Care Home: Aldwick Residential Care Home

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What the care home does well Aldwick Residential Care Home provides a friendly, relaxed and homely environment for the people who live there. The home has a pre-admission process that identifies the needs of prospective residents to allow the home to see if they are able to meet their needs. The process also includes visits to the home and overnight stays so people can decide if they would like to live there. Care plans give detailed guidance to staff on what people`s needs are and how they prefer these to be met. They are person centred, detailing the support people need and what they are able to do for themselves. They are regularly reviewed so that people`s changing needs can be met. Peoples` personal social and health care needs are identified and met. Residents feel involved in the running of the home and feel supported by the staff. Comments from residents include; "Staff are very, very good." "Staff are sympathetic and helpful" A relative said, "My son has improved since he has resided there - I only wish I had known about Aldwick Care Home years ago. It really is a home that cares." What has improved since the last inspection? Since the last inspection the home has developed new service user guides Its admission documentation and the care plans have been revised. Residents are now involved with planning the menu. The menu is now displayed in the lounge so residents are able to see the choices of the day. The office is being rebuilt to provide a more confidential place for people to talk or hold private meetings. A new quality assurance process has been put into place to gain the view of residents and involve them in what improvements they feel are needed in the home. Photos of people who receive medication have been added to medication record sheets to minimise the risk of errors. A medication audit has been put into place. The home now has a maintenance plan and is in the process of updating several areas of the home. The roof has been repaired and the laundry room is now dry in wet weather due to this. The recruitment process has improved and the home now ensures it has all the required documentation before people start to work there. A new staff structure has been put in place that includes a deputy manager and senior carers so there is now a clear line of responsibility and the manager has more time to manage the home. What the care home could do better: There are still areas in the home that need refurbishing and updating. These have been identified in the maintenance plan. Key inspection report Care homes for adults (18-65 years) Name: Address: Aldwick Residential Care Home 92-94 Aldwick Road Bognor Regis West Sussex PO21 2PD     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: Jo Hartley     Date: 1 5 1 2 2 0 0 9 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) 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. 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Aldwick Residential Care Home 92-94 Aldwick Road Bognor Regis West Sussex PO21 2PD 01243865569 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Premila Sewpaul Name of registered manager (if applicable) Type of registration: Number of places registered: care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 27 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: Mental Disorder, excluding learning disability or dementia - MD Date of last inspection Brief description of the care home 2 8 0 1 2 0 0 9 27 Over 65 0 Aldwick Residential Care Home is a care home registered to accommodate up to twenty-seven service users who have a mental disorder, eleven of whom may be over the age of sixty-five years. The registered providers are Mr Ashok Sewpaul and Mrs Premila Sewpaul. Mr Sewpaul is also the registered manager. The property consists of Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home two terraced houses, which have been joined together internally and extended for its current use. The accommodation consists of eleven single and eight double bedrooms located on the ground, first and second floors. Communal areas include, a dining room and a lounge on the ground floor, whilst a second lounge and a hairdressing room. The home is located in the town of Bognor Regis close to the seafront and local shops and amenities, with easy access to local rail and bus stations. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: The quality rating for this service is 2 star. This means the people that use this service experience good quality outcomes. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These include: the Annual Quality Assurance Assessment (AQAA) completed by the home, and an unannounced visit to the home, which was carried out on the 15th December 2009 over a period of three and a quarter hours. During the visit we looked at policies, procedures and records kept at the home including staff recruitment and training, residents records and health and safety information. We observed interactions between staff and people living in the home, and visited areas of the home including bedrooms and communal areas. The manger was present throughout the visit and gave assistance when needed. All regulatory activity since the last inspection was reviewed and taken into account Care Homes for Adults (18-65 years) Page 6 of 28 including notifications sent to the Care Quality Commission and its predecessor, the Commission for Social care Inspection. Several residents living at the home and staff assisted with this inspection. Their evidence and information was very useful in compiling this report. In addition to this we received surveys from one resident and one relative. The last key inspection of this service was carried out on the 28th December 2008. The current fee levels at the home are £311. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? Since the last inspection the home has developed new service user guides Its admission documentation and the care plans have been revised. Residents are now involved with planning the menu. The menu is now displayed in the lounge so residents are able to see the choices of the day. The office is being rebuilt to provide a more confidential place for people to talk or hold private meetings. A new quality assurance process has been put into place to gain the view of residents and involve them in what improvements they feel are needed in the home. Photos of people who receive medication have been added to medication record sheets to minimise the risk of errors. A medication audit has been put into place. The home now has a maintenance plan and is in the process of updating several areas of the home. The roof has been repaired and the laundry room is now dry in wet weather due to this. The recruitment process has improved and the home now ensures it has all the required documentation before people start to work there. A new staff structure has been put in place that includes a deputy manager and senior Care Homes for Adults (18-65 years) Page 8 of 28 carers so there is now a clear line of responsibility and the manager has more time to manage the home. 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 9 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 10 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. The home carries out a needs assessment prior to someone moving into the home to ensure that they are able to meet their needs. People are encouraged to visit the home before they make a decision about moving in. Evidence: Prior to people moving into the home the acting manager or a senior member of staff meet people and carry out a pre-admission assessment to ensure that the home is able to meet the individuals needs. The pre-admission assessment covers areas such as health, personal care needs and wishes, spiritual and social needs and mental health. Information is also gathered from professionals that are involved with the individuals lives. The home has not had any admissions since the last inspection. When we arrived at the home the acting manager was visiting a person in hospital as part of a planned admission process. We were told that people are encouraged to visit the home and are able to come for a meal, an overnight stay or join in activities so they are able to decide if the home is the right place for them to live. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: Since the last inspection the home has developed new service user guides, policies and admission documentation. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Everyone living in the home has an individual care plan and risk assessments that detail the support they need. These are reviewed and updated regularly. Evidence: We looked at the care plans for four residents. They were all person centred, detailing what each person is able to do for themselves, what they need assistance with and how they prefer assistance to be given. For example, for one resident details were given about what they could do for themselves regarding personal care, and how the care staff could support them to remain independent. There were details on how staff could encourage this person at times when her mental health state meant that she was reluctant to do things for herself. The care plans that we saw were signed by the manager and the resident concerned. Care plans are reviewed at least every six months. Most of the care plans we saw were reviewed more frequently than this due to the fluctuating mental health of the residents concerned. An example of this is that a review was arranged for one resident Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: who was frequently refusing medication. A meeting was held with the manager, the resident, the residents consultant and social worker. The outcomes of this were clearly recorded and the care plan was updated. The residents who spoke with us during the visit said they were happy with the care provided. They told us that they are involved with various things in the home, including making Christmas cakes, mince pies and Christmas puddings. The home has ensured that any restrictions on freedom are clearly recorded with the reasons that the restrictions are in place explained. Wherever possible these are agreed and signed by the individual concerned. If this is not possible a Mental Health Act 2005 Deprivation of Liberty Safeguards Assessment, (MCA DOLS) is applied for. We saw that risk assessments are in place for identified risks such as aggression, use of alcohol and other health and safety risks. These are regularly reviewed and updated if required. At present residents do not have keyworkers. However, the deputy manager showed us the plans that the home has drawn up to put this in place. Training and support for staff to undertake this role has already started. Residents told us that they have regular resident meetings and that they have recently been involved with changing the menus. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents take part in appropriate activities and are involved in the local community. They are able to maintain contact with family and friends. A varied diet is provided and people are able to make choices about what they want to eat. Evidence: Peoples interests and hobbies are recorded in their care plans. People living in the home are encouraged to join in the activities the home provides. During the visit residents told us that they were making Christmas cakes, Christmas puddings and mince pies for the festive season. A relative told us, When I call in they are often playing cards or staff are talking to them. A resident said, They arrange a number of activities including cards, bingo, exercises and an entertainment group comes in every three months. Also staff accompany residents on walks, shopping and to a pub for coffee. The Richmond Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: Fellowship are also involved in taking residents out. One resident visits a local art gallery and regularly attends church. People are also supported to go to day centres or college if they choose. People who have families are supported to keep in touch with them. One resident said that her mother visits regularly and she is going home for the Christmas break. People are able to have locks on their doors if they wish. One resident said that she asked for a lock as she had breakable items in her room. She showed us that the lock had been fitted. The deputy manager showed us that the new Quality Assurance questionnaire includes a question for residents about whether they want a lock on their rooms. Staff were seen knocking on peoples doors before entering them. The name people prefer to use is recorded on their care plans. The residents have recently been involved with drawing up new menus. They were asked what their favourite meals are and what were their favourite foods at different times in their lives, e.g. when they were a child, when they got married etc. The menu we saw was varied and included fresh vegetables and choices are available at all mealtimes. Residents told us that they are able to ask for something else if they dont like any of the choices on the menu. At the last inspection it was noted that the menu was not displayed to enable people to make a choice about what they would like to eat. We saw at this inspection that a board has been put up in the lounge and the menu is written on it every day. Special diets and individual likes and dislikes are catered for. Food and liquid intake is monitored for anyone who the home is concerned is not eating or drinking adequately. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are identified and met by the home. The home is improving its medication practices to make them more robust. Evidence: All care plans include details of peoples personal and healthcare needs and how these are to be met by the home. Personal care guidance is individual and person centred. The mental health of people is carefully monitored and appointments are made with the relevant professionals when there are concerns. For example, one person was refusing medication at regular intervals. The home arranged for a review to take place with the consultant. All the outcomes from this review were documented and the situation is still being monitored by the home. People receive the medical care they need. We saw in the records that appointments are made with doctors, CPNs dentists, opticians etc when they are required. The home assists people to attend appointments if they wish. The home has policies and procedures in place regarding the administration of Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: medication. All staff who administer medication have been trained and receive regular updates. We looked at the medication records and found that there were some gaps in the recording. The manager and deputy manager were able to demonstrate that this had been picked up in a recent medication audit and the staff concerned had received further training. The home has recently put a new system in place that ensures that there is a more robust audit trail for the receipt, administration and disposal of medication. At the last inspection it was recommended that medication records should include a photograph of each person to avoid possible errors in administration. This has now been put into place. Care Homes for Adults (18-65 years) Page 18 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. People feel their views are listened to and that any concerns they have are acted upon promptly. Procedures are in place to protect people from harm. Evidence: The home has a complaints policy in place that is provided to everyone in the home. People who live in the home told us that they are happy to raise any concerns or complaints they have with the manager or senior member of staff. They said that they would be listened to and their concerns dealt with quickly. The home has a system for recording and following up on complaints. No complaints have been recorded since the last inspection. All staff in the home have received training in recognising and reporting abuse. Staff we spoke with were able to say what they would need to do if they witnessed or suspected an incident of abuse. The home has a copy of the Sussex Multi-Agency Policy and Procedures for Safeguarding Vulnerable Adults. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely and comfortable environment. The home now has a maintenance plan in place. There are still areas that need upgrading but these are in the maintenance plan for the year. Evidence: Aldwick Residential Care Home has a friendly and homely atmosphere. It is situated very close to a parade of shops and local amenities. It provides a safe environment for the people who live there. The home consists of two terraced houses and the layout of some of the rooms is unusual. The only bathroom with an assisted bath is located on the ground floor and can only be accessed through a bedroom or through the garden. The owners are looking into providing a covered walk way round the edge of the garden to make it more pleasant for people to access in poor weather. Some of the fire exits are accessed through peoples bedrooms. Since the last inspection the home has employed a maintenance man and has drawn up a thorough maintenance plan. Work on this has begun. Much of the roof has been replaced and there is no longer a problem of the roof leaking in the laundry now. The main lounge on the ground floor has been redecorated and on the day of the visit a carpet fitter was due to put down a new carpet. Several bedrooms have also been redecorated. Some areas are still in need of refurbishment and these are all contained Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: in the maintenance plan for the year ahead. The communal areas are well furnished and homely. The lounge on the first floor is being used temporarily as an office while the office downstairs is being refurbished. At the last inspection it was noted that the office was being used as a walkway for people accessing the garden which meant that there was little privacy for confidential meetings. This is in the process of being addressed through partitioning the office to allow for a walkway through to the garden so people will no longer have to go through the office to access it. We looked at several bedrooms an found that people have been able to personalise them with their own belongings. People are able to choose whether or not they have locks on their doors. Some rooms are double rooms and have two people sharing them. The people who share bedrooms said they are happy to do so. The layout is not suitable for people with poor mobility or use wheelchairs as there are a number of staircases and some narrow corridors. However, it does meet the needs of the people who live there. The laundry area has to be accessed through the garden to ensure that soiled laundry is not taken through the kitchen. The home has recently purchased new equipment for the laundry. Most of the areas of the home were clean when we visited, however there were some areas that needed vacuuming. The person who cleans the home was not at work on that day. The home has infection control policies and procedures in place. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff who are suitably trained. The recruitment procedure has been improved and now meets the current requirements. Evidence: Staff on duty during the visit were aware of individual peoples needs. They interacted well with people and treated them with dignity and respect. The home has benefited by a new staffing structure so that there are now clear lines of responsibility. The manager now has more time to spend on the running of the home. There is now a deputy manager and senior carers in place. We looked at staff training records and found that all staff have received training in the areas of health and safety. The manager said she is looking at other areas that staff need training in and is setting up a new training programme. Nine staff have an National Vocational Qualification in care at level Two or above. We looked at the rotas for the home and found that there are enough staff on duty to meet the residents needs. There are three care staff on duty during the day plus the manager, a maintenance person and a domestic. in the evening there are three carers on duty and there are two waking night staff. Residents told us that they found the Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: staff helpful and friendly. At the last inspection it was found that the recruitment procedures of the home did not protect people living there. We looked at the records of staff that have started work since the last inspection and found that all had current Criminal Records Bureau Checks, Protection of Vulnerable Adults checks, an application form and written references. This requirement has now been met. We saw that the home has an structured induction programme in place that all new staff complete. 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 manager of the home is in the process of registering with the Commission. Quality Assurance systems have now been put in place. The health, safety and welfare of the people living and working in the home are promoted and protected. Evidence: The manager is in the process of applying to the Commission to be registered. She has recently completed the NVQ Level Four in Care. At the last inspection a requirement was made that quality monitoring systems be put in place. At this inspection we saw the new quality assurance questionnaires that have been given out to the people who live in the home. The home has recruited a consultant to advise them and to carry out the monthly Regulation Twenty Six visits to the home that check that the conduct of the home is meeting the required standards. The equipment in the home is regularly serviced and inspected. A fire risk assessment is in place. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Staff have received mandatory training in Health and Safety. All incidents and accidents are recorded and the home informs the Commission of these when necessary. Risk assessments are in place for identified risks. These include action to be taken to prevent or minimise the identified risks. 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. 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. 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