa Johnson     Date: 1 9 0 4 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 27 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 27 Information about the care home Name of care home: Address: Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ 01483276561 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.mencap.org.uk Royal Mencap Society Name of registered manager (if applicable) Mrs Judith Ann Sahal 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 to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Aeolian House is a care home for adults with a learning disability. The home is a large Edwardian detached house on the outskirts of the village of Cranleigh. All bedrooms are for single occupancy, situated over two floors. There is a large lounge/dining room and kitchen. One sitting room can be used as a quiet room. There are two bathrooms and a downstairs shower room. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 8 3 0 0 9 2 0 0 9 Brief description of the care home The home is situated in its own grounds, laid mainly to lawn. There is adequate parking to the front of the premises. A bus stop is a few minutes walk away. It is some considerable walking distance into the village of Cranleigh. The fees range from £456.67per week to £529.91per week. Care Homes for Adults (18-65 years) Page 5 of 27 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 unannounced site visit was undertaken as part of key inspection. We arrived at 9:45 am and left at 3.35pm. Information was provided to us by the service prior to this visit in the Annual Quality Assurance Assessment. (AQAA) This is a self -assessment that focuses on how well outcomes are being met for people using the service. We received the AQAA by the expected date,which was clear, detailed and gave us all the information we asked for. Reference is made to this assessment throughout this report. We received six feedback surveys from people living in the service. Four people had been supported by staff to complete these. During this visit discussion took place with two people who live in the service. Discussion also took place with the manager and two members of staff. Care Homes for Adults (18-65 years) Page 6 of 27 During this visit we sampled staff recruitment, and training records, care plans, risk assessments, menus, complaint, accident/ incident records, quality assurance systems, medication administration practises , health and safety records and policies and procedures. We also reviewed other information that we have received since our previous visit including notifications. Care Homes for Adults (18-65 years) Page 7 of 27 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 27 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 27 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 is provided to people in accessible formats. Pre admission assessments would be completed to ensure that the service can meet peoples needs. Evidence: Since our previous visit the homes statement of purpose and service user guide has been reviewed to include the current management arrangements and the staff teams qualifications. The service user guide has been made accessible with the inclusion of pictures to make this information accessible to people using the service. Since our previous visit there have been no new people admitted to the home. The home has a vacancy and two referrals were received but after gaining information it was felt that the service would be unable to meet their needs. The service has an assessment process which involves gathering information from the person, their representatives , previous placement and from care management. Visits can also be arranged for the prospective person to meet other people living in the service and staff. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has a care plan in place , which they are involved in making. People are supported to make decisions about their life and they are supported to take risks as part of an independent lifestyle. Evidence: Each person has a person centred care plan in place, which they are involved in making. Care plans contain information about peoples health, emotional, personal,communication, life skills, social, cultural and religious needs. Each person has an allocated key worker and one to one meetings take place each month to review care plans and to look at current and new goals.Information seen in three peoples files confirmed this. Annual reviews are also carried out where people are invited to attend. People also maintain a copy of their person centred plan, which one person living in the home permitted us to see. This contained a personal profile,photographs of activities and holidays that they had participated in and records of achievements Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: relating to their individual goals and aspirations. During this visit another person told us that they had a meeting with their key worker and that staff always try to follow up their suggestions. One persons care plan sampled stated that they had expressed a wish to purchase some new clothing and to go on a trip to London, which had been achieved. The service is demonstrating that they are supporting people to make decisions and choices about their lives and provide assistance where this is needed. The service holds regular house meetings where issues about the home, activities, menus, and holidays are discussed. Feedback surveys are carried out and after listening to peoples views the service has arranged further leisure activities and organised days out. People living in the service have devised their own house chores list, which was seen on display and they have agreed the house rules. People maintain their finances in a lockable facility within their bedroom and they are encouraged to be as independent as possible. This information was detailed in their person centred plan. Information supplied in the AQAA states that people have had a say in the qualities they would like in new members of staff and they have been involved in staff recruitment and the interview process, this is documented at house meetings. People are supported to take risks as part of an independent lifestyle. Two peoples care plans sampled identified that they travel independently.Risk assessments had been implemented to support this. A risk assessment was also in place for a person who visits their relatives independently in another part of the country. We also sampled other risk assessments including, bathing/showering,using the kitchen and finances. Information seen demonstrated that these are regularly reviewed. Members of staff spoken with during this visit said that are made aware of risks assessments. Care Homes for Adults (18-65 years) Page 12 of 27 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 participate in meaningful vocational, educational, social and leisure activities, which meet their cultural and diverse needs. people maintain links with their family and friends and their choices and rights are respected. People are provided with with varied and well balanced meals. Evidence: The service is able to demonstrate that people participate in a wide range of meaningful and appropriate activities that meet their interests and preferences. At the time of this visit some people had left the service to attend employment or day services. A person who was at home at the time of this visit told us that they work part time at a local supermarket and said that they go out independently to the town centre independently. They stated I can go out when I like. Another person told us they work in a charity shop and at the time of this visit they Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: left the home to go shopping and told us,I go swimming. Three people help out at local day service for older people and some people attend day services. People have been away on holidays including Spain and a person showed us some photographs of their holiday in Disney land and their day out visiting the London Eye. A person surveyed said, I enjoy having days out and we have a meetings once a month. People access facilities in the local community such as visiting the pub, attending village fetes and Fayres. During this visit a person was observed speaking to staff about holidays and activities that they would a like to go on. Three people also attend Church. The manager told us that they are currently exploring other local community groups for people to participate in including an art and cultural centre. People choose to hold a garden party every year and they are involved and supported in making arrangements. Relationships with family and friends are promoted. People visit their families at their homes and people maintain links using the telephone and some people have their own mobiles. Some people have friends that they also maintain links with. During this visit people were observed to have unrestricted access to all areas of the home. People are involved in the running of the home and participate in household activities including meal preparation and they have devised their own house chores list, which was seen on display and agreed the house rules. Photographs were displayed of the person was seen next to the menu in the kitchen. People are provided with door keys. During this visit good interaction was observed between people and staff.A person surveyed said that they cook, do their washing and staff help with their care. The service also has two cats, which people help take care of. The homes menu is planned weekly in consultation with people, which is based on their preferences. Staff supports people in having a healthy diet. The menu was displayed on a large board in the kitchen, which was seen to be varied and well balanced. Care Homes for Adults (18-65 years) Page 14 of 27 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 support from staff in a way that that they prefer and their health needs are met. People are protected by the homes medication policies and practises. Evidence: Peoples health, emotional and personal care needs are outlined in their person centred and health action plan and how these are to be supported. Peoples likes, dislikes, preferences and routines were recorded such as peoples preferred days and times of having baths/showers. People are supported to access health care professionals including, General Practitioner, dentist, chiropody, optician. We were informed that people are able to make appointments to see the doctor of their choice at the local surgery that is accessed by them .Some people are being supported by the mental health team to support their emotional needs. Information supplied in the AQAA states that all people have had full health care assessments from their GP. Health action plans sampled confirmed this. All health screen checks and appointments are recorded.At the time of this visit the manager Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: informed us that all health action plans are in the process of being reviewed and updated. People are provided with keys for the bedrooms, although we we were told that people dont always use them. A member of staff told us that would always knock on peoples doors to gain peoples permission before entering. Two people living in the service told us that staff respect their privacy. During this visit we looked at the homes medication practises. Systems were in place for the receipt and disposal of medication. Medication is dispensed by a local chemist using the monitored dose system (MDS). Medication profiles were in place and information about peoples preferred way of receiving their medication. Protocols were in place for the administration of homely remedies and a signature list was available of staff trained to administer medication. People maintain their medication and personal record within a locked cabinet in their bedroom and staff hold the key. One person permitted us to see the medication arrangements in their bedroom. Records The service is working towards people being able to self administer their medication.Information supplied in the AQAA states that people have completed medication workbooks in order to move forward to self medicating their oral medication with staff support. At the time of this visit the manager was consulting with the pharmacist to look at equipment that could be used to assist people in this process. Currently one person self administers their insulin medication and a risk assessment is in place. While viewing another persons medication it was observed that this person maintains an indigestion remedy liquid,which was not locked away in their cabinet. Discussion took place with the manager who said the person has been assessed as being able to undertake this task, although no written risk assessment had been completed, which the manager said they would put in place.Since this visit the manager has told us this matter has been completed. Since our last visit we received a notification about some medication that gone missing from a persons blister pack on two occasions. This matter had been appropriately reported and followed up. The manager has implemented further auditing systems for monitoring and auditing. Care Homes for Adults (18-65 years) Page 16 of 27 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 service provides an accessible complaints procedure to people. People living in the service are safeguarded from abuse . Evidence: We saw a copy of the homes complaints procedure, which is formulated with pictures to make this accessible to people.The service also maintains a complaints register. Since our previous visit no complaints have been received by the service. People are also encouraged to raise any concerns through regular meetings and one to one support meetings. The organisation has built feedback and complaints into their quality assurance framework. Two people told us that they like living in the home and that they were happy. People surveyed said, that they knew how to make a complaint and that the manager and staff listen to what they say The service has safeguarding vulnerable adults from abuse and whistle blowing procedures in place. The local authority multi agency safeguarding procedure was also available. Staff training records sampled confirmed that staff receive safeguarding training and discussion with two members of staff also confirmed this. Discussion was held with two members of staff, who were aware of their responsibilities should they ever witness or be made aware of any incident where the Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: safety of people is compromised. Since our previous visit two matters have been referred following the local authority safeguarding vulnerable adults from abuse procedures, although these resulted in no further action under these procedures. Care Homes for Adults (18-65 years) Page 18 of 27 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 safe, well maintained, comfortable and homely environment, which is clean and hygienic Evidence: The service provides a homely and comfortable place for people to live in, which is decorated and furnished to a good standard. The home is spacious and has a large sitting room and a separate smaller sitting room. Over the last year redecoration has taken place both in the communal areas and in people,s bedrooms. The service has ample bathing and showering facilities and wet room. Regular health and safety checks are also carried out and servicing and maintenance of equipment was up to date. There is a large, well maintained and accessible garden at the rear of the property, which has a covered patio and decking area and the garden is enhanced with flowers and ornaments for people to enjoy. Two people invited us to see their bedrooms, which were comfortable and personalised reflecting their gender and preferences. One person was very happy with their bedroom and told us they had chosen the colour scheme and furnishings.Another person surveyed said, I like the interior of the home. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: During this visit the home was seen to be cleaned to a good standard and hygienic. Suitable hand washing equipment and facilities were available. We were informed that staff receive infection control training as part of their health and safety training Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the service are supported by a competent and trained staff and they are protected by the homes recruitment policies and practises. Evidence: At the time of this inspection there were two members of staff on duty plus the manager. The duty rota sampled also confirmed that there is always two members of staff on duty during the day. The manager would benefit from additional supernnummary time to carry out their management administration duties. At night time people are supported by a sleep in member of staff and on call arrangements are in place. The service has a lone working risk assessment in place. People benefit from a stable team where turnover has been minimal. The home currently employs six members of staff both full and part time who are of mixed gender with meets the gender mix of people living in the service. Any shortfalls are covered by the organisations bank relief staff. Information supplied in the AQAA states that four out of six members of care staff have obtained National Vocational Qualifications (Level 2)or above. New staff receive induction, which was confirmed by training records sampled and through discussion with members of staff . Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Staff receive regular statutory training and receive specialist training including, epilepsy and diabetes awareness, which was documented in their training records and calso onfirmed by members of staff spoken with. The manager told us that had received training on the mental capacity act and deprivation of liberty safeguards (DOLS), which has been cascaded to the staff team. Staff also receive person centred approaches training and a member of staff has attended a pain management training, which has been cascaded to other members of the team. Staff recruitment is based on equal opportunities. During this visit we sampled three members of staff personal files, which contained the required information including, completed application form, criminal records bureau check and two written references, although one member of staffs file documented that there were two written references but the second reference could not be located at the time of this visit. The manager was advised to make this available. Care Homes for Adults (18-65 years) Page 22 of 27 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 service is well run in the best interests of people living there and their views are sought. Peoples welfare and safety is promoted and protected. Evidence: There is a manager in post, who has worked in the service for many years, who is supported by an experienced deputy. The manager has submitted an application to the Care quality Commission to register with us and is waiting for their fit persons interview to take place. The manager has obtained National Vocational Qualification (Level 3) and they have also commenced a Leadership and Management course. During this visit the manager was observed to have an open and inclusive approach. Two members of staff said that they are supported by the management structure in the service. We were told that regular staff meetings take place. The organisation has a continuous improvement framework that sets out how they promote quality assurance, which covers a wide range of areas, where compliance is assessed on regular basis. Annual service reviews are also carried out and the outcomes are fed back into the continuous improvement plan. The views of people Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: living in the service and their representatives are gained from surveys What matters to me, which have recently been updated. The service also holds regular house meetings and one to one support meetings to gain the views of people. Systems were in place ensuring the safety and well being of people living in the service including, regular health and safety checks.Staff records sampled and discussion with members of staff confirm that they all receive regular statutory training including moving and handling, first aid and health and safety. Accident or incidents are recorded and maintained in the service. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 26 of 27 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. 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