Care Home: Arundel House

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What the care home does well Arundel House is close to the town and sea front so people can go out to shops and use transport;People are being helped to be more independent and help look after themselves more;People can do shopping, washing and help with the cooking if they want;Some people who live there have jobs and take qualifications;People have their own rooms which are decorated how they like. What has improved since the last inspection? People have more independence;The home have made the policies better, and more records are easy to understand;They have made sure people have more of a say in the way the home is run;They have new care plans for everyone, where people can talk about their future and what they would like to do;Some people at the home have their own money to pay carers to help them do things they want to do; What the care home could do better: We thought they were doing a good job, and they know what they are going to do to keep improving the home. So we didn`t say they needed to do anything else. Key inspection report Care homes for adults (18-65 years) Name: Address: Arundel House Arundel House 117 Torquay Road Paignton Devon TQ3 2SF The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Michelle Finniear Date: 1 9 0 8 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 32 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 32 Information about the care home Name of care home: Address: Arundel House Arundel House 117 Torquay Road Paignton Devon TQ3 2SF 01803551450 01803551450 arundel@boltblue.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Anne Morrison care home 12 Number of places (if applicable): Under 65 Over 65 12 0 learning disability Additional conditions: Date of last inspection A bit about the care home Arundel is a terraced three-storey building. The property is situated on the level, within easy walking distance of all local facilities and Care Homes for Adults (18-65 years) Page 4 of 32 Paignton town centre. The home caters for up to 12 adults with learning difficulties, with or without a physical disability, and to this end the home benefits from the provision of some specifically designed bedrooms, which provide suitable accommodation for wheelchair users. Fees range from #306 # 1612 per week. Care Homes for Adults (18-65 years) Page 5 of 32 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 Care Homes for Adults (18-65 years) Page 6 of 32 How we did our inspection: This is what the inspector did when they were at the care home We visited the home twice, We asked the manager to write about how the home is run in a document called an AQAA; We sent questionnaires to people who live at the home so they could tell us what they think about it; Care Homes for Adults (18-65 years) Page 7 of 32 We looked at the records the home keeps; We talked to the people who live there about what they like to do. What the care home does well Care Homes for Adults (18-65 years) Page 8 of 32 Arundel House is close to the town and sea front so people can go out to shops and use transport; People are being helped to be more independent and help look after themselves more; People can do shopping, washing and help with the cooking if they want; Some people who live there have jobs and take qualifications; Care Homes for Adults (18-65 years) Page 9 of 32 People have their own rooms which are decorated how they like. What has got better from the last inspection People have more independence; The home have made the policies better, and more records are easy to understand; Care Homes for Adults (18-65 years) Page 10 of 32 They have made sure people have more of a say in the way the home is run; They have new care plans for everyone, where people can talk about their future and what they would like to do; Some people at the home have their own money to pay carers to help them do things they want to do; Care Homes for Adults (18-65 years) Page 11 of 32 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Michelle Finniear Colston 33 33 Colston Avenue Bristol Avon BS1 4UA 01179307110 Care Homes for Adults (18-65 years) Page 12 of 32 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 13 of 32 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 14 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are fully assessed before they move to the home and receive information to help them decide if it is the place for them. Evidence: On the site visit we spent time looking at how the home admits new people, and how they know they can meet their needs. The home has a service user guide which tells people about the home and the services they provide. This is up to date and can be given to people to help them decide if Arundel House is the right place for them. It also gives people information about their rights. Before a decision is made about someone moving into the home, the manager sees the person and talks to them to understand what support they need and what they like to do. This helps to make sure they will fit in with people already living at the home. Then they visit the home and meet the people who live there to see if they will like it. The pre-admission assessment is very comprehensive and is partially completed by previous carers or relatives as well as involving the person themselves. This helps to give Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: Arundel House a good idea of what people will want and expect from the home. We looked at the admission process that had been followed recently by the home for a person who had moved there. The person had visited the home many times before they made a decision that they would like to live there. Taking a long time to make the decision also helped the home to make sure that they could get everything ready before the person moved in. Each person at the home has a contract. This helps make sure people understand their rights and what they can expect to receive for the fees paid. A community worker who had recently moved a person to the home said they had recently supported a person to visit and then move to Arundel House....We arranged at least nine visits before the person moved in, building up each visit to over night stays. The person concerned has now settled well. Care Homes for Adults (18-65 years) Page 16 of 32 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. Care is being well planned and delivered as people wish. People are being supported to be more independent. Evidence: Each person living at the home has a full care plan which is based on assessments and drawn up with the people concerned. The plans contain in depth personal profiles, records of peoples aspirations and wishes, information on the support they need and plans to achieve greater Independence. These are all written in a clear and easy to understand format, with photographs to support the text. They were being reviewed regularly. People also have working towards independent living assessments as a part of a five part programme of supporting people to take more control in their lives. People are currently working towards developing action plans to work towards their identified goals. These could be seen in peoples files. People living at the home are encouraged to take an increasing role in the running of the home. They participate in the process of staff recruitment, choice of decor, menus and Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: activity planning - including holidays. They are also formally asked their views as a part of the homes quality assurance systems. People are also developing increased life skills where they wish, such as cooking, washing, ironing, shopping. People spoken to or who answered questionnaires said they were supported to make choices and be independent. one person said Anne asks me what I want to do and then the staff help me. Risk assessments are undertaken for activities of daily living and tasks undertaken by staff. Risk assessments help to make sure that risks are managed and minimised wherever possible. These could be seen in each individuals file. The home have told us that they plan to provide on going training for staff in risk management , mental capacity act training and review their policies, procedures and communication tools to make sure that peoples choices are maximised. People living at the home told us I like it here and I am very happy here. I dont want to go and live in a flat. Care Homes for Adults (18-65 years) Page 18 of 32 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 have opportunities to lead full and active lives. Evidence: People living at Arundel House have opportunities to follow active and fulfilling lives. Many of the people living there have access to direct payments to purchase enabler support to help them undertake activities they enjoy. This might be undertaking a keep fit course or participating in a gym session, shopping or participation at college. At the time of the inspection site visit several people living at home were being supported in work placements, one in a local hospital and another in a florist shop. One person is also working in a part-time job in another care home. They have taken qualifications to do this and are a well-respected member of the staff team there. Other People living at the home are attending evening courses in maths and English, basic information technology skills and two people have commenced an NVQ level II course supporting their skills in their respective work placements. Some people also attend local day centres. Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: The home tell us that people are supported to vote, attends church, social events, social clubs, discos, college courses and maintain links with family and peers as they wish. People living at the home told us they were busy and could nearly always do what they wanted to do. Recent holidays have been enjoyed, including two groups visiting Egypt, one group to Fuertaventura, and one to Lourdes with other holidays being planned by people at the home. People participate in lifestyle planning sessions with their key workers, and there are monthly meetings where people can have more of a say in the running and planning of the home. Some changes have been quite small, such as having serving dishes on the tables at mealtimes so that people can help themselves to food, but these all help people to be more independant and make choices in their lives. Each week there is an activities session organised by people living at the home and decided by them. A person living at the home collects a weekly donation from all participants and this goes towards hiring DVDs, buying Pizzas or whatever people decide they wish to do. People also use local restaurants and takeaways as well as community services and facilities. Meals are well balanced and people are supported to make choices and keep healthy. For some people this has included losing weight, for others this means increasing their intake to keep healthy. People have access to local communicty groups in the area and this is increasing with the further development of local advocacy services, such as Speaking out in Torbay. Care Homes for Adults (18-65 years) Page 20 of 32 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 healthcare is being supported. Evidence: As a part of the homes programme for working towards independent living people are being encouraged to be more self-aware of their bodies, medication and health regimes. Each person living at the home currently has a health action plan which includes information on both support currently required and also screening and preventative health care. People are encouraged to take control of their own health care needs as far as possible, and participation from relatives and other supporters is also encouraged to support the individual. As an example a relative recently attended the homes epilepsy management awareness program. Each person has at least an annual medical review, and eight weekly assessments of health are conducted with each person living at the home and a senior member of staff. These are also recorded in a communication friendly format to support peoples understanding. The care plans seen included information on how a person with nonverbal communication indicates that they might be in pain or feeling unwell. The home tell us they try to source appropriate communication friendly literature for people to understand any treatment or interventions that may be required. Treatment Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: plans are said to be agreed with each individual wherever possible. The home has recently purchased a Wii fit console at the request of people living at the home. People are also encouraged and supported to attend local gyms, swimming sessions and to follow active lifestyles. The home has good links with local medical services and evidence could be seen in files of people having community and hospital-based medical support for particular conditions or investigations. The home has a series of protocols available for example for epilepsy, which explain to staff explicitly when particular interventions or medication is required. This helps to ensure that everyone is clear about care required. Some people living at the home require to have their medication with them at all times, and in this instance they are either accompanied by staff, or staff at day centres or work placements are aware of actions to follow in case of a healthcare emergency and had been trained to support the person. On the visit we looked at the medication systems in use at the home. The home uses a monitor dosage system which means that medication is supplied to the home by the pharmacist in a series of blister packs. These reduce the risk of errors, and ensure that staff can quickly see whether medication has been given. All medication administered is recorded and a member of staff demonstrated how medication is given out to individuals. This demonstrated the system is safe, and medication is stored appropriately. Care Homes for Adults (18-65 years) Page 22 of 32 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 the home should be protected by the homes policies on complaints management and safeguarding. Evidence: Arundel House has a complaints procedure which is available within the home. People we spoke to said they were clear about who they would talk to if they were unhappy about something. They said they were confident it would be put right. No complaints had been received about the home in the last year and the home have told us they have not received any. Staff at the home have received training in adult protection and safeguarding. This should help ensure that they are aware of what to do if they suspect someone is being abused. Many people at the home also have a good concept of what constitutes abuse of practice and what their rights are. They have access to local advocacy groups and committees. The home also has a whistleblowing policy. Some staff have also received training in the Mental Capacity Act and Deprivation of Liberty Safeguards. These help to ensure that peoples rights to make decisions is supported. Further staff are to undertake this training in the future. Care Homes for Adults (18-65 years) Page 23 of 32 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. The home is well maintained and provides a comfortable environment for people to live and work in. Evidence: On the first visit to the home we looked round the building, looking at cleanliness, decor and how well the accommodation met peoples needs. The home is continually being refurbished. Since the last inspection this has included new wooden flooring throughout the lounge and corridors, new stairlifts to help people access the first floor and new furniture for outside the home. Plans are in hand to redecorate and refurbish the kitchen and dining room, and peoples bedrooms are on a rolling programme for updating and renovations. The rooms seen were personalised and individual. Some rooms are very large with separate seating areas, while others are much smaller. However all have en suite facilities of at least a toilet and wash hand basin. Many others have en suite showers. One room is currently being shared (by choice) by the two occupants. All areas seen on the visits made were clean and comfortable. Rooms are stylishly furnished and people have a say in the decor both in their rooms and in communal areas. The home have told us they have weekly audits of the environment and have a maintenance person weekly to carry out minor repairs and renovations. They also have regular health and safety audits to ensure the premises are safe and do not present any Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: hazards to people that are avoidable. Cleaning materials are kept locked away and the home has policies on infection control. Equipment is available to prevent the spread of infection and the homes laundry is capable of achieving a full sluicing cycle, which means soiled linens can be disinfected. Care Homes for Adults (18-65 years) Page 25 of 32 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. The Staffing arrangements mean peoples needs can be met. Evidence: On the first visit to the home time was spent looking at the ways in which the home recruits, supports and trains the staff they employ. The home has a recruitment plan and folder which shows the process they follow when recruiting staff. We looked at some staff files, including one for a recently appointed person. These showed us that the process was being followed and was thorough. Files contained references and evidence that the home takes up Criminal records bureau checks on staff. This helps to ensure that people at the home are being cared for by people who are suitable to be working with potentially vulnerable adults. Staff who completed questionnaires told us that these checks were carried out before they started work and that they received enough information and training to help them do their jobs. Since the last inspection the homes AQAA has told us they have sourced key training programmes for staff from an accredited provider. Staff receive increments for National vocational qualifications, and staff members undertake foundation and formal training such as infection control, diet and nutrition, Person centred planning, communication, Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: death dying and bereavement, challenging behaviour, dementia care, medication administration, and record-keeping. Some staff are currently undertaking National Vocational Qualifications at level 2 and 3. National vocational qualifications are a national award recognising the competency of a person in their work role. Each person now has a personal professional development file. The home tells us they have devised a staff turnover monitoring spreadsheets, devised a probationary period policy, reviewed and updated job descriptions and person specifications, devised a new starters pack, devised a volunteers pack, and sourced free National vocational training for five staff members up to level III. They plan to source more mental capacity best interest and deprivation of liberty training for all staff and work towards gaining the investors in people standard by 2012. They also wish to organise staff team building events in the coming year. Staff are being supported in their working role through 1:1 discussions and meetings, called supervision. These look at making sure people are working consistently and to their full potential to support people living at the home. They home also has a series of observed practise sessions where staff are observed by senior staff to ensure they are working in the best way to support people. Staffing is becoming more flexible with people appointed for specific hours for individuals to support their lifestyle plans. This might mean for example dedicated hours available for the person to support them with attendance at clubs or sporting events. The home also has recruited a staff bank, where staff can provide additional hours as needed to cover sickness or holidays. This helps the home ensure people can be supported by people they know well and who know them and their needs. People who live at the home are supported to be involved in the recruitment of staff. They said the staff working at the home were kind and helpful. One wrote In this home the staff are very nice to me. Care Homes for Adults (18-65 years) Page 27 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well managed. Systems for quality assurance were excellent. Evidence: On both visits to the home we met with the owner and senior staff, looking at the way the home is being managed. The owner/manager has 40 years of working with people in care settings and has kept herself up to date with changes. The homes office manager has completed her registered managers award and is soon to commence her NVQ4 in health and social care. These are both management level awards in management of care settings. The deputy manager has also been undertaking her NVQ level 4 in Health and social care. Senior staff are always available on duty and the office and record systems are well organised, so information is readily available. The home has comprehensive quality assurance systems, which help to ensure that people who live at the home and other stakeholders have a say in the way the home is run. The home continuously evaluates themselves against standards, their own policies and procedures and uses information gathered through questionnaires to make sure that they are aware of what is working well at the home and of any areas that could be improved. They provide a full annual development plan which shows what they have Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: improved through the year and what they plan to work on the following year. Good feedback is given to people about the results of their input to this process. We looked at Health and safety management in the home on the first visit. The home owner could show us evidence that regular assessments are made of the environment and of any risks within it, and the home uses an external contractor to ensure health and safety needs are addressed. Contracts are in place for the maintenance of equipment and documented risk assessments and working policies are available. Staff receive training in health and safety and specific issues such as infection control and first aid. Chemicals are stored safely and the homes electrical systems and portable appliances are checked regularly to ensure they are safe. The home has regular tests of the fire system and makes sure people know what to do in case of a fire or other emergency. The systems for the management of peoples finances were seen. These showed that any money kept by the home for safekeeping is managed well. Each person living at the home has their own bank account and people are encouraged to learn how to budget and plan for future expenditure such as holidays. Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  No  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 30 of 32 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 Description 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 Description 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 31 of 32 Helpline: Telephone: 03000 616161 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) 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. Care Homes for Adults (18-65 years) Page 32 of 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!