Care Home: Alpha House

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What the care home does well People`s needs are appropriately assessed before they move into the home. People`s wellbeing is promoted by way of excellent assessments, positive risk assessments and person centred care planning. The service provides good opportunities for people to get involved in a range of activities both inside and outside of the home within the wider community. People`s personal and health care needs are met, and identified needs or potential changes in health are followed up appropriately. Medicine management is good. People living at this home are protected by clear complaints and safeguarding procedures. People live in a clean and comfortable home. People are supported by a stable and competent staff team who have had the necessary employment checks done before they work at the home, There are always sufficient numbers of well trained and motivated staff on duty to meet the needs of the people living at the home. Alpha House is a well run home, where people`s views are taken into account and the health and safety of people is protected. What has improved since the last inspection? Information contained within the records indicate that good progress has been made on improving the opprtunities for people to engage in meaningful activities and inclusion within the local community. Safeguarding and the protection of people has been an ongoing issue and the home continues to work with external agencies to ensure the holistic needs of people are met. The knowledge and understanding of the staff in relation to their individual and collective team role with regards to conflict management has increased through regular in house training sessions, and the staff team have a clearer understanding of how to ensure the service continually develops to meet the individual and collective needs of people. What the care home could do better: The service should explore the opportunities of using recognized person centered planning tools such as PATHs, MAPs and Essential Lifestyle Plans in order to further improve the care planning systems operated in the home, which could have a positive impact on the outcomes for people using the system. The introduction of more frequent medication audits would support the already good work undertaken by the staff and registered manager, in meeting people`s medication and healthcare needs. The registered manager should ensure that the planned environmental improvements take place in a timely fashion so as to improve the living environment for people at Alpha House. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Alpha House 122 Halifax Old Road Birkby Huddersfield West Yorkshire HD2 2RW     The quality rating for this care home is:   three star excellent 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: Tony Brindle     Date: 1 1 0 5 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 26 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 26 Information about the care home Name of care home: Address: Alpha House 122 Halifax Old Road Birkby Huddersfield West Yorkshire HD2 2RW 01484422760 01484420008 MK@valeoltd.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Valeo Ltd Name of registered manager (if applicable) Mr Andrew Robert Sharp Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Alpha House is a care home offering accommodation and personal care to three people who have learning disabilities and behaviours that challenge the service. The accommodation is owned by Valeo Ltd., which is a private limited company. The company provides residential accommodation and domiciliary services in the local area. The accommodation consists of an end terraced Edwardian house operating over three floors. It is situated in a residential area a short distance from the centre of Huddersfield. All the bedrooms are single, one having en-suite facilities. There is a large living area and dining room. There are gardens to three sides of the property with a sitting area and small car park to the rear of the property. 3 Over 65 0 care home 3 Care Homes for Adults (18-65 years) Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection was positive and enjoyable. We spent some time having a look at the paperwork at the home, and we talked to people who live at the home, had a look round the home, checked the medication and money, and talked to the staff. The paperwork we looked at included peoples care plans and assessments, some staff personnel and training files, the medication, health and safety records, the menus and kitchen records, and the daily records made by the staff about the activities people had been involved in during the day. We would like to take the opportunity to thank the people living at the home, the registered manager and the staff for their hospitality and patient co-operation throughout the inspection. Since we last inspected this service in November 2007, we have not received any complaints about the service. The registered manager and staff continue to keep us informed of incidents and Care Homes for Adults (18-65 years) Page 5 of 26 developments within the service. 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 7 of 26 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 8 of 26 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. Peoples needs are appropriately assessed before they move into the home. Evidence: The registered manager explained that no new admissions to the home have taken place for some time, but added that admissions would not made until a full needs assessment had been undertaken by the himself and by the local authority social work team. He explained that assessments would be conducted with the individual interested in moving into the home, and their family or representative, where appropriate. The records show that where assessments had been undertaken through the local authority, the staff at the home had obtained a copy. Care Homes for Adults (18-65 years) Page 9 of 26 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. Peoples wellbeing is promoted by way of excellent assessments, positive risk assessments and person centred care planning. The service should explore the opportunities of using recognized person centered planning tools such as PATHs, MAPs and Essential Lifestyle Plans in order to further improve the care planning systems operated in the home, which could have a positive impact on the outcomes for people using the system Evidence: A staff member working at the home explained that the staff help to develop with people living in the home, a personal plan that details their needs and preferences and sets out how they will be met in a way that they themselves find acceptable. The plans were found to include information and decisions about: what people like to be called; what people like to eat and drink; how people spend their time and what people like doing; any equipment and adaptations people may need; who should be involved in reviews of their care; any communication needs people may have. The records show Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: that the personal plans are reviewed on a regular basis. A staff member explained that people are encouraged to get involved in the development of their personal plan and in its review as much as possible. Evidence on this was seen within the records. Information contained within the records shows that people are supported to make choices and decisions about day-to-day aspects of their life and about how they spend their time. People are encouraged to keep up relationships with friends, relatives and carers and links with their own community. If people want, the staff will support individuals to do this. The personal plans give details of the daytime opportunities and activities that people are engaged with. the records show that people are supported to access to a range of community based leisure activities and other learning activities. This was supported by the people living at the home who indicated that they taske part in various activities througout the day. Detailed daily records were found and the registered manager explained that these help to audit the care being provided to people and are a way of ensuring that staff are following the guidelines in the care plans. The information contained within the daily records helped to demonstrate how individual choices have been made with people, and record instances when others have made decisions, and why. For example, the types of activities people get involved in on a daily basis such as going shopping, and the amount of contact people had with their parents or relatives. Staff were seen to provide people with the information about what was going on inside and outside the home, and were seen to do this in a person centred way, taking into account peoples communication abilities. The registered manager explained that a sensible balance is offered to people in everyday events and activities, between reasonable risks and the safety of themselves, and others. Information contained peoples plans shows that this results from individual risk assessments. It was noted that on the documentation used by the service is person centred planned in its approach. The plans are written from the perspective of the person, giving details of their individual needs, desires and aspirations. The plans are written in a sensitive manner, and show that the person has been included in the decision making process. A discussion took place with the registered manager as to what extent the service used recognised person centred planning tools. The registered manager said that at the present time, recognised person centred planning tools are not yet used, but he agreed that the addition of such tools could be of potential benefit to the people living at the home, as their use could help to broaden the opportunities of people living at the home. A recommendation that the service explore the opportunities of using recognized person centered planning tools has been made at the end of this report. Care Homes for Adults (18-65 years) Page 11 of 26 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. The service provides good opportunities for people to get involved in a range of activities both inside and outside of the home within the wider community. Evidence: The registered manager explained how people are supported to participate in a range of fulfilling, valued activities appropriate to their needs and wishes both in and outside of the home. The records show that these activities include visiting friends and family, shopping and socializing. One person living at the home indicated that they enjoy going out on trips, and going to the local gym. One staff member said that family and friends are welcomed, and their involvement in daily routines and activities is encouraged, with the persons agreement. The registered manager said that in order to support people to keep in touch with their family or friends, the arrangements for this are recorded in peoples care plans. He added that if the agreement is not kept to, Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: the reasons for this are recorded. Information held with the records confirmed this. The records show that really positive work has been completed by the staff at the home to support one person to visit and develop positive realtionships with their family. People were seen to be offered a choice of suitable meals. People are encouraged to get more involved in meal planning and preparation as much as possible. Information held within the records supported this. One person is supported to follow a diet that is suited to their individual dietary requirements. Care Homes for Adults (18-65 years) Page 13 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and health care needs are met, and identified needs or potential changes in health are followed up appropriately. Medicine management is good, and the introduction of more frequent medication audits would support the already good work undertaken by the staff and registered manager, in meeting peoples medication and healthcare needs. Evidence: The registered manager explained that people living at the home require varying degrees of support with their personal care. Good information about peoples preferred routines and what support they require was found within the personal support plans. Examples of staff providing discreet and sensitive support to people was observed. Good levels of information were found within peoples care plans to show that people are supported to have their healthcare needs met. The registered manager explained that over recent months, the support plans for people living at the home have been motifided so as to give people more opportunities for outings and also time on their own, away from others living in the house. The records show that this has had a positive effect on reducing the number of disagreements between people living at the Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: home, and provided positive opportunbities for people to develop and engage in meanigful activieis based on their individual needs and requirements. The records show that people attend regular healthcare appointments with support, and each person has a Health Action Plan Health- plans are personal plans that list what needs to happen for a person to be healthy, it includes any help that the person may need to do this.. There was evidence that expertise and guidance of healthcare professionals is sought when dealing with any healthcare related need. Medication administration records were examined along with medication stored at the home. Everything was found to be satisfactory, and the registered managers plans for increasing the frequency of when a medication audit is carried out was seen to be a positive one. We did not get the opportunity to discuss healthcare issues with the people living at the home, however, the records contain good levels of information from professionals involved in different peoples lives. The information showed that these professionals were very satisfied with the way the staff at Alpha House support people in the area of healthcare and medication. Care Homes for Adults (18-65 years) Page 15 of 26 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 living at this home are protected by clear complaints and safeguarding procedures. Evidence: The records show that the service has an up to date complaints procedure that is available to people in the home. Discussions with the staff at the home demonstrated that they take peoples comments, concerns and complaints about the quality of the service they provide and their experiences of it seriously. The service has an appropriate adult protection and whistle blowing policy in line with recognized guidelines. Discussion with staff members showed that they had a good understanding of how to respond to suspected or alleged abuse, and were aware of the signs of abuse. The training records demonstrated that staff had attended relevant training in safeguarding vulnerable adults. The registered manager confirmed that physical and verbal aggression by a person is understood and dealt with appropriately, and if physical intervention were to be used, it would be used only as a last resort. Training records show that staff have received training in this area. The registered manager explained that a copy of the complaints procedure has been posted out to everyones family members and advocates with a letter to ensure that all are aware of the complaints procedure and that any concerns or complaints can be dealt with according to the company procedure. He added that each person at the Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: home has received and been taken through the procedure by their key workers, and that a new, pictorial concerns and complaints procedure has been produced and given to people. The records show all staff have attended training in Safeguarding Adults and staff at the home said that this underpins any behaviour management strategies that are in place for people. The registered manager explained that all staff employed to work at Alpha House undergo a Criminal Records check and their name is checked against the protection of vulnerable adults list, a list of names of people who are exlcuded from working with vulnerable people. The records show that the Registered Manager has attended training in the Mental Capacity Act and Deprivation of Liberty Safeguards, andf that all staff attend a three day training course in Conflict Management which includes the use of physical intervention which do not rely on pain compliance. This training is appropriately accredited. The records held at the home show that the management team undertake un-announced checks during the night to ensure that the correct support is being provided. Care Homes for Adults (18-65 years) Page 17 of 26 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 clean and comfortable home. Evidence: A look around the home with one of the people who lives in the home, showed that people are encouraged to personalise their rooms to their taste and the registered manager explained that that all rooms are redecordated regularly to ensure that the decor is of a high standard. One staff member explained that people are supported by the staff to clean their rooms and change their bed linen on a daily basis. This was supported by a person living at the home who incidated that they like to keep their room clean and that the staff help them. The records show that one person living at the home has continence issues, and that this is dealt with appropriately and sensitively. The three bedrooms were seen to be of a good size, and Alpha House was found to have a large comfortable sitting room which has plenty of seating, a spacious dining area and a standard sized kitchen with modern applicances. The records show that there is a maintenance team headed by an Estates Manager who attends to all repairs and refurbishments. The records also show that the appliances and equipment in the home are serviced regularly. Hygiene and infection control measures are in place. The registered manager explained that the flooring in the laundry room is to be replaced, and other enviornmental improvements are to be made over the next few Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: months eg a new sofa and chairs has been ordered. Care Homes for Adults (18-65 years) Page 19 of 26 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 excellent 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 a stable and competent staff team who have had the necessary employment checks done before they work at the home, There are always sufficient numbers of well trained and motivated staff on duty to meet the needs of the people living at the home. Evidence: The rotas show that the home is well staffed, and the registered manager said that this means that not only are people keep safe, but they are well supported to undertake a number of different activities both inside and outside of the home. Information contained within the records supported this. the Use of agency staff is keep to a minimum and the rotas show that no agency staff have been used in 2009. Staff at the home said that rotas are planned in advance to meet peoples needs and interests and the registered manager explained that the staff are flexible to work in line with this. The registered manager explained that staff are recruited according to Valeos equal opportunities policy, and that all staff receive an induction prior to coming to work at Alpha House which is five days in duration, followed by a day long in house induction. Information contained peoples personnel files confirmed this, and a staff member who was spoken with said that the induction offered by the company was very good and thorough. Information contained within the records shows that all Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: staff receive on going training as part of their job role, this includes statutory training as well as additional training to enhance their skills and knowledge. The registered manager said that if staff require additional training this can be discussed in supervision sessions and that it is usually actioned if felt appropriate. One staff member explained that they are supported to work through the Learning Disability Awards Framework, and and NVQ levels 2 and 3. Team meetings are held around every 6 weeks, and one staff member explained that they are encouraged to contribute ideas and opinions in order to always offer the best possible care and support to the people living at the home. Information contained within the rota showed that there is a satisfactory mix of well trained staff working at the home, with levels appropriate to the assessed needs of the people and appropriate for the different activities that people take part in. The personnel and training records show that staff have the skills, training and experience necessary to undertake the activities and support they are expected to complete with people living at the home. Discussions with staff members demonstrated that they are very clear about their roles and responsibilities and understand the management and reporting structures for the home. Training records showed staff were up to date with all areas of mandatory training, and there was evidence of specific learning disability training. The recruitment records show that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. The registered manager explained that new staff are confirmed in post only following completion of a satisfactory Criminal Records Bureau (CRB) check, and satisfactory check of the Protection of Vulnerable Adults register. Information held within the personnel files confirmed this. Care Homes for Adults (18-65 years) Page 21 of 26 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. Alpha House is a well run home, where peoples views are taken into account and the health and safety of people is protected. Evidence: The records show that the manager is registered with the Commission. He has worked with adults with learning disabilities for 7 years, and took on the role of manager at the home in November 2008. He has completed both NVQ Level 4 in Health and Social Care and Registered Managers Award (RMA) and the records show that continues to attend training which will enhance his skills and knowledge. Staff at the home said that the Deputy Manager assists the manager with the day to day running of the home. The registered manager confirmed this. Management visits are are carried out by the Area Manager and these visits address any deficiencies in the running of the home, and also pick up on good practice and positive aspects of the care support being provided. The recods of these visits were seen and found to be satisfactory. The company has a Quality Assurance Team in place to monitor each individual home and monitor their progress on a monthly basis via monitoring, audits and random unannounced internal Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: inspections of the service. The most recent unannounced visit report was seen, the findings of whcih were consistent with those found by the Commission at this site visit. Records within the home demonstrated that care and support is provided by a well trained management and staff team. Information held within the records at the home demonstrated that the manager and staff make sure that so far as is reasonably practicable, the health, safety and welfare of people living and working at the home is promoted. This is done by way of staff training, fire safety system testing, risk assessments and safety system monitoring. Staff explained that they take part in fire drills, and have received fire safety training, along with health and safety training. Information held within the records at the home supported this. The registered manager explained that there is a quality assurance scheme run by the company. This involved obtaining feedback from people living at the home their families and professionals. Once feedback is received, then a report on the quality of care is published with an accompanying action plan (if required). Information held within the records at the home supported this. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 The service chould explore the opportunities of using recognized person centered planning tools such as PATHs, MAPs and Essential Lifestyle Plans in order to further improve the care planning systems operated in the home, which could have a positive impact on the outcomes for people using the system. The introduction of more frequent medication audits would support the already good work undertaken by the staff and registered manager, in meeting peoples medication and healthcare needs. The registeed manager should ensure that the planned environmental improvements take place in a timely fashion so as to improve the living environment expereince by people at Alpha House. The introduction of more frequent medication audits would support the already good work undertaken by the staff and registered manager, in meeting peoples medication and healthcare needs. 2 20 3 26 4 42 Care Homes for Adults (18-65 years) Page 25 of 26 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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